Overlooked Etiologies of Childhood (0-59 Months) Gastro-Enteritis in a Semi Urban Community; Research Article

31-Dec-2020 12:00 AM 4682

The present study aimed at investigating protozoan, bacterial, fungal and viral (rotavirus, adenovirus) etiologies of diarrhea amongst children aged 0 through 59 months and identifying a few factors likely to influence the prevalence rates of this disorder in Bangangté-Cameroon. A questionnaire was designed to gather pieces of information on the life style during specimen collection. Microbial screening was conducted on stools specimens according to standard protocols for all microbes. Out of the total of 200 stool samples subjected to laboratory examination 64 % were elucidated. In decreasing frequencies, outstanding etiologies included enteroagregative E. coli (EAEC, 39.4%), Candida albicans and Klebsiella pneumonia (15.5% each), Ascaris lumbricoides (8.1%), rotavirus and adenovirus (5.4% and 4.5%, respectively). Screening for EAEC and Klebseilla is not a usual exercise because their role in diarrhea was ignored so far the setting. For most of these pathogens, the detection rates were associated with the age of the candidate. Natural protection appeared to increase rapidly against C. albicans and rotavirus. It was also observed that a large number of parents (66.7%) do normally not report their children cases to the health facility. When they were appropriately informed, however, the number of reported cases could be ten times higher, consistent with the crucial role of education in preventing childhood diarrhea. The necessity of inserting viruses and Klebsiella on the list of pathogens targeted in the routine process in clinical laboratories during infancy and early childhood was also highlighted.

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