{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:11:31Z","timestamp":1773285091820,"version":"3.50.1"},"reference-count":54,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2014,9,15]],"date-time":"2014-09-15T00:00:00Z","timestamp":1410739200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>The objective of our analysis was to describe the aetiology, clinical features, and socio-demographic background of adults with diarrhoea attending different urban and rural diarrhoeal disease hospitals in Bangladesh. Between January 2010 and December 2011, a total of 5054 adult diarrhoeal patients aged \u2a7e20 years were enrolled into the Diarrhoeal Disease Surveillance Systems at four different hospitals (two rural and two urban) of Bangladesh. Middle-aged [adjusted odds ratio (aOR) 0\u00b728, 95% confidence interval (CI) 0\u00b723\u20130\u00b735,<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00\u00b7001] and elderly (aOR 0\u00b715, 95% CI 0\u00b711\u20130\u00b720,<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00\u00b7001) patients were more likely to present to rural diarrhoeal disease facilities than urban ones.<jats:italic>Vibrio cholerae<\/jats:italic>was the most commonly isolated pathogen (16%) of the four pathogens tested followed by rotavirus (5%), enterotoxigenic<jats:italic>Escherichia coli<\/jats:italic>(ETEC) (4%), and<jats:italic>Shigella<\/jats:italic>(4%). Of these pathogens,<jats:italic>V. cholerae<\/jats:italic>(19%<jats:italic>vs<\/jats:italic>. 11%,<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00\u00b7001), ETEC (9%<jats:italic>vs<\/jats:italic>. 4%,<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00\u00b7001), and rotavirus (5%<jats:italic>vs<\/jats:italic>. 3%,<jats:italic>P<\/jats:italic>\u00a0=\u00a00\u00b7013) were more commonly detected from patients presenting to urban hospitals than rural hospitals, but<jats:italic>Shigella<\/jats:italic>was more frequently isolated from patients presenting to rural hospitals than urban hospitals (7%<jats:italic>vs<\/jats:italic>. 2%,<jats:italic>P<\/jats:italic>&lt;\u00a00\u00b7001). The isolation rate of<jats:italic>Shigella<\/jats:italic>was higher in the elderly than in younger adults (8%<jats:italic>vs<\/jats:italic>. 3%,<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00\u00b7001). Some or severe dehydration was higher in urban adults than rural adults (<jats:italic>P<\/jats:italic>&lt; 0\u00b7001). Our findings indicate that despite economic and other progress made, conditions facilitating transmission of<jats:italic>V. cholerae<\/jats:italic>and<jats:italic>Shigella<\/jats:italic>prevail in adults with diarrhoea in Bangladesh and further efforts are needed to control these infections.<\/jats:p>","DOI":"10.1017\/s0950268814002283","type":"journal-article","created":{"date-parts":[[2014,9,15]],"date-time":"2014-09-15T14:10:54Z","timestamp":1410790254000},"page":"1377-1387","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":16,"title":["Aetiologies of diarrhoea in adults from urban and rural treatment facilities in Bangladesh"],"prefix":"10.1017","volume":"143","author":[{"given":"F.","family":"FERDOUS","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"AHMED","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. 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