Cited by 275Viral gastroenteritis research and epidemiologyChild Nutrition and Water AccessSalmonella and Campylobacter epidemiology

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INCIDENCE AND ETIOLOGY OF INFANTILE DIARRHEA AND MAJOR ROUTES OF TRANSMISSION IN HUASCAR, PERU

BLACK, ROBERT E., LOPEZ DE ROMA, GUILLER∼O, BROWN, KENNETH H., BRAVO, NORA, GRADOS BAZALAR, OSCAR, CREED KANASHTRO, HILARY·1989·American Journal of Epidemiology

DOI 10.1093/oxfordjournals.aje.a115193

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Abstract

Community-based studies of diarrhea etiology and epidemiology were carried out from July 1982-June 1984 in 153 infants residing in a poor peri-urban community near Lima, Peru. Study infants had nearly 10 episodes of diarrhea in their first year of life. Diarrhea episodes were associated with organisms such as Campylobacter jejuni, enterotoxigenic and enteropathogenic Escherichia coli, Shigella, rotavirus, and Cryptosporidium. These organisms appeared to be transmitted to infants in the home through animal feces, through contaminated water and food, and by direct person-to-person contact. A particularly important route of transmission may have been weaning foods, which were often contaminated because of improper preparation and inadequate cleaning of utensils. Improved feeding practices, along with avoidance of animal feces and improved personal and domestic hygiene, should be considered important interventions in reducing the high incidence of diarrhea in infants in developing countries.

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Authors: BLACK, R. E., LOPEZ DE ROMA, G., BROWN, K. H., BRAVO, N., GRADOS BAZALAR, O., & CREED KANASHTRO, H.
Affiliations: Johns Hopkins University (US)
Instituto Nacional de Salud (PE)
Corresponding author: BLACK, ROBERT E.
ORCID: BLACK, ROBERT E.
BROWN, KENNETH H.
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 1989-04
Volume: 129
Issue: 4
Pages: 785-799
ISSN: 0002-9262 (ISSN-L)
1476-6256
DOI: 10.1093/oxfordjournals.aje.a115193
OpenAlex: W1933189170
Cited by: 269
References: 0
Citations by year: 2026: 1 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 2 · 2020: 5 · 2019: 3 · 2018: 6 · 2017: 9 · 2016: 8 · 2014: 3 · 2013: 4 · 2012: 13
FWCI: 15.66
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Infectious Diseases › Viral gastroenteritis research and epidemiology
Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
Keywords: infant diarrhea, etiology of diarrhea, transmission routes, Campylobacter jejuni, enterotoxigenic Escherichia coli, enteropathogenic Escherichia coli, Shigella, rotavirus, Cryptosporidium, complementary foods, animal feces, person-to-person contact, household transmission, infant feeding practices, hygiene
MeSH terms: Animals, Campylobacter fetus, Diarrhea, Infantile, Escherichia coli, Feces, Food Contamination, Humans, Hygiene, Infant, Infant, Newborn, Longitudinal Studies, Peru, Urban Health, Water Supply

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INCIDENCE AND ETIOLOGY OF INFANTILE DIARRHEA AND MAJOR ROUTES OF TRANSMISSION IN HUASCAR, PERU

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