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Burden of acute, persistent and chronic diarrhea, Thailand, 2010

Sumitr Sutra1, Pensri Kosuwon, Aroon Chirawatkul

  • 1Department of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. sumitr@kku.ac.th

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|November 8, 2012
PubMed

Insights

Childhood diarrhea in Thailand remains common, with millions of episodes annually. However, mortality is low, with risks linked to young age, persistent diarrhea, and underlying health conditions.

Area of Science:

  • Pediatric Infectious Diseases
  • Public Health Surveillance
  • Epidemiology

Background:

  • Diarrheal disease incidence in Thai children under five has risen over the past decade.
  • Childhood diarrhea mortality has significantly decreased, prompting evaluation of MCH services.

Purpose of the Study:

  • To assess the overall burden of childhood diarrheal diseases in Thailand.
  • To analyze the epidemiological patterns and risk factors associated with childhood diarrhea.

Main Methods:

  • Analysis of intestinal infectious diseases (ICD10: A00-A09) data, categorized into infectious diarrhea and dysentery.
  • Investigation included outpatient (OPD) and inpatient (IPD) visits, mortality, hospital stay duration, and co-morbidities.

Main Results:

  • The study identified 3.7 million diarrhea episodes, 756,552 OPD visits, and 124,403 IPD admissions.
  • Diarrheal incidence peaked during the cool and early rainy seasons.
  • Factors associated with persistent diarrhea included age, sepsis, malnutrition, and HIV; mortality risks involved infancy, septicemia, and dehydration.

Conclusions:

  • Diarrhea incidence in Thai children under five is higher than anticipated, despite low mortality rates.
  • Mortality is strongly associated with infants, persistent diarrhea, septicemia, and pre-existing chronic conditions.
Abstract

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