AIM: Identify clinical and nutritional features, and complications among severely malnourished, under-five children in an urban diarrhoeal disease facility in Bangladesh. METHODS: For this case-control design, children of both sexes, aged 0-59 months were studied. Severely (< -3 z-score) underweight, stunted or wasted constituted cases and those with better nutritional status (z-score > or = -3) constituted controls. RESULTS: During 2000-2005, of the total 6881 children, 1103 (16%) were severely underweight, 705 (11%) severely stunted and 217 (3%) severely wasted. In logistic regression analysis, severely underweight children were more likely to be older than 11 months (OR 3.7, 95% CI 3.1-4.3, p < 0.001), non-breastfed (OR 1.5, 95% CI 1.3-1.8, p < 0.001), have illiterate mothers (OR 2.6, 95% CI 2.2-3.0, p < 0.001), non-sanitary toilet (OR 1.4, 95% CI 1.2-1.6, p < 0.001), a history of measles in preceding 6 months (OR 1.7, 95% CI 1.3-2.4, p = 0.001), dehydrating diarrhoea (OR 1.9, 95% CI 1.6-2.2, p < 0.001), abnormal findings in lung auscultation (OR 1.7, 95% CI 1.3-2.3, p < 0.001) and require hospitalization > or = 48 h (OR 2.2, 95% CI 1.8-2.5, p < 0.001). CONCLUSION: There thus is a need to incorporate appropriate, cost-effective and sustainable preventive strategies and improved management policies in the health systems as well as in social support systems in Bangladesh.
AIM: Identify clinical and nutritional features, and complications among severely malnourished, under-five children in an urban diarrhoeal disease facility in Bangladesh. METHODS: For this case-control design, children of both sexes, aged 0-59 months were studied. Severely (< -3 z-score) underweight, stunted or wasted constituted cases and those with better nutritional status (z-score > or = -3) constituted controls. RESULTS: During 2000-2005, of the total 6881 children, 1103 (16%) were severely underweight, 705 (11%) severely stunted and 217 (3%) severely wasted. In logistic regression analysis, severely underweight children were more likely to be older than 11 months (OR 3.7, 95% CI 3.1-4.3, p < 0.001), non-breastfed (OR 1.5, 95% CI 1.3-1.8, p < 0.001), have illiterate mothers (OR 2.6, 95% CI 2.2-3.0, p < 0.001), non-sanitary toilet (OR 1.4, 95% CI 1.2-1.6, p < 0.001), a history of measles in preceding 6 months (OR 1.7, 95% CI 1.3-2.4, p = 0.001), dehydrating diarrhoea (OR 1.9, 95% CI 1.6-2.2, p < 0.001), abnormal findings in lung auscultation (OR 1.7, 95% CI 1.3-2.3, p < 0.001) and require hospitalization > or = 48 h (OR 2.2, 95% CI 1.8-2.5, p < 0.001). CONCLUSION: There thus is a need to incorporate appropriate, cost-effective and sustainable preventive strategies and improved management policies in the health systems as well as in social support systems in Bangladesh.
Authors: Mohammod Jobayer Chisti; Chowdhury Ali Kawser; Abu Sayem Mirza Md Hasibur Rahman; Abu Sadat Mohammad Sayeem Bin Shahid; Farzana Afroze; K M Shahunja; Lubaba Shahrin; Monira Sarmin; Sharika Nuzhat; Ahmed Ehsanur Rahman; Tahmina Alam; Irin Parvin; M S T Mahmuda Ackhter; Gazi Md Salahuddin Mamun; Shamsun Nahar Shaima; Abu Syed Golam Faruque; Tahmeed Ahmed Journal: Sci Rep Date: 2022-06-24 Impact factor: 4.996
Authors: Mohammod J Chisti; Mohammed A Salam; Jonathan Harvey Smith; Tahmeed Ahmed; Hasan Ashraf; Pradip K Bardhan; Mark A C Pietroni Journal: PLoS One Date: 2011-10-03 Impact factor: 3.240
Authors: Mohammod Jobayer Chisti; Mohammed Abdus Salam; Hasan Ashraf; Abu S G Faruque; Pradip Kumar Bardhan; Abu S M S B Shahid; K M Shahunja; Sumon Kumar Das; Tahmeed Ahmed Journal: PLoS One Date: 2013-01-08 Impact factor: 3.240
Authors: Sumon Kumar Das; Mohammod Jobayer Chisti; Sayeeda Huq; Mohammad Abdul Malek; Lana Vanderlee; Guddu Kaur; Mohammed Abdus Salam; Tahmeed Ahmed; Abu Syed Golam Faruque; Abdullah Al Mamun Journal: PLoS One Date: 2013-08-01 Impact factor: 3.240
Authors: Sumon Kumar Das; Mohammod Jobayer Chisti; Mokibul Hassan Afrad; Mohammad Abdul Malek; Shahnawaz Ahmed; Farzana Ferdous; Fahmida Dil Farzana; Jui Das; K M Shahunja; Farzana Afroze; Mohammed Abdus Salam; Tahmeed Ahmed; Abu Syed Golam Faruque; Peter John Baker; Abdullah Al Mamun Journal: BMC Infect Dis Date: 2014-08-07 Impact factor: 3.090