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J Med Microbiol ; 64(Pt 1): 84-92, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25432162

RESUMO

The objective of the study was to describe the aetiology, epidemiology and clinical characteristics of the principal causes of acute infectious diarrhoea requiring hospitalization among children under 5 years of age in Rabat, Morocco. A prospective study was conducted from March 2011 to March 2012, designed to describe the main pathogens causing diarrhoea in hospitalized children >2 months and less than 5 years of age. Among the 122 children included in the study, enteroaggregative Escherichia coli (EAEC) and rotavirus were the main aetiological causes of diarrhoea detected. Twelve (9.8 %) children were referred to an intensive care unit, while two, presenting infection by EAEC, and EAEC plus Shigella sonnei, developed a haemolytic uraemic syndrome. Additionally, six (4.9 %) deaths occurred, with EAEC being isolated in four of these cases. Diarrhoeagenic E. coli and rotavirus play a significant role as the two main causes of severe diarrhoea, while other pathogens, such as norovirus and parasites, seem to have a minimal contribution. Surveillance and prevention programmes to facilitate early recognition and improved management of potentially life-threatening diarrhoea episodes are needed.


Assuntos
Infecções Bacterianas/epidemiologia , Diarreia/epidemiologia , Diarreia/etiologia , Doenças Parasitárias/epidemiologia , Viroses/epidemiologia , Infecções Bacterianas/microbiologia , Infecções Bacterianas/patologia , Pré-Escolar , Diarreia/patologia , Feminino , Hospitalização , Hospitais Pediátricos , Humanos , Lactente , Masculino , Marrocos/epidemiologia , Doenças Parasitárias/microbiologia , Doenças Parasitárias/patologia , Prevalência , Estudos Prospectivos , Centros de Atenção Terciária , Viroses/patologia , Viroses/virologia
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