liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Burden of rotavirus and other enteropathogens among children with diarrhea in Burkina Faso
University of Ouagadougou.
Linköping University, Department of Clinical and Experimental Medicine, Medical Microbiology. Linköping University, Faculty of Health Sciences.
University of Ouagadougou.
Centre for National Resarch Science and Technology, Ouagadougou.
Show others and affiliations
2011 (English)In: International Journal of Infectious Diseases, ISSN 1201-9712, E-ISSN 1878-3511, Vol. 15, no 9, E646-E652 p.Article in journal (Refereed) Published
Abstract [en]

Objective: There is limited information available regarding the etiology of gastrointestinal infections in Burkina Faso. The aim of this study was to investigate the prevalence and epidemiology of enteric pathogens causing gastroenteritis in young children, with a focus on rotavirus, and to investigate the levels of malnutrition and other clinical factors in association with the severity of diarrhea. less thanbrgreater than less thanbrgreater thanMethods: A prospective study was undertaken from May 2009 to March 2010, covering the rainy and dry seasons, at the Saint Camille Medical Center in Ouagadougou, Burkina Faso. A total of 309 children less than 5 years of age with diarrhea were enrolled and examined for rotavirus, bacterial, and parasitic infections, as well as clinico-epidemiological aspects. less thanbrgreater than less thanbrgreater thanResults: At least one enteropathogen was detected in 57.9% (n = 179) of the children. Of these, 32.4% had rotavirus infections, 16.8% bacterial infections (enteropathogenic Escherichia coli 9.7%, Shigella spp 5.8%, and Salmonella spp 2.3%), and 18.8% parasitic infections (Giardia lamblia 11.3%, Trichomonas intestinalis 6.8%, Entamoeba histolytica/dispar 1.3%). During the cold dry period from December 2009 to February 2010, we observed a large increase in diarrhea cases, which was mainly attributed to rotavirus infections, as 63.8% of these diarrhea cases were positive for rotavirus. In contrast, no rotavirus infection was observed during the rainy season (June-September 2009), when the frequency of parasitic infections was high. Rotavirus and parasitic infections were age-related, with rotavirus being more prevalent in young children (andlt;12 months) and parasites more common in older children (andgt;12 months), while bacteria were equally prevalent among all age groups. Rotavirus infections exhibited more severe symptoms compared to bacteria and parasites, and were associated with fever, vomiting, and severe dehydration. Malnutrition, especially acute malnutrition (wasting), was significantly associated with more severe symptoms in rotavirus-induced diarrhea. The undernourished children also exhibited a prolonged duration of diarrheal episodes. less thanbrgreater than less thanbrgreater thanConclusion: This study demonstrates rotavirus as the main etiological agent in pediatric diarrhea in Burkina Faso, and further shows the great severity of rotavirus-induced diarrhea in undernourished children in Burkina Faso.

Place, publisher, year, edition, pages
Elsevier , 2011. Vol. 15, no 9, E646-E652 p.
Keyword [en]
Enteropathogens, Rotavirus, Malnutrition, Severity
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-70521DOI: 10.1016/j.ijid.2011.05.009ISI: 000294154400011OAI: diva2:440104
|Available from: 2011-09-12 Created: 2011-09-12 Last updated: 2011-09-12

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Nordgren, JohanSvensson, Lennart
By organisation
Medical MicrobiologyFaculty of Health SciencesMolecular Virology
In the same journal
International Journal of Infectious Diseases
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 67 hits
ReferencesLink to record
Permanent link

Direct link