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Experience with Clinically Diagnosed Down Syndrome Children Admitted with Diarrhea in an Urban Hospital in Bangladesh

There is lack of information in the medical literature on clinically diagnosed Down syndrome children presenting with diarrhea. Our aim was to describe our experience with Down syndrome patients admitted with diarrhea by evaluating the factors associated with Down syndrome presenting with diarrheal...

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Autores principales: Das, Rina, Sarker, Anupam, Saha, Haimanti, Bin Shahid, Abu Sadat Mohammad Sayeem, Shahunja, K. M., Chisti, Mohammod Jobayer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4897277/
https://www.ncbi.nlm.nih.gov/pubmed/27351021
http://dx.doi.org/10.1155/2015/979404
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author Das, Rina
Sarker, Anupam
Saha, Haimanti
Bin Shahid, Abu Sadat Mohammad Sayeem
Shahunja, K. M.
Chisti, Mohammod Jobayer
author_facet Das, Rina
Sarker, Anupam
Saha, Haimanti
Bin Shahid, Abu Sadat Mohammad Sayeem
Shahunja, K. M.
Chisti, Mohammod Jobayer
author_sort Das, Rina
collection PubMed
description There is lack of information in the medical literature on clinically diagnosed Down syndrome children presenting with diarrhea. Our aim was to describe our experience with Down syndrome patients admitted with diarrhea by evaluating the factors associated with Down syndrome presenting with diarrheal illness. In this retrospective chart analysis, we enrolled all the diarrheal children aged 0–59 months admitted to the Dhaka Hospital of the International Centre for Diarrheal Disease Research, Bangladesh (icddr, b), from March 2011 to February 2013. Down syndrome children with diarrhea constituted cases and randomly selected threefold diarrheal children without Down syndrome constituted controls. Among 8422 enrolled children 32 and 96 were the cases and the controls, respectively. Median age (months) of the cases and the controls was comparable (7.6 (4.0, 15.0) versus 9.0 (5.0, 16.8); p = 0.496). The cases more often presented with severe acute malnutrition, developmental delay, congenital heart disease, hypothyroidism, sepsis, hypocalcemia, developed hospital acquired infection (HAI) during hospitalization, and required prolonged stay at hospital compared to the controls (for all p < 0.05). Thus, diarrheal children with clinically diagnosed Down syndrome should be investigated for these simple clinical parameters for their prompt management that may prevent HAI and prolonged hospital stay.
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spelling pubmed-48972772016-06-27 Experience with Clinically Diagnosed Down Syndrome Children Admitted with Diarrhea in an Urban Hospital in Bangladesh Das, Rina Sarker, Anupam Saha, Haimanti Bin Shahid, Abu Sadat Mohammad Sayeem Shahunja, K. M. Chisti, Mohammod Jobayer Int Sch Res Notices Research Article There is lack of information in the medical literature on clinically diagnosed Down syndrome children presenting with diarrhea. Our aim was to describe our experience with Down syndrome patients admitted with diarrhea by evaluating the factors associated with Down syndrome presenting with diarrheal illness. In this retrospective chart analysis, we enrolled all the diarrheal children aged 0–59 months admitted to the Dhaka Hospital of the International Centre for Diarrheal Disease Research, Bangladesh (icddr, b), from March 2011 to February 2013. Down syndrome children with diarrhea constituted cases and randomly selected threefold diarrheal children without Down syndrome constituted controls. Among 8422 enrolled children 32 and 96 were the cases and the controls, respectively. Median age (months) of the cases and the controls was comparable (7.6 (4.0, 15.0) versus 9.0 (5.0, 16.8); p = 0.496). The cases more often presented with severe acute malnutrition, developmental delay, congenital heart disease, hypothyroidism, sepsis, hypocalcemia, developed hospital acquired infection (HAI) during hospitalization, and required prolonged stay at hospital compared to the controls (for all p < 0.05). Thus, diarrheal children with clinically diagnosed Down syndrome should be investigated for these simple clinical parameters for their prompt management that may prevent HAI and prolonged hospital stay. Hindawi Publishing Corporation 2015-05-07 /pmc/articles/PMC4897277/ /pubmed/27351021 http://dx.doi.org/10.1155/2015/979404 Text en Copyright © 2015 Rina Das et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Das, Rina
Sarker, Anupam
Saha, Haimanti
Bin Shahid, Abu Sadat Mohammad Sayeem
Shahunja, K. M.
Chisti, Mohammod Jobayer
Experience with Clinically Diagnosed Down Syndrome Children Admitted with Diarrhea in an Urban Hospital in Bangladesh
title Experience with Clinically Diagnosed Down Syndrome Children Admitted with Diarrhea in an Urban Hospital in Bangladesh
title_full Experience with Clinically Diagnosed Down Syndrome Children Admitted with Diarrhea in an Urban Hospital in Bangladesh
title_fullStr Experience with Clinically Diagnosed Down Syndrome Children Admitted with Diarrhea in an Urban Hospital in Bangladesh
title_full_unstemmed Experience with Clinically Diagnosed Down Syndrome Children Admitted with Diarrhea in an Urban Hospital in Bangladesh
title_short Experience with Clinically Diagnosed Down Syndrome Children Admitted with Diarrhea in an Urban Hospital in Bangladesh
title_sort experience with clinically diagnosed down syndrome children admitted with diarrhea in an urban hospital in bangladesh
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4897277/
https://www.ncbi.nlm.nih.gov/pubmed/27351021
http://dx.doi.org/10.1155/2015/979404
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