Table 3. Association between Cryptosporidium (by EIA) and MSD from age 0–23 months by site during four years of surveillance: matched unadjusted and adjusted odds ratios (ORs) and adjusted attributable fractions (AF) with 95% confidence intervals (CIs)*.
Site and age group (months) | Number of MSD cases | Number (%) of cases positive for Cryptosporidium | Number of controls | Number (%) of controls positive for Cryptosporidium | Unadjusted OR (95% CI) | P1 | Adjusted OR (95% CI) | P2 | Adjusted AF (95% CI) |
---|---|---|---|---|---|---|---|---|---|
Gambia | |||||||||
<6 | 86 | 7 (8.1) | 123 | 6 (4.9) | 1.60 (0.50–5.18) | 0.43 | 1.99 (0.58–6.82) | 0.28 | 4.0 (-3.0–11.1) |
6–11 | 434 | 76 (17.5) | 660 | 43 (6.5) | 4.00 (2.47–6.47) | <0.0001 | 4.41 (2.65–7.35) | <0.0001 | 13.5 (9.3–17.8) |
12–17 | 338 | 45 (13.3) | 478 | 25 (5.2) | 2.87 (1.62–5.08) | 0.0003 | 2.61 (1.38–4.92) | 0.003 | 8.2 (3.5–13.0) |
18–23 | 271 | 30 (11.1) | 416 | 20 (4.8) | 2.48 (1.34–4.61) | 0.004 | 3.23 (1.59–6.53) | 0.001 | 7.6 (3.1–12.2) |
Mali | |||||||||
<6 | 230 | 26 (11.3) | 230 | 4 (1.7) | 7.29 (2.34–22.71) | 0.0006 | 6.59 (2.07–20.95) | 0.001 | 9.6 (5.1–14.1) |
6–11 | 731 | 134 (18.3) | 731 | 62 (8.5) | 2.58 (1.83–3.64) | <0.0001 | 3.76 (2.48–5.70) (Giardia absent)3 1.24 (0.56–2.77) (Giardia present)3 | <0.0001 0.59 | 12.3 (8.7–15.8) |
12–17 | 527 | 60 (11.4) | 533 | 40 (7.5) | 1.70 (1.07–2.71) | 0.025 | 1.81 (1.10–2.98) | 0.019 | 5.1 (1.1–9.1) |
18–23 | 384 | 26 (6.8) | 391 | 24 (6.1) | 1.10 (0.60–2.01) | 0.76 | 1.06 (0.56–2.02) | 0.85 | 0.4 (-3.9–4.7) |
Mozambique | |||||||||
<6 | 153 | 22 (14.4) | 293 | 26 (8.9) | 2.29 (1.18–4.43) | 0.014 | 2.41 (1.17–4.98) | 0.018 | 8.4 (2.0–14.8) |
6–11 | 286 | 65 (22.7) | 589 | 52 (8.8) | 3.67 (2.32–5.83) | <0.0001 | 5.71 (3.32–9.82) | <0.0001 | 18.7 (13.2–24.3) |
12–17 | 155 | 28 (18.1) | 330 | 32 (9.7) | 2.45 (1.35–4.42) | 0.003 | 2.30 (1.19–4.44) | 0.013 | 10.2 (2.7–17.8) |
18–23 | 82 | 11 (13.4) | 187 | 19 (10.2) | 1.70 (0.74–3.91) | 0.21 | 1.80 (0.70–4.63) | 0.22 | 6.0 (-4.0–16.0) |
Kenya | |||||||||
<6 | 306 | 37 (12.1) | 329 | 17 (5.2) | 2.44 (1.33–4.46) | 0.004 | 3.09 (1.55–6.16) | 0.001 | 8.2 (3.7–12.7) |
6–11 | 523 | 82 (15.7) | 567 | 35 (6.2) | 2.79 (1.81–4.31) | <0.0001 | 3.31 (2.08–5.27) | <0.0001 | 10.9 (7.2–14.7) |
