The Association Between Antibiotic Treatment and Short-Term Diarrheal Outcomes in Children in Low-Resource Settings Restricted; Files Only

Protil III, Karl (Spring 2023)

Permanent URL: https://etd.library.emory.edu/concern/etds/sq87bv83p?locale=fr
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Abstract

Objective To study the association between antibiotic treatment and short-term growth, as well as

the association between antibiotic treatment and diarrheal duration among children from birth to

2 years of age in low-resource settings.

Methods Data from the Etiology, Risk Factors, and Interactions of Enteric Infections and

Malnutrition and the Consequences for Child Health (MAL-ED) birth cohort study were

analyzed. Short-term growth was analyzed using linear regression and included 6,600 diarrhea

episodes. Duration was analyzed using survival analysis and included 10,260 diarrhea episodes.

Findings Antibiotic treatment showed no consistent impact on short-term growth. While

antibiotics improved growth for some antibiotic-pathogen pairings, it impaired growth for other

antibiotic-pathogen pairings, including non-bacterial pathogens. Antibiotic treatment consistently

reduced diarrheal duration, including for non-bacterial pathogens.

Conclusion The impact of antibiotics on outcomes for non-bacterial pathogens was unexpected,

as antibiotics reduced duration for viral causes. Antibiotic treatment of some bacteria, such as

Shigella, did not result in an impact on short-term growth, which was unexpected.

Table of Contents

Page 1. Distribution Agreement

Page 2. Approval Sheet

Page 3. Abstract Cover Letter

Page 4. Abstract

Page 5. Thesis Cover Letter

Page 6. Introduction

Page 8. Methods

Page 10. Results

Page 14. Discussion

Page 17. Table 1

Page 18. Table 2

Page 19. Table 3

Page 20. Citations

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