000			03312nam a22003497a 4500
001			CUHAS/BM/1000231/T/15
003			CUHAS/BM/1000231/T/15
005			20240305193810.0
008			210728b |||||||| |||| 00| 0 eng d
028			_bWurzburg Road 35, BMC Premises, Post Code: 33102:
028			_bP. O. Box 1464, Mwanza – Tanzania:
028			_bPhone: +255 28 298 3384:
028			_bFax: +255 28 298 3386:
028			_bEmail: vc@bugando.ac.tz :
028			_bwww.bugando.ac.tz
035			_aCUHAS/BM/1000231/T/15
040			_bEnglish _cDDC
041			_aEnglish
041			_aKiswahili
100			_a Falle, Mholya. Zabron _dCUHAS/BM/1000231/T/15 _919717
245			_a Prevalence and Factors Associated Bacterial Diarrhoea Among Under-Five Children in Northwestern Tanzania
260			_aMwanza, Tanzania: _bCatholic University of Health and Allied Sciences [CUHAS - Bugando] : _c ©26.08.2018
300			_aviii; 36 Pages
300			_aIncludes References
520			_aAbstract: Background: Bacterial diarrhea is among of the leading causes of morbidity and mortality among under five children, especially in developing countries. In Mwanza, there is limited information on bacterial diarrhea among under five children in the lower level health care facilities and rural settings. This study evaluate the prevalence of bacterial diarrhea and associated factors among under five children at Ilemela and Sengerema districts. Methodology: A cross-sectional analytical study was conducted from June 2017 to July 2018 involving under five children with diarrhea in three health facilities (Buzuruga and Karume Health Centers, and Sengerema Hospital). Stool samples were cultured into MacConkey agar, Salmonella Shigella Agar, and CHROMOagar-STEC. Additionally, antimicrobial susceptibility testing was done. Analysis of socio-demographic, clinical and laboratory data was done using STATA version 13 computer software. Results: Majority of children with diarrhea were infants (46.4%). Approximately three quarters of children, 74.55% (167/224) harbored one or more bacteria, of which E. coli was more prevalent (89.82%), followed by Salmonella spp 9/167 (5.39%) and Shigella spp 8/167 (4.79%). Among 127 E. coli tested in, 28 (22.05%) were Shiga toxin producing E. coli (STEC). Diarrhea due to STEC was significantly associated with diarrhea residing in the urban areas (27.5% versus 8.3%, p-value=0.019); children with previous history of antibiotics use (33.3% versus 17.0%, p-value=0.041), and HIV positive children (75% versus 25%, p-value=0.031). Approximated 21.6% of all E. coli strains were ESBL-producers. Conclusions and Recommendations: The STEC, Salmonella and Shigella species are prevalent bacteria causing diarrhea among under five children in the current study area. Culture based bacterial species identification and antimicrobial susceptibility testing services are recommended to ensure rational use of antimicrobial agents and thereby, reducing this rising trend of antimicrobial resistance.
600			_xMicrobiology and Immunology _948529
600			_xCommunity Medicine _930336
600			_x Medical Laboratory Sciences _948546
700			_a Seni, Jeremiah _919713
700			_a Nyanza, Elias _919718
942			_2ddc _cCR
999			_c20091 _d20091