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TITLE:

THE USE OF MATERNAL DIARRHEA AND ANTIBIOTICS IS ASSOCIATED WITH AN ENHANCED RISK OF DIARRHEA IN NON-INFECTED AND HIV-EXPOSED INFANTS IN PAKISTAN

AUTHORS:

Dr. Ghumza Farooq, Dr Syed Muhammad Haider Ali, Dr Ayesha Nisar

ABSTRACT:

Young people who are uninfected and uninsured by HIV are a developing population at particular risk of infection transmission, where preventing intestinal laxity can reduce under-five mortality in sub-Saharan Africa. A remarkable companion (1999-2002) of Pakistani HEU babies followed from birth to one year of age was used. Maternal and neonatal morbidity was observed during monthly visits to centers and unscheduled visits of weakened children. Our current research was conducted at Jinnah Hospital, Lahore from February 2019 to January 2020. The Andersen-Gill Cox model was used to assess maternal, ecological and infant matches for soft stools, moderate to severe stools (MSD, stools with parchedness, stool softness or corresponding clinical affirmation) and delayed/diligent stools (> 7 days) in newborns. Non-HIV-infected newborns (n = 373) experienced an average of 2.08 (96% CI: 1.93, 2.25) scenes of diarrhea, 0.48 (96% CI: 0.41, 0.56) scenes of MSD and 0.36 (96% CI: 0.28, 0.44) scenes of delayed/constant bowel relaxation during their first year. Maternal baby blues is related to the increased danger of newborn intestinal relaxation (hazard ratio [HR]: 2.07; 96% CI: 1.45, 5.07) and MSDs (HR: 3.87; 96% CI: 1.12, 5.58). The use of maternal anti-infective was a risk factor for delayed/impossible bowel relaxation (HR: 1.64; 96% CI: 1.05, 3.56). Newborns living in families with pit toilets were 1.46 (96% CI: 1.18, 1.76) and 1.47 (98% CI: 1.06, 2.15) times more likely to experience bowel relaxation and MSDs, separately, than those with flush toilets. Current selective breastfeeding was defensive against MSDs (HR: 0.31; 96% CI: 0.16, 0.59), compared to newborns who did not receive breast milk. Decreased maternal bowel relaxation may cause a generous decrease in diarrheal moroseness in young children with HEU, expanding towards normal bowel relaxation, which anticipates mediation. Keywords: Maternal Diarrhea, Antibiotics, Enhanced Risk of Diarrhea, Non-Infected and HIV-Exposed Infants.

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