Incidence of and risk factors for hospital-acquired diarrhea in three tertiary care public hospitals in Bangladesh

Mejbah Uddin Bhuiyan, Stephen P Luby, Rashid Uz Zaman, M Waliur Rahman, M A Yushuf Sharker, M Jahangir Hossain, Choudhury H Rasul, A R M Saifuddin Ekram, Mahmudur Rahman, Katharine Sturm-Ramirez, Eduardo Azziz-Baumgartner, Emily S Gurley

Research output: Contribution to journalArticle

9 Citations (Scopus)


During April 2007-April 2010, surveillance physicians in adult and pediatric medicine wards of three tertiary public hospitals in Bangladesh identified patients who developed hospital-acquired diarrhea. We calculated incidence of hospital-acquired diarrhea. To identify risk factors, we compared these patients to randomly selected patients from the same wards who were admitted > 72 hours without having diarrhea. The incidence of hospital-acquired diarrhea was 4.8 cases per 1,000 patient-days. Children < 1 year of age were more likely to develop hospital-acquired diarrhea than older children. The risk of developing hospital-acquired diarrhea increased for each additional day of hospitalization beyond 72 hours, whereas exposure to antibiotics within 72 hours of admission decreased the risk. There were three deaths among case-patients; all were infants. Patients, particularly young children, are at risk for hospital-acquired diarrhea and associated deaths in Bangladeshi hospitals. Further research to identify the responsible organisms and transmission routes could inform prevention strategies.

Original languageEnglish
Pages (from-to)165-172
Number of pages8
JournalAmericanJournal of Tropical Medicine and Hygiene
Issue number1
Publication statusPublished - Jul 2014
Externally publishedYes

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