Relation of childhood diarrheal morbidity with the type of tube well used and associated factors of diarrhea in rural Bangladesh site of the Global Enteric Multicenter Study.
Yasmin Jahan: 1Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima-shi, Japan.
Michiko Moriyama: 1Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima-shi, Japan.
Soroar Hossain: 3Child Malnutrition Unit, Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212 Bangladesh.
Md Moshiur Rahman: 1Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima-shi, Japan.
Farzana Ferdous: 2Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba-shi, Japan.
Shahnawaz Ahmed: 3Child Malnutrition Unit, Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212 Bangladesh.
Sumon Kumar Das: 3Child Malnutrition Unit, Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212 Bangladesh.
Md Iqbal Hossain: 3Child Malnutrition Unit, Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212 Bangladesh.
Abu Syed Golam Faruque: 3Child Malnutrition Unit, Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212 Bangladesh.
Tahmeed Ahmed: 3Child Malnutrition Unit, Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212 Bangladesh.
Mohammod Jobayer Chisti: 3Child Malnutrition Unit, Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212 Bangladesh.
BACKGROUND: Diarrheal disease still remains a major public health threat and is often associated with fatal outcome especially in children with shigellosis mostly in developing countries. This study aimed to determine the presence of any associations between drinking shallow tube well (STW) water and childhood shigellosis. A total of 1394 children aged 0-59 months who presented with moderate-to-severe diarrhea (MSD) in Kumudini Women's Medical College and Hospital, Bangladesh, from December 2007 to March 2011 were enrolled into the study. RESULTS: Among the study children, STW users often represented poor families (44% vs. 37%, = 0.010); less often had household electricity (60% vs. 68%, = 0.001) and cemented floor material (12% vs. 21%, < 0.001); washed hand before eating (79% vs. 84%, = 0.020); and had infections (7.8% vs. 13.1, = 0.002) compared to deep tube well (DTW) water families (in bivariate analysis). After adjusting for covariates, a significant negative association was observed between childhood MSD episodes due to infections and the use of STW water (aOR 0.53, 95% CI 0.36, 0.79). CONCLUSIONS: An emergence of less severe has replaced relatively more severe among the MSD children from DTW-user families. However, more monitoring in terms of disease surveillance for changes in the distribution of serogroups and serotypes and its upsurges and antimicrobial susceptibility is essential.
