Hospital Acquired Diarrhoea in Children: A Study in A Tertiary Care Hospital
Morsheda Khanam 1, Nobo Krishna Ghosh2, Farhana Rahat3 , Azmeri Sultana4 A.F.M Salim5
Background: Children hospitalized for non-diarrheal illness can be infected with an
enteric pathogen during their hospital stay, which complicates and prolongs the course
of illness. Nosocomial diarrhoea are defined as those occurring more than 72 hours
after admission to hospital and have been shown to be second only to nosocomial
respiratory tract infections in causing morbidity among hospitalized children.
Objectives: The aim of the study was to document the rate of hospital acquired
diarrhoea, to identify associated risk factors and to observe clinical features.
Materials and method: This was a cross-sectional study conducted in the inpatient
department of Institute of Child Health and Shishu Sasthya Foundation Hospital,
Mirpur-2, over a period of 3 months from 01-10-2012 to 31-12-2012. A total number of
two hundred and forty six children admitted with diseases other than diarrhoea in
the above mentioned period aged from 1 month to 5 years were consecutively included
in the study. During their hospital stay and up to 3 days after discharge, all patients
were followed up daily for development of diarrhea. When a patient developed hospital
acquired diarrhea, demographic and medical information were recorded after taking
informed written consent from guardian.
Results: Out of 246 children enrolled, 40 developed diarrhoea 72 hours after admission.
So, rate of occurrence of hospital acquired diarrhoea, therefore, was 16.3%. Among
the underlying diseases for which patients were admitted initially, respiratory diseases
accounted for 18 (45%) which was the highest, followed by meningitis (17.5%). Presence
of any diarrheal patient in a bed close to the patient’s bed , hand wash by mother
during handling baby, bottle feeding and severe malnutrition were found to be
statistically significant risk factors (p values 0.02, <0.001, 0.02 and <0.001 respectively)
for developing nosocomial diarrhoea. In the present study mean duration of nosocomial
diarrhea was only 3 days, the stool was generally watery in nature and patients
suffered from milder dehydration.
Conclusion: Hospital acquired diarrhoea is not uncommon in hospitalized population,
which was an important serious complication found in this study which complicated
and prolonged the course of illness.
Keywords: Hospital acquired diarrhoea, Rate, Children.