Cited by 9

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Predictor of Death in Diarrheal Children Under 5 Years of Age Having Severe Sepsis in an Urban Critical Care Ward in Bangladesh

Sarmin, Monira, Afroze, Farzana, Sharifuzzaman, Alam, Tahmina, Shaly, Nusrat Jahan, Ahmed, Tahmeed, Chisti, Mohammod Jobayer·2019·Global Pediatric Health

Abstract

We aimed to identify clinical predictors of fatal outcome in children under 5 years of age having diarrhea and severe sepsis and treated in the Intensive Care Unit of the Dhaka Hospital of icddr,b from October 2010 through September 2011. Among 191 enrolled children, 70 (37%) died and were considered to be cases, while the remaining 121 (63%) who survived constituted the controls. The cases more often had shortness of breath (SOB), septic shock, dehydrating diarrhea compared with the controls (for all, P < .05). After adjusting for potential confounders using logistic regression analysis, the likelihood of death was higher in children who had septic shock and SOB and lower in children having dehydrating diarrhea (for all, P < .05). Thus, SOB can trigger an early alarm for sepsis recognition; otherwise, these children can end up with fatality from septic shock. In resource-poor settings, early identification of these predictors can alleviate death.

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  • These water-borne diseases have a high mortality rate, especially for infants and children under 5 years of age (37%).

    “These water-borne diseases have a high mortality rate, especially for infants and children under 5 years of age (37%)75–78.”

    From Impact of untreated tannery wastewater in the evolution of multidrug-resistant bacteria in Bangladesh (2024) · cites this paper as [78]

    The Abstract reports that 70 of 191 children under 5 (37%) died. That figure applies to children with diarrhea and severe sepsis treated in a Dhaka hospital ICU, not to water-borne diseases generally or to infants and children under 5 as a whole. (LLM, conf=0.89)

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Research works printed but not linked: 26

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Metadata

Authors
Sarmin, M., Afroze, F., Sharifuzzaman, Alam, T., Shaly, N. J., Ahmed, T., & Chisti, M. J.
Venue
Global Pediatric Health
Published
2019-01
Volume
6
ISSN
2333-794X
Cited by
9
References
1
Language
en
Funders
  • international centre for diarrhoeal disease research, bangladesh
  • styrelsen för internationellt utvecklingssamarbete
  • department for international development, uk government
  • ministry of science and technology, government of the people’s republic of bangladesh

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