Prevalence of Shiga Toxin-Producing Escherichia Coli and Other Enteropathogenic Bacteria Among Childen with Diarrhea in Mwanza City, Tanzania. (Record no. 20259)

MARC details
000 -LEADER
fixed length control field 03407nam a22001817a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
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100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Abdalla, Shehe. Othman
Dates associated with a name CUHAS/BM/ 1000090/T/13
9 (RLIN) 20045
245 ## - TITLE STATEMENT
Title Prevalence of Shiga Toxin-Producing Escherichia Coli and Other Enteropathogenic Bacteria Among Childen with Diarrhea in Mwanza City, Tanzania.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences [CUHAS - Bugando]
-- Phone: +255 28 298 3384 :
-- Fax: +255 28 298 3386 :
-- Email: vc@bugando.ac.tz :
-- Website: www.bugando.ac.tz :
Date of publication, distribution, etc. ©2016
300 ## - PHYSICAL DESCRIPTION
Extent 37 Pages
Extent Includes Refferences and Appendices
520 ## - SUMMARY, ETC.
Summary, etc. Abstract:<br/><br/>Background: Escherichia coli is among the most common causes of bacterial gastroenteritis in children under five years of age in developing countries. The burden of diarrhea diseases in developing countries is still high, ranking the second most common cause of morbidity and mortality after acute respiratory illness. Information on the role of stiga toxin-producing E. coli (STEC) in childhood diarrhea is limited in Tanzania. This study was conducted to determine the magnitude of STEC and other enteropathogenic infection among under-five with diarrhea in Mwanza city, Tanzania. <br/><br/>Material and Methods: Between July, 2015 and March, 2016, a total of 304 children below five years with diarrhea were enrolled to the study. Demographics and relevant information were recorded in a data collection tool. Stool specimens were inoculated onto MacConkey and Salamonella-Shigella Agars, incubated aerobically at 37C, and examined for growth after 24 hours. Confirmed E. coli isolates were then inoculated onto STEC Agar to screen for STEC. Antimicrobial susceptibility testing was performed to pathogenic bacteria using Kirby-Bauer disc diffusion method. Data were analyzed using STATA-13 Software. <br/><br/>Results: The mean age of the enrolled children was 1.43 ± 1.03 years. Of the 304 children enrolled, 185 (60.9%) were males. Two hundred and eighty three (93.1%) of the 304 children with diarrhea had positive culture, of which 32 (10.5%) were due to STEC infection. Out of the 304 children, 44 (14.5%) were found to have diarrhea due to pathogenic bacteria (Salamonella spp, Shigella spp. and STEC). Among 32 STEC isolates 22 (68.8%) and 20 (62.5%) were resistant to amoxicillin/clavulanic acid and trimethoprim-sulfamethoxazole respectively while 3 (9.4%) were ESBL-producing E. coli. Number of children within the family and use of water from wells to significantly associate with diarrhea infection caused by pathogenic bacteria (p=0.034 vs. 0.006).<br/><br/>Conclusion: Diarrheal infection caused by STEC is prevalent in this population. A significant proportion of diarrheal infection was caused by pathogenic bacteria. More than 60% of pathogenic bacteria detected in this study were resistant to amoxicillin/clavulanic acid and trimethoprim-sulfamethoxazole. It is time for clinicians to consider STEC among potential pathogens causing diarrhea in the region. Provision of safe water, health education together with improvements in sanitation and personal hygiene are key factors to reduce these infections. <br/>
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Microbiology and Immunology
9 (RLIN) 48529
General subdivision Medical Laboratory Sciences
9 (RLIN) 48546
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 19806
9 (RLIN) 19716
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Source of classification or shelving scheme ddc
Koha item type UNDERGRADUATE DISSERTATIONS
Holdings
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            MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO   07/30/2021   UD0216 07/30/2021 07/30/2021 UNDERGRADUATE DISSERTATIONS
Catholic University of  Health and Allied Sciences - CUHAS
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