12–17 | 313 | 38 (12.1) | 516 | 26 (5.0) | 3.06 (1.75–5.37) | <0.0001 | 3.75 (2.02–6.95) | <0.0001 | 8.9 (4.7–13.1) |
18–23 | 178 | 16 (9.0) | 292 | 13 (4.5) | 2.29 (1.02–5.17) | 0.045 | 2.43 (1.01–5.86) | 0.048 | 5.3 (-0.1–10.7) |
India | |||||||||
<6 | 298 | 45 (15.1) | 301 | 22 (7.3) | 2.35 (1.33–4.13) | 0.003 | 2.44 (1.34–4.44) | 0.003 | 8.9 (3.5–14.3) |
6–11 | 580 | 89 (15.3) | 591 | 38 (6.4) | 2.97 (1.91–4.63) | <0.0001 | 3.22 (1.90–5.47) | <0.0001 | 10.6 (6.6–14.6) |
12–17 | 458 | 65 (14.2) | 473 | 33 (7.0) | 2.20 (1.40–3.47) | 0.0007 | 2.19 (1.23–3.87) | 0.007 | 7.7 (2.9–12.5) |
18–23 | 294 | 43 (14.6) | 305 | 31 (10.2) | 1.59 (0.91–2.77) | 0.11 | 2.09 (0.99–4.40) | 0.054 | 7.6 (0.9–14.3) |
Bangladesh | |||||||||
<6 | 165 | 7 (4.2) | 272 | 10 (3.7) | 1.21 (0.44–3.33) | 0.70 | 0.92 (0.31–2.76) | 0.88 | -0.4 (-4.5–3.8) |
6–11 | 507 | 48 (9.5) | 850 | 28 (3.3) | 3.06 (1.91–4.93) | <0.0001 | 4.39 (2.15–8.96) (C. jejuni absent)4 0.79 (0.24–2.59) (C. jejuni present)4 | <0.00010.70 | 5.7 (2.3–9.1) |
12–17 | 341 | 19 (5.6) | 569 | 18 (3.2) | 1.97 (0.99–3.94) | 0.054 | 2.23 (0.76–6.54) | 0.14 | 3.1 (-1.1–7.2) |
18–23 | 238 | 16 (6.7) | 398 | 14 (3.5) | 1.77 (0.84–3.73) | 0.13 | 0.65 (0.15–2.78) | 0.56 | -3.6 (-16.1–9.0) |
Pakistan | |||||||||
<6 | 315 | 35 (11.1) | 315 | 27 (8.6) | 1.33 (0.78–2.25) | 0.30 | 1.43 (0.77–2.65) | 0.26 | 3.3 (-1.8–8.5) |
6–11 | 473 | 76 (16.1) | 473 | 45 (9.5) | 1.81 (1.22–2.68) | 0.003 | 2.91 (1.71–4.93) (Aeromonas absent)5 0.64 (0.16–2.60) (Aeromonas present)5 | <0.0001 0.54 | 8.5 (3.3–13.7) |
12–17 | 314 | 31 (9.9) | 550 | 33 (6.0) | 1.81 (1.04–3.14) | 0.036 | 2.32 (1.24–4.34) | 0.009 | 5.6 (1.6–9.6) |
18–23 | 198 | 25 (12.6) | 352 | 18 (5.1) | 2.48 (1.28–4.79) | 0.007 | 3.09 (1.47–6.50) | 0.003 | 8.5 (3.3–13.8) |
* Table 3 includes data only from study children with Cryptosporidium results. EIA: enzyme immunoassay
1 These p-values were obtained from unadjusted conditional logistic regression analysis.
2 These p-values were obtained from adjusted conditional logistic regression analysis.
3 There is an interaction (P < 0.1) between Cryptosporidium and Giardia for Mali at age 6–11 months.
4 There is an interaction (P < 0.1) between Cryptosporidium and C. jejuni for Bangladesh at age 6–11 months.
5 There is an interaction (P < 0.1) between Cryptosporidium and Aeromonas for Pakistan at age 6–11 months.