We acknowledge the efforts of surveillance physicians, health officials, and field staff at Rajshahi Medical College and Hospital, Faridpur Medical College and Hospital, and Khulna Medical College and Hospital for conducting surveillance activities at their healthcare facilities. We greatly acknowledge support of our study participants. We also thank Eben Kenah for his assistance with data analysis, Dorothy Southern and Meghan Scott for their assistance in preparing and editing the manuscript.
Bennet R, Hedlund KO, Ehrnst A, Eriksson M, 1995. Nosocomial gastroenteritis in two infant wards over 26 months. Acta Paediatr 84: 667–671.
Dutta P, Mitra U, Rasaily R, Bhattacharya SK, De SP, Sen D, Saha MR, Nair GB, Niyogi SK, Das P, 1993. Prospective study of nosocomial enteric infections in a pediatric hospital, Calcutta. Indian Pediatr 30: 187–194.
Garcia C, Samalvides F, Vidal M, Gotuzzo E, Dupont HL, 2007. Epidemiology of Clostridium difficile-associated diarrhea in a Peruvian tertiary care hospital. Am J Trop Med Hyg 77: 802–805.
Guerrant RL, Hughes JM, Lima NL, Crane J, 1990. Diarrhea in developed and developing countries: magnitude, special settings, and etiologies. Rev Infect Dis 12 (Suppl 1): S41–S50.
Kamalaratnam CN, Kang G, Kirubakaran C, Rajan DP, Daniel DJ, Mathan MM, Mathan VI, 2001. A prospective study of nosocomial enteric pathogen acquisition in hospitalized children in South India. J Trop Pediatr 47: 46–49.
Langley JM, LeBlanc JC, Hanakowski M, Goloubeva O, 2002. The role of Clostridium difficile and viruses as causes of nosocomial diarrhea in children. Infect Control Hosp Epidemiol 23: 660–664.
McFarland LV, 1995. Epidemiology of infectious and iatrogenic nosocomial diarrhea in a cohort of general medicine patients. Am J Infect Control 23: 295–305.
Zaidi M, Ponce de Leon S, Ortiz RM, Ponce de Leon S, Calva JJ, Ruiz-Palacios G, Camorlinga M, Cervantes LE, Ojeda F, 1991. Hospital-acquired diarrhea in adults: a prospective case-controlled study in Mexico. Infect Control Hosp Epidemiol 12: 349–355.
Tietjen L, Bossemeyer D, McIntosh N, 2003. Preventing Infectious Diarrhea and Managing Infection Prevention Guidelines for Healthcare Facilities with Limited Resources. Baltimore, MD: Jhpiego and United States Agency for International Development.
Pittet D, Allegranzi B, Storr J, Bagheri Nejad S, Dziekan G, Leotsakos A, Donaldson L, 2008. Infection control as a major World Health Organization priority for developing countries. J Hosp Infect 68: 285–292.
de Gentile A, Rivas N, Sinkowitz-Cochran RL, Momesso T, Iriart EM, Lopez E, Beck-Sague CM, Jarvis WR, 2001. Nosocomial infections in a children's hospital in Argentina: impact of a unique infection control intervention program. Infect Control Hosp Epidemiol 22: 762–766.
Gurley ES, Zaman RU, Sultana R, Bell M, Fry AM, Srinivasan A, Rahman M, Rahman MW, Hossain MJ, Luby SP, 2010. Rates of hospital-acquired respiratory illness in Bangladeshi tertiary care hospitals: results from a low-cost pilot surveillance strategy. Clin Infect Dis 50: 1084–1090.
Rimi NA, Sultana R, Islam MS, Uddin M, Sharker MAY, Nahar N, Luby SP, Gurley ES, 2012. Risk of infection from the physical environment in Bangladeshi hospitals: putting infection control into context. International Conference on Emerging Infectious Diseases. Atlanta, GA.
Sanderson PJ, Weissler S, 1992. Recovery of coliforms from the hands of nurses and patients: activities leading to contamination. J Hosp Infect 21: 85–93.
