Epidemiology of Diarrhea in Two Major Cities in Saudi Arabia

  • Waleed Abdullah Milaat Departments of Community Medicine, Faculty of Medicine, King Abdul Aziz University, Jeddah, Saudi Arabia)
  • Sufian Mohamad Elassouli (Departments of Community Biology, Faculty of Medicine, King Abdul Aziz University, Jeddah, Saudi Arabia
DOI: https://doi.org/10.14238/pi35.5-6.1995.124-31
Keywords: epidemiology; diarrhea; Saudi Arabia; rotavirus; feco-oral route; poor sanitation

Abstract

The epidemiological pattern of diarrheal diseases, causative agents, and risk factors of their occurrence in two referral hospital of Saudi Arabia was investigated in this study. Stool specimens from 1726 admitted diarrheal cases were examined for parasites, yeast, enteropathogenic bacteria and rotavirus using the ELISA test. Two-fifth of cases were due to rotavirus (RVGE) while 53.1% of cases showed no causative pathogens. Mean age of all cases was 20.2 months and RVGE cases showed a steady rise from the neonatal period onward, reaching a peak between 6-14 months. Males were of higher percentage in diarrheal cases. Mothers of diarrhea cases were mostly house wives with low educational level. Bottle fed children showed higher proportion {53.1 %) of diarrhea than other types of feeding suggesting the feco-oral route of infection and the effect of poor sanitation. A pattern of higher RVGE cases was seen in warmer months in Al-taif and in cooler months in Jeddah. Our findings demonstrated the interaction between host, pathogen and environmental factors m the epidemiology of infectious diarrhea in developing countries and the areas of possible prevention.

References

1. Taylor DN, Echeverria P. Molecular biological approaches to the epidemiology of diarrheal diseases in developing country. Trans R Soc Trop Med Hyg 1993;87(supp3):3-5.
2. Guerrant R, Lohr J, Williams E. Acute infectious diarrhea. I. Epidemiology, etiology and pathogenesis. Pediatr Infect Dis 1986; 5:353-9.
3. Snyder JD, Merson H. The magnitude of the global problem of acute diarrheal disease: a review of acute surveillance data. Bull WHO 1982;60:605-13.
4. Cuker G, Blacklow NR. Human viral gastroenteritis. Microbiol Rev 1984;48:157-79.
5. Sebai ZA. Introduction. In: Sebai ZA, ed. Health in Saudi Arabia, Riyadh. Publisher: Tihama Publications, Riyadh, Saudi Arabia 1985; Vol I:33-37.
6. Al-Mazrou Y, Farid S. Diarrhoeal morbidity. In: Al-Mazrou Y, Farid S eds. Saudi Arabia Child Health Survey 1991. Ministry of Health, Kingdom of Saudi Arabia.
7. Flores J, Nakagomi O, NAkagomi T, et al. Role of rotaviruses in pediatric diarrhea. Pediatr Infec Dis 1986;5:S53-S62.
8. Estes MK, Palmer EL, Obijeski JF. Rotaviruses. A review. Curr Trop Microbiol Immunol 1983;105:123-84.
9. Kapikian AZ, Channock RM. Rotaviruses. In: Virology. Fields BN, Knipe DM, eds. New York: Raves press. 1990:1353-404.
10. Elassouli SM, Banjar ZM, Mohammed KA, Zamakhchari Ff. Rotavirus infection in Saudi Arabia. Am J Trop Med Hyg 1992; 46:272-7.
11. Al-Brawdy M, Rarnia S 1 Al-Frayh A, et al. Bacterial, parasitic and viral enteropathogens associated with diarrhea in Saudi children. Ann Trop Paediatr 1988; 8:26-30.
12. WHO Scientific Working Group. Rotavirus and other viral diarrheas. Bulletin of the World Health Organization 1980; 58: 183-98.
13. Williams CD, Baumslag N, Jellife DB. Common problems in children. In: Williams CD, Baumslag N, Jelliffe DB, eds. Mother and child health: delivering the services. New York: Oxford university publication, 1985;77 -9.
14. Ansari SA, Springthorpe VS, Sattar SA. Survival and vehicular spread of human rotaviruses: possible relation to seasonality of outbreaks. Rev Infect DIS 1991; 13:448-61.
15. Savarino SJ, Bouggeois AL. Epidemiology of diarrheal diseases in developed countries. Trans Royal Soci Trop Med Hyg 1993; 87 (Supp 3):7-11.
16. Gracey M. Diarr hoea in Australia Aborigines. Austr J Publ Health 1992; 16:216-25.
17. Middleton P, Szyrnansk M, Petrie M. Viruses associated with acute gastroenteritis in young children. Am J Child Dis 1977; 131:733-7.
18. Co.ok SM, Glass RI, LeBaron CW, Meishang HO. Global seasonality of rotavirus infections. WHO Bull OMS 1990; 68:171-7.
19. Brown D, Mathan M, Mathew_M, Martin R, Beards G, Mathan V. Rotavirus epidemiology in Vellore, South India: group, subgroup, serotype and electropherotype. J Clin Microbiol1988; 26:2410-4.
20. Gunzburg S, Gracey M, Bruke V, Chang B. Epidemiology and microbioloty of diarrhea in young aboriginal children in the Kimberly region of Western Australia. Epidemiol Infect 1992; 108:67-76.
Published
2018-10-23
How to Cite
1.
Milaat W, Elassouli S. Epidemiology of Diarrhea in Two Major Cities in Saudi Arabia. PI [Internet]. 23Oct.2018 [cited 24Dec.2024];35(5-6):124-1. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1994
Issue
Vol 35 No 5-6 (1995): May - June 1995
Section
Pediatric Gastrohepatology

Copyright (c) 2018 Waleed Abdullah Milaat, Sufian Mohamad Elassouli

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Received 2018-10-23
Published 2018-10-23