1921
Volume 102, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645
USD
Buy:$15.00

Abstract

Abstract.

Domestic animals in the household environment have the potential to affect a child’s carriage of zoonotic enteric pathogens and risk of diarrhea. This study examines the risk factors associated with pediatric diarrhea and carriage of zoonotic enteric pathogens among children living in communities where smallholder livestock production is prevalent. We conducted an observational study of children younger than 5 years that included the analysis of child ( = 306) and animal ( = 480) fecal samples for spp atypical enteropathogenic , Shiga toxin–producing , spp., spp., , and . Among these seven pathogens, was the most commonly identified pathogen among children and animals in the same household, most of which was found in child–dog pairs. spp. was also relatively common within households, particularly among child–chicken and child–guinea pig pairs. We used multivariable Poisson regression models to assess risk factors associated with a child being positive for at least one zoonotic enteric pathogen or having diarrhea during the last week. Children who interacted with domestic animals—a behavior reported by nearly three-quarters of households owning animals—were at an increased risk of colonization with at least one zoonotic enteric pathogen (prevalence ratio [PR] = 1.56, 95% CI: 1.00–2.42). The risk of diarrhea in the last seven days was elevated but not statistically significant (PR = 2.27, CI: 0.91, 5.67). Interventions that aim to reduce pediatric exposures to enteric pathogens will likely need to be incorporated with approaches that remove animal fecal contamination from the domestic environment and encourage behavior change aimed at reducing children’s contact with animal feces through diverse exposure pathways.

Loading

Article metrics loading...

The graphs shown below represent data from March 2017
/content/journals/10.4269/ajtmh.19-0690
2020-03-30
2020-09-25
Loading full text...

Full text loading...

http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.19-0690
Loading
/content/journals/10.4269/ajtmh.19-0690
Loading

Data & Media loading...

Supplemental tables

  • Received : 16 Sep 2019
  • Accepted : 09 Feb 2020
  • Published online : 30 Mar 2020
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error