Miller MA, Hyland M, Ofner-Agostini M, Gourdeau M, Ishak M, 2002. Morbidity, mortality, and healthcare burden of nosocomial Clostridium difficile-associated diarrhea in Canadian hospitals. Infect Control Hosp Epidemiol 23: 137–140.
Schneider SM, Veyres P, Pivot X, Soummer AM, Jambou P, Filippi J, van Obberghen E, Hebuterne X, 2004. Malnutrition is an independent factor associated with nosocomial infections. Br J Nutr 92: 105–111.
Naheed A, Saha SK, Breiman RF, Khatun F, Brooks WA, El Arifeen S, Sack D, Luby SP; Pneumococcal Study Group, 2009. Multihospital surveillance of pneumonia burden among children aged <5 years hospitalized for pneumonia in Bangladesh. Clin Infect Dis 48: S82–S89.
Chisti MJ, Huq S, Das SK, Malek MA, Ahmed T, Faruque AS, Salam MA, 2008. Predictors of severe illness in children under age five with concomitant infection with pneumonia and diarrhea at a large hospital in Dhaka, Bangladesh. Southeast Asian J Trop Med Public Health 39: 719–727.
Teka T, Faruque AS, Fuchs GJ, 1996. Risk factors for deaths in under-age-five children attending a diarrhea treatment centre. Acta Paediatr 85: 1070–1075.
World Health Organization, 2009. Diarrheal Diseases. Available at: http://www.who.int/mediacentre/factsheets/fs330/en/index.html. Accessed August 31, 2010.
Sherchan JB, Ohara H, Sherpa K, Sakurada S, Gurung B, Tandukar S, Pradhan L, Burlakoti T, Pokharel BM, Sherchand JB, 2011. Rotavirus nosocomial infection in children under 5 years of age: a preliminary study in Nepal. J Nepal Paediatr Soc 31: 30–34.
Alrifai SB, Alsaadi A, Mahmood YA, Ali AA, Al-Kaisi LA, 2009. Prevalence and etiology of nosocomial diarrhea in children < 5 years in Tikrit teaching hospital. East Mediterr Health J 15: 1111–1118.
Wongsawat J, Aumpornareekul S, Srisopa S, 2008. Nosocomial rotavirus infection: epidemiology, clinical manifestations, and effectiveness of infection control measures in pediatric ward in Bamrasnaradura Infectious Diseases Institute, Thailand. J Infect Dis Antimicrob Agents 25: 33–41.
Chikere CB, Omoni VT, Chikere BO, 2008. Distribution of potential nosocomial pathogens in a hospital environment. Afr J Biotechnol 7: 3535–3539.
Allegranzi B, Bagheri Nejad S, Combescure C, Graafmans W, Attar H, Donaldson L, Pittet D, 2011. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet 377: 228–241.
van Doorslaer E, O'Donnell O, Rannan-Eliya RP, Somanathan A, Adhikari SR, Garg CC, Harbianto D, Herrin AN, Huq MN, Ibragimova S, Karan A, Lee TJ, Leung GM, Lu JF, Ng CW, Pande BR, Racelis R, Tao S, Tin K, Tisayaticom K, Trisnantoro L, Vasavid C, Zhao Y, 2007. Catastrophic payments for health care in Asia. Health Econ 16: 1159–1184.
Ahmed T, Ali M, Ullah MM, Choudhury IA, Haque ME, Salam MA, Rabbani GH, Suskind RM, Fuchs GJ, 1999. Mortality in severely malnourished children with diarrhea and use of a standardized management protocol. Lancet 353: 1919–1922.
Baqui AH, Sack RB, Black RE, Chowdhury HR, Yunus M, Siddique AK, 1993. Cell-mediated immune deficiency and malnutrition are independent risk factors for persistent diarrhea in Bangladeshi children. Am J Clin Nutr 58: 543–548.
International Centre for Diarrheal Disease Research Bangladesh, 2010. Annual Statistics of Dhaka Hospital 2009. Dhaka: International Centre for Diarrheal Disease Research Bangladesh.
World Health Organization, 2011. Enterohemorrhagic Escherichia coli (EHEC). Available at: http://www.who.int/mediacentre/factsheets/fs125/en/. Accessed July 22, 2012.