Increase in the detection rate of viral and parasitic enteric pathogens among Egyptian children with acute diarrhea

Introduction: Acute diarrhea continues to be a major cause of morbidity and mortality in children from developing countries. Determination of the frequency of diarrhea in an area, along with the proportion of disease caused by specific enteric agents of different origins, is considered the first st...

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Main Authors: Hanan El-Mohammady, Adel Mansour, Hind I. Shaheen, Nagwa H. Henien, Mohamed S. Motawea, Ismail Raafat, Manal Moustafa, Ibrahim A. Adib-Messih, Peter J. Sebeny, Sylvia Y.N. Young, John D. Klena
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2012-11-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/2349
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author Hanan El-Mohammady
Adel Mansour
Hind I. Shaheen
Nagwa H. Henien
Mohamed S. Motawea
Ismail Raafat
Manal Moustafa
Ibrahim A. Adib-Messih
Peter J. Sebeny
Sylvia Y.N. Young
John D. Klena
author_facet Hanan El-Mohammady
Adel Mansour
Hind I. Shaheen
Nagwa H. Henien
Mohamed S. Motawea
Ismail Raafat
Manal Moustafa
Ibrahim A. Adib-Messih
Peter J. Sebeny
Sylvia Y.N. Young
John D. Klena
author_sort Hanan El-Mohammady
collection DOAJ
description Introduction: Acute diarrhea continues to be a major cause of morbidity and mortality in children from developing countries. Determination of the frequency of diarrhea in an area, along with the proportion of disease caused by specific enteric agents of different origins, is considered the first step in controlling diarrheal diseases. Methodology: From 2005 to 2007, a hospital-based surveillance was conducted in two locations in Egypt to determine the causes of acute diarrhea in children younger than 5-years seeking treatment. Five additional enteric viral and parasitic pathogens were tested using commercially-available enzyme immunoassays (EIA) to re-evaluate the prevalence of diarrheal pathogens in undiagnosed cases. Results: Adenovirus, astrovirus, norovirus and G. lamblia were detected as the sole pathogen in 2% (n=34), 3% (n=56), 9% (n=191) and 7% (n=146) of the cases, respectively. E. histolytica was never detected as the sole pathogen. The percentage of diarrheal cases with a known cause increased significantly, from 48% (n=1,006) to 74% (n=1,568) (P<0.0001). Conclusion: In our study, the incorporation of immunoassays yielded useful data in identifying pathogens in previously pathogen-negative diarrhea cases.
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publisher The Journal of Infection in Developing Countries
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spelling doaj-art-dffb2d585da949cdb07ac59e15e554862025-08-20T02:14:20ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802012-11-0161110.3855/jidc.2349Increase in the detection rate of viral and parasitic enteric pathogens among Egyptian children with acute diarrheaHanan El-Mohammady0Adel Mansour1Hind I. Shaheen2Nagwa H. Henien3Mohamed S. Motawea4Ismail Raafat5Manal Moustafa6Ibrahim A. Adib-Messih7Peter J. Sebeny8Sylvia Y.N. Young9John D. Klena10US Naval Medical Research Unit-No. 3, Cairo, EgyptUS Naval Medical Research Unit-No. 3, Cairo, EgyptUS Naval Medical Research Unit-No. 3, Cairo, EgyptEgyptian Ministry of Health, Cairo, EgyptUS Naval Medical Research Unit-No. 3, Cairo, EgyptUS Naval Medical Research Unit-No. 3, Cairo, EgyptUS Naval Medical Research Unit-No. 3, Cairo, EgyptNovartis, Siena, ItalyUS Naval Medical Research Unit-No. 3, Cairo, EgyptUS Naval Medical Research Unit-No. 3, Cairo, EgyptUS Naval Medical Research Unit-No. 3, Cairo, Egypt Introduction: Acute diarrhea continues to be a major cause of morbidity and mortality in children from developing countries. Determination of the frequency of diarrhea in an area, along with the proportion of disease caused by specific enteric agents of different origins, is considered the first step in controlling diarrheal diseases. Methodology: From 2005 to 2007, a hospital-based surveillance was conducted in two locations in Egypt to determine the causes of acute diarrhea in children younger than 5-years seeking treatment. Five additional enteric viral and parasitic pathogens were tested using commercially-available enzyme immunoassays (EIA) to re-evaluate the prevalence of diarrheal pathogens in undiagnosed cases. Results: Adenovirus, astrovirus, norovirus and G. lamblia were detected as the sole pathogen in 2% (n=34), 3% (n=56), 9% (n=191) and 7% (n=146) of the cases, respectively. E. histolytica was never detected as the sole pathogen. The percentage of diarrheal cases with a known cause increased significantly, from 48% (n=1,006) to 74% (n=1,568) (P<0.0001). Conclusion: In our study, the incorporation of immunoassays yielded useful data in identifying pathogens in previously pathogen-negative diarrhea cases. https://jidc.org/index.php/journal/article/view/2349enteric virusesenteric parasitesELISAEgyptian childrenacute diarrhea
spellingShingle Hanan El-Mohammady
Adel Mansour
Hind I. Shaheen
Nagwa H. Henien
Mohamed S. Motawea
Ismail Raafat
Manal Moustafa
Ibrahim A. Adib-Messih
Peter J. Sebeny
Sylvia Y.N. Young
John D. Klena
Increase in the detection rate of viral and parasitic enteric pathogens among Egyptian children with acute diarrhea
Journal of Infection in Developing Countries
enteric viruses
enteric parasites
ELISA
Egyptian children
acute diarrhea
title Increase in the detection rate of viral and parasitic enteric pathogens among Egyptian children with acute diarrhea
title_full Increase in the detection rate of viral and parasitic enteric pathogens among Egyptian children with acute diarrhea
title_fullStr Increase in the detection rate of viral and parasitic enteric pathogens among Egyptian children with acute diarrhea
title_full_unstemmed Increase in the detection rate of viral and parasitic enteric pathogens among Egyptian children with acute diarrhea
title_short Increase in the detection rate of viral and parasitic enteric pathogens among Egyptian children with acute diarrhea
title_sort increase in the detection rate of viral and parasitic enteric pathogens among egyptian children with acute diarrhea
topic enteric viruses
enteric parasites
ELISA
Egyptian children
acute diarrhea
url https://jidc.org/index.php/journal/article/view/2349
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