Relation of childhood diarrheal morbidity with the type of tube well used and associated factors of Shigella sonnei diarrhea in rural Bangladesh site of the Global Enteric Multicenter Study

• Published in: Tropical Medicine and Health
• Main Authors: Yasmin Jahan, Michiko Moriyama, Soroar Hossain, Md. Moshiur Rahman, Farzana Ferdous, Shahnawaz Ahmed, Sumon Kumar Das, Md. Iqbal Hossain, Abu Syed Golam Faruque, Tahmeed Ahmed, Mohammod Jobayer Chisti
• Format: Article in Journal/Newspaper
• Language: English
• Published: BMC 2019
• Subjects: Bangladesh; Shigella; Shigellosis; Tube well water; Under-five children; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doi.org/10.1186/s41182-019-0158-5; https://doaj.org/article/b0ef1d358f0e4a309f649c8edb0a2e03

Abstract 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%, p = 0.010); less often had household electricity (60% vs. 68%, p = 0.001) and cemented floor material (12% vs. 21%, p < 0.001); washed hand before eating (79% vs. 84%, p = 0.020); and had Shigella sonnei infections (7.8% vs. 13.1, p = 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 Shigella sonnei infections and the use of STW water (aOR 0.53, 95% CI 0.36, 0.79). Conclusions An emergence of less severe Shigella sonnei has replaced relatively more severe Shigella flexneri among the MSD children from DTW-user families. However, more monitoring in terms of disease surveillance for changes in the distribution of Shigella serogroups and serotypes and its upsurges and antimicrobial susceptibility is essential.