ArticleInternational journal of microbiology2025
Prevalence, Antimicrobial Resistance, and Risk Factors of Enteric Bacterial Infections Among Children Under Five in Nairobi County, Kenya.
Article in International journal of microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Article
- Integrated One-Health analysis of antimicrobial resistance, biofilm formation, and genetic relatedness of Enterococcus spp. at the human-food interface.Scientific reports · 2026Article
- Prevalence, Antimicrobial Resistance, and Risk Factors of Enteric Bacterial Infections Among Children Under Five in Nairobi County, Kenya.International journal of microbiology · 2025Article
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Authors and funding
4 authors.
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Abstract
Background: Diarrheal disease remains a major cause of morbidity and mortality in children under 5 years, with the highest burden in sub-Saharan Africa. This study investigated the bacterial etiology, antimicrobial resistance (AMR), and risk factors in childhood diarrhea in Nairobi, Kenya. Methods: A cross-sectional study was conducted among 216 children aged 0-60 months presenting with diarrhea at hospitals in Nairobi County. Stool samples were cultured and isolates tested against eight antibiotics. Caregiver questionnaires assessed risk factors. Associations were evaluated using Fisher's exact test and odds ratios (ORs) were calculated to determine effect sizes. Results: A total of 204 bacterial isolates were recovered. Conclusion: Childhood diarrhea in Nairobi is predominantly bacterial, driven by diverse pathogens and exacerbated by poor hygiene and alarmingly high AMR. Urgent integrated interventions are needed, including strengthening WASH infrastructure, promoting rational antibiotic use, and enhancing AMR surveillance. These findings provide a critical baseline for public health action and underscore the need to safeguard last-line antibiotics.
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