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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Severity of diarrhea and malnutrition among under five-year-old children in rural Bangladesh
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Severity of diarrhea and malnutrition among under five-year-old children in rural Bangladesh

机译：孟加拉国农村地区五岁以下儿童的腹泻和营养不良严重程度

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摘要

Enteric pathogens are commonly associated with diarrhea among malnourished children. This study aimed to determine the association between the severity of diarrheal illnesses and malnutrition among under 5-year-old children. During 2010 and 2011, we studied 2,324 under 5-year-old diarrheal children with mild disease (MD) and moderateto- severe disease (MSD) attending a hospital in Bangladesh. Children with MSD were more likely to be malnourished compared with children with MD (35% versus 24%, P < 0.001). In multivariate analysis, malnutrition (odds ratio [95% confidence interval] = 1.53 [1.22, 1.92]), age of the child (24-59 months; 1.67 [1.28, 2.19]), fever (1.65 [1.28, 2.12]), abdominal pain (1.87 [1.48, 2.37]), straining (5.93 [4.80, 7.33]), and infection with Shigella (3.26 [2.38, 4.46]) and Vibrio cholerae (2.21 [1.07, 4.58]) were shown to be significantly associated with MSD. Factors significantly associated with malnutrition were disease severity (1.56 [1.24, 1.95]), age (24-59 months; 1.75 [1.38, 2.22]), mother's schooling (1.54 [1.16, 2.04]), and monthly household income (1.71 [1.42, 2.07]). Childhood malnutrition was associated with dysentery and dehydrating diarrhea.
机译：营养不良的儿童中肠病原体通常与腹泻有关。这项研究旨在确定5岁以下儿童腹泻病的严重程度与营养不良之间的关联。在2010年至2011年期间，我们研究了在孟加拉国一家医院就诊的2324名5岁以下轻度疾病（MD）和中重度疾病（MSD）腹泻儿童。与MD儿童相比，MSD儿童更容易营养不良（35％比24％，P <0.001）。在多变量分析中，营养不良（赔率[95％置信区间] = 1.53 [1.22，1.92]），孩子的年龄（24-59个月; 1.67 [1.28，2.19]），发烧（1.65 [1.28，2.12]） ，腹痛（1.87 [1.48，2.37]），劳损（5.93 [4.80，7.33]）和志贺氏菌（3.26 [2.38，4.46]）和霍乱弧菌（2.21 [1.07，4.58]）的感染表现出显着性与MSD相关联。与营养不良严重相关的因素包括疾病严重程度（1.56 [1.24，1.95]），年龄（24-59个月; 1.75 [1.38，2.22]），母亲的受教育程度（1.54 [1.16，2.04]）和家庭月收入（1.71 [ 1.42，2.07]）。儿童营养不良与痢疾和腹泻脱水有关。

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