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Coordinación General de Investigación de la Facultad de Salud Pública y Nutrición y la Dirección General de Sistemas e Informática de la Universidad Autónoma de Nuevo León

2024, Number 3

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Rev Salud Publica Nutr 2024; 23 (3)

Acute enteropathogenic diarrheal disease in population without social security in Acapulco: characterization and associated factors

Mayo-Santos I, Emigdio-Vargas A, Orozco-González CN, Morales-López F, Hernández-Ríos P

Language: Spanish
References: 33
Page: 1-10
PDF size: 342.61 Kb.


ABSTRACT

Introduction: Acute enteropathogenic diarrheal diseases are caused by a group of microbiological agents that are often not identified and are associated with social determinants. Objective: To characterize the causal agents of acute enteropathogenic diarrheal disease in a population without social security and identify associated factors. Material and method: A cross-sectional study was conducted in Health Jurisdiction 07 of Acapulco, involving 210 participants without social security who had a history of five or more evacuations in the previous 24 hours. Health and social determinant data were collected. Fecal samples were collected via rectal swabbing and sent to a regional state public health laboratory to identify five enteropathogens of epidemiological importance. Bivariate and multivariate analyses adjusted for clustering were performed. Results: 20.4% of participants presented enteropathogenic acute diarrheal disease caused by E. coli (16.7%) and Rotavirus (2.9%). Factors such as age ≤5 years, boiling water, and low family socioeconomic status were associated with the presence of acute enteropathogenic diarrheal disease. Conclusion: Social determinants remain fundamental agents for the development of acute diarrhea. Strengthening health education is recommended to mitigate this public health problem.


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