Incidence of and Risk Factors for Hospital-Acquired Diarrhea in Three Tertiary Care Public Hospitals in Bangladesh

Mejbah Uddin Bhuiyan, Stephen P. Luby, Rashid Uz Zaman, M. Waliur Rahman, M. A.Yushuf Sharker, M. Jahangir Hossain, Choudhury H. Rasul, A. R.M.Saifuddin Ekram, Mahmudur Rahman, Katharine Sturm-Ramirez, Eduardo Azziz-Baumgartner, Emily Gurley

Research output: Contribution to journalArticle

Abstract

During April 2007-April 2010, surveillance physicians in adult and pediatric medicine wards of three tertiary public hospitals in Bangladesh identified patients who developed hospital-acquired diarrhea. We calculated incidence of hospital-acquired diarrhea. To identify risk factors, we compared these patients to randomly selected patients from the same wards who were admitted > 72 hours without having diarrhea. The incidence of hospital-acquired diarrhea was 4.8 cases per 1,000 patient-days. Children < 1 year of age were more likely to develop hospital-acquired diarrhea than older children. The risk of developing hospital-acquired diarrhea increased for each additional day of hospitalization beyond 72 hours, whereas exposure to antibiotics within 72 hours of admission decreased the risk. There were three deaths among case-patients; all were infants. Patients, particularly young children, are at risk for hospital-acquired diarrhea and associated deaths in Bangladeshi hospitals. Further research to identify the responsible organisms and transmission routes could inform prevention strategies.

Original languageEnglish (US)
Pages (from-to)165-172
Number of pages8
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume91
Issue number1
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Bangladesh
Public Hospitals
Tertiary Healthcare
Diarrhea
Incidence
Tertiary Care Centers
Hospitalization
Medicine
Pediatrics
Anti-Bacterial Agents
Physicians
Research

ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases
  • Virology

Cite this

Incidence of and Risk Factors for Hospital-Acquired Diarrhea in Three Tertiary Care Public Hospitals in Bangladesh. / Bhuiyan, Mejbah Uddin; Luby, Stephen P.; Zaman, Rashid Uz; Rahman, M. Waliur; Sharker, M. A.Yushuf; Hossain, M. Jahangir; Rasul, Choudhury H.; Ekram, A. R.M.Saifuddin; Rahman, Mahmudur; Sturm-Ramirez, Katharine; Azziz-Baumgartner, Eduardo; Gurley, Emily.

In: American Journal of Tropical Medicine and Hygiene, Vol. 91, No. 1, 01.01.2014, p. 165-172.

Research output: Contribution to journalArticle

Bhuiyan, MU, Luby, SP, Zaman, RU, Rahman, MW, Sharker, MAY, Hossain, MJ, Rasul, CH, Ekram, ARMS, Rahman, M, Sturm-Ramirez, K, Azziz-Baumgartner, E & Gurley, E 2014, 'Incidence of and Risk Factors for Hospital-Acquired Diarrhea in Three Tertiary Care Public Hospitals in Bangladesh', American Journal of Tropical Medicine and Hygiene, vol. 91, no. 1, pp. 165-172. https://doi.org/10.4269/ajtmh.13-0484
Bhuiyan, Mejbah Uddin ; Luby, Stephen P. ; Zaman, Rashid Uz ; Rahman, M. Waliur ; Sharker, M. A.Yushuf ; Hossain, M. Jahangir ; Rasul, Choudhury H. ; Ekram, A. R.M.Saifuddin ; Rahman, Mahmudur ; Sturm-Ramirez, Katharine ; Azziz-Baumgartner, Eduardo ; Gurley, Emily. / Incidence of and Risk Factors for Hospital-Acquired Diarrhea in Three Tertiary Care Public Hospitals in Bangladesh. In: American Journal of Tropical Medicine and Hygiene. 2014 ; Vol. 91, No. 1. pp. 165-172.
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