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Peer reviewedOpen accessShigellosisDysentery

Burden of Shigella infection in children under five years living in a peri-urban area of Ouagadougou, Burkina Faso: A community-based cohort study

PLOS Neglected Tropical Diseases·

Alimatou Héma, Jean Sawadogo, Ben Idriss Soulama, Denise Hien, Amidou Diarra, Samuel S. Sermé, Amidou Z. Ouédraogo, Issa Nébié, Sophie Houard, Alphonse Ouédraogo, Alfred B. Tiono, Mahamoudou Sanou, Sodiomon B. Sirima

DOI
10.1371/journal.pntd.0014624
PMID
PMCID
OpenAlex
W7203446033
Study type
Cohort study
Publisher
Public Library of Science (PLoS)
Article type
journal-article
Integrity
current

Why this research matters now

Regional incidence estimates and strain distributions offer foundational parameters for evaluating pediatric immunization strategies and directing sanitation resource allocation.

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Structured evidence summary

Research question

What is the measured frequency and strain composition of Shigella colonization and disease among preschool-aged residents in a peri-urban district of Burkina Faso, and which environmental or demographic variables correlate with detection?

Study design

Investigators implemented a twelve-month longitudinal community cohort utilizing combined active and passive monitoring windows to track pediatric participants across multiple follow-up intervals.

Population and setting

The enrolled sample comprised seven hundred fifty individuals younger than five years old situated in a peri-urban locality near Ouagadougou, Burkina Faso.

Main findings

Analysis revealed an overall detection rate of 6.8 occurrences per thousand child-months, with mucoid stool presentations predominating over bloody variants. Elevated detection probabilities were observed in toddlers aged twelve to twenty-three months and preschoolers aged thirty-six to forty-seven months, while municipal water utilization corresponded with lower occurrence rates. Asymptomatic colonization was recorded at nearly five cases per thousand child-months, and Shigella flexneri represented the majority of identified isolates.

Public-health relevance

Regional incidence estimates and strain distributions offer foundational parameters for evaluating pediatric immunization strategies and directing sanitation resource allocation.

Important limitations

The current assessment depends entirely on the supplied abstract and bibliographic records, requiring examination of the complete manuscript to verify methodological details and support definitive analytical conclusions.

GIDS interpretation

This report supplies localized epidemiological context regarding pathogen prevalence and host characteristics within the referenced geographic zone, aiding systematic literature mapping and topic classification workflows.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 12 auditable classifier relationships to diseases, places, topics, and study design.

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