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  • Title: A prospective multi-center observational study of children hospitalized with diarrhea in Ho Chi Minh City, Vietnam.
    Author: Thompson CN, Phan MV, Hoang NV, Minh PV, Vinh NT, Thuy CT, Nga TT, Rabaa MA, Duy PT, Dung TT, Phat VV, Nga TV, Tu le TP, Tuyen HT, Yoshihara K, Jenkins C, Duong VT, Phuc HL, Tuyet PT, Ngoc NM, Vinh H, Chinh NT, Thuong TC, Tuan HM, Hien TT, Campbell JI, Chau NV, Thwaites G, Baker S.
    Journal: Am J Trop Med Hyg; 2015 May; 92(5):1045-52. PubMed ID: 25802437.
    Abstract:
    We performed a prospective multicenter study to address the lack of data on the etiology, clinical and demographic features of hospitalized pediatric diarrhea in Ho Chi Minh City (HCMC), Vietnam. Over 2,000 (1,419 symptomatic and 609 non-diarrheal control) children were enrolled in three hospitals over a 1-year period in 2009-2010. Aiming to detect a panel of pathogens, we identified a known diarrheal pathogen in stool samples from 1,067/1,419 (75.2%) children with diarrhea and from 81/609 (13.3%) children without diarrhea. Rotavirus predominated in the symptomatic children (664/1,419; 46.8%), followed by norovirus (293/1,419; 20.6%). The bacterial pathogens Salmonella, Campylobacter, and Shigella were cumulatively isolated from 204/1,419 (14.4%) diarrheal children and exhibited extensive antimicrobial resistance, most notably to fluoroquinolones and third-generation cephalosporins. We suggest renewed efforts in generation and implementation of policies to control the sale and prescription of antimicrobials to curb bacterial resistance and advise consideration of a subsidized rotavirus vaccination policy to limit the morbidity due to diarrheal disease in Vietnam.
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