Résumé :
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[BDSP. Notice produite par INIST GuQVR0xu. Diffusion soumise à autorisation]. In a 1995-1996 cohort study in the city of Dhaka, Bangladesh, morbidity in 117 hospitalized and 137 acute measles cases compared with age-matched children without measles (unexposed) was determined by weekly interview for 6 months. Compared with unexposed children, there were higher incidences of hospitalization (adjusted rate ratio (RR)=3.1,95% confidence interval (Cl) : 1.3,7.6) and bloody diarrhea (adjusted RR=2.7,95% Cl : 1.4,5.1) in hospital measles cases during the 6 weeks after recruitment. Among community cohorts, there were higher incidences of bloody diarrhea (adjusted RR=4.1,95% Cl : 1.1,14.6), watery diarrhea (adjusted RR=1.6,95% Cl : 0.9,2.7), fast breathing (adjusted RR=3.8,95% Cl : 2.1,6.9), and the weekly point prevalence of pneumonia (adjusted prevalence ratio=3.1,95% Cl : 1.0,9.8) in measles cases during the same period. All measles cases regained lost weight within about 6 weeks. The prevalence of anergy to seven recall antigens 6 weeks after recruitment was higher in both hospital (adjusted odds ratio=2.8,95% Cl : 1.2,6.4) and community (adjusted odds ratio=3.1,95% Cl : 1.1,8.9) measles cases. Morbidity increased during the first 6-8 weeks after measles, but the authors found no consistent evidence of longer-term morbidity or wasting. The results support recent findings that measles is not associated with increased delayed mortality.
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