case-control study of the etiology of infant diarrheal disease in 14 districts in madagascar病例对照研究婴儿腹泻病的病因在14个地区在马达加斯加.pdf

Case-Control Study of the Etiology of Infant Diarrheal Disease in 14 Districts in Madagascar 1. ´ ´ 2. 1. 3 Rindra Randremanana , Frederique Randrianirina , Marie Gousseff , Natasha Dubois , 4 2 3 1 Richter Razafindratsimandresy , Elisoa Ratsima Hariniana , Benoit Garin , Arthur Randriamanantena , 3 4 1 Hanitra Clara Rakotonirina , Lovasoa Ramparany , Charles Emile Ramarokoto , 1 1 1 5 Fanjasoa Rakotomanana , Maherisoa Ratsitorahina , Soatiana Rajatonirina , Antoine Talarmin , Vincent Richard1* 1 Epidemiologic Unit, Institut Pasteur in Madagascar, Antananarivo, Madagascar, 2 Clinical Biology Center, Institut Pasteur in Madagascar, Antananarivo, Madagascar, 3 Virological Unit, Institut Pasteur in Madagascar, Antananarivo, Madagascar, 4 Molecular Biology Unit, Institut Pasteur in Madagascar, Antananarivo, Madagascar, 5 Institut Pasteur in Madagascar, Antananarivo, Madagascar Abstract Background: Acute diarrhea is a major cause of childhood morbidity and mortality worldwide. Its microbiological causes and clinico-epidemiological aspects were examined during the rainy seasons from 2008 to 2009 in 14 districts in Madagascar. Methods: Stool specimens of 2196 children with acute diarrhea and 496 healthy children were collected in a community setting. Intestinal para