“Risk factors of typhoid fever in children: A study in several private clinics, Jamalpur, Bangladesh”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
We conducted a case-control type of descriptive study during October 2017 to April 2018 in several private clinics, Jamalpur, Bangladesh. Our aim was to find out risk factors of Typhoid fever in children. The sample was drawn from the selected clinics, were 200 (100 cases and 100 controls). Out of 100 participants in each group 70% cases and 69% controls respondents were mother of the children. Most of the study subjects were under 5 years. Mean ± SD of age were (4.9042 ± 3.35575) for cases and (3.4951 ± 2.49218) for controls. Age distribution of the children was statistically significant where p -value was 0.0001 for t-test and 0.01151045 for chi-square (p<0.05). Most of the children were urban dwellers 90% cases and 96% controls. The difference was statistically significant (χ2 = 4.134, p = 0.04202989) and 35% of cases drunk supply water in comparison with 14% of controls. There was positive association of drinking supply water and typhoid fever (RR=2.6316 and OR=3.5101 and χ2 =12.85; p-value = 0.000337). Crowded habitat was reported by 38% of Cases and 11% of Controls. There is a strong association of crowded condition of habitat and typhoid fever (RR = 3.5463; OR = 5.1269 and χ2 = 20.41; p =0.0001). There was no positive association of different blood group but when each group was individually considered, blood group „B‟ indicated there may be some positive association (RR = 1.4505, OR = 1.8713 and χ2 = 4.66, p = 0.030873). Only 3% children in case group and 4% in control group had Rh negative blood group. Widal test result was positive in 83% of cases; the remaining 17% were found to be Widal negative. Typhoid fever has a strong relation with socio-economic and demographic conditions.
Authors and Affiliations
Dr. Md. Tazul Islam, Dr. Mohammad Kamruzzaman, Dr. Md. Badruzzaman, Dr, Sabiha Parvin, Dr. Mohammad Mostafizur Rahaman
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