Risk factors for deaths in under-age-five children attending a diarrhoea treatment centre.
Few case-control studies have examined possible risk factors for diarrhoeal deaths in under-age-five children in the developing countries.
We analysed data from the surveillance system of our diarrhoea treatment centre/hospital for the period 1990-94 on 928 children less than 5 years of age.
In univariate analysis, 11 factors were significantly associated with death : lack ofbreastfeeding, severe malnutrition, complicated diarrhoea, pneumonia, xerophthalmia, duration of diarrhoea 7-14 days, moderate or severe dehydration, recent history of measles, Shigella flexneri infection, maternal illiteracy, and very low household income.
Rotavirus diarrhoea was negatively associated with fatal outcome.
In the assessment of severe malnutrition, weight-for-height measurement discriminated mortality risk better than weight-for-age or height-for-age indices.
Only two factors retained their significance, severe malnutrition and non-breastfeeding in the multivariate analysis with adjusted odds ratio (95% confidence interval) of 84.2 (9.1,775.9) and 4.2 (1.3,13.2) respectively.
Mots-clés Pascal : Diarrhée, Enfant, Homme, Bengla Desh, Asie, Mortalité, Facteur risque, Epidémiologie, Appareil digestif pathologie, Intestin pathologie, Etude cas témoin
Mots-clés Pascal anglais : Diarrhea, Child, Human, Bangladesh, Asia, Mortality, Risk factor, Epidemiology, Digestive diseases, Intestinal disease, Case control study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0443053
Code Inist : 002B30A01C. Création : 10/04/1997.