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Risk factors for hospitalization of children with diarrhea in Shahrekord, Iran

Author(s):
Bahman KhaliliBahman Khalili1,*, Gorbanali ShahabiGorbanali Shahabi1, Mehdi KhaliliMehdi Khalili1, Masoud MardaniMasoud Mardani2, Luis E CuevasLuis E Cuevas3
1Department of Infectious Disease and Tropical Medicine, Shahrekord University of Medical Sciences,Shahrekord, Iran
2Infectious Diseases & Topical Medicine Research Center, Shaheed Beheshti Medical University, Tehran, Iran
3Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, United Kingdom


Archives of Clinical Infectious Diseases:Vol. 1, issue 3; 131-6
Article type:Research Article
How to Cite:Bahman KhaliliGorbanali ShahabiMehdi KhaliliMasoud MardaniLuis E CuevasRisk factors for hospitalization of children with diarrhea in Shahrekord, Iran.Arch Clin Infect Dis.1(3):131-6.

Abstract

Background:

Diarrheal infections are responsible for over a quarter of all childhood mortality worldwide. The present Study was performed to establish risk factors for hospitalization of children with diarrhea in Shahrekord, Iran.

Materials and methods:

For this case-control study, cases were selected through children hospitalized due to acute

Results:

The study population included 259 hospitalized children (cases), 245 OPD and 245 primary health centres controls. In total, bloody diarrhea, dehydration, breastfeeding for ?6 months, history of hospitalization in the previous year, lack of access to safe water, keeping animals at home and the presence of watery stool were associated with an increased risk of hospitalization during univariate analysis. However, multivariate analysis revealed that bloody diarrhea, watery stool, vomiting, use of unsafe water, prior hospitalization, and the presence of rotavirus or salmonella in the stool were independent factors increasing the risk of hospitalization.

Conclusion:

Our results indicate that improving environmental sanitation, socio-economic status and establishing training programs for parents can reduce risk of hospitalization due to diarrhea in children.

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