{"id":"https://openalex.org/W7128718164","doi":"https://doi.org/10.64898/2026.02.10.26346032","title":"Adherence and impact of the World Health Organization zinc and antibiotic administration guidelines for diarrhea management among children aged 6-35 months: EFGH study, 2022 - 2024","display_name":"Adherence and impact of the World Health Organization zinc and antibiotic administration guidelines for diarrhea management among children aged 6-35 months: EFGH study, 2022 - 2024","publication_year":2026,"publication_date":"2026-02-12","ids":{"openalex":"https://openalex.org/W7128718164","doi":"https://doi.org/10.64898/2026.02.10.26346032"},"language":"en","primary_location":{"id":"doi:10.64898/2026.02.10.26346032","doi":"https://doi.org/10.64898/2026.02.10.26346032","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.02.10.26346032","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/02/12/2026.02.10.26346032.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2026/02/12/2026.02.10.26346032.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5073230505","display_name":"Adama Mamby Keita","orcid":"https://orcid.org/0000-0002-0315-0632","observed_orcids":["https://orcid.org/0000-0002-0315-0632"]},"institutions":[{"id":"https://openalex.org/I4210088409","display_name":"Centre Pour le D\u00e9veloppement des Vaccins-Mali","ror":"https://ror.org/004ymwd44","country_code":"ML","type":"other","lineage":["https://openalex.org/I4210088409"]}],"countries":["ML"],"is_corresponding":true,"raw_author_name":"Adama Mamby Keita","raw_affiliation_strings":["Centre pour le D\u00e9veloppement des Vaccins du Mali, Bamako, Mali"],"raw_orcid":"https://orcid.org/0000-0002-0315-0632","affiliations":[{"raw_affiliation_string":"Centre pour le D\u00e9veloppement des Vaccins du Mali, Bamako, Mali","institution_ids":["https://openalex.org/I4210088409"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019638278","display_name":"Erika L. Feutz","orcid":"https://orcid.org/0000-0001-6518-016X","observed_orcids":["https://orcid.org/0000-0001-6518-016X"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erika Feutz","raw_affiliation_strings":["Department of Global Health, University of Washington, USA"],"raw_orcid":"https://orcid.org/0000-0001-6518-016X","affiliations":[{"raw_affiliation_string":"Department of Global Health, University of Washington, USA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062383257","display_name":"Milagritos D. Tapia","orcid":"https://orcid.org/0000-0002-6476-3934","observed_orcids":["https://orcid.org/0000-0002-6476-3934"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Milagritos D. Tapia","raw_affiliation_strings":["Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034114038","display_name":"Patricia B. Pavlinac","orcid":"https://orcid.org/0000-0002-0051-9131","observed_orcids":["https://orcid.org/0000-0002-0051-9131"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Patricia B. Pavlinac","raw_affiliation_strings":["Department of Global Health, University of Washington, USA"],"raw_orcid":"https://orcid.org/0000-0002-0051-9131","affiliations":[{"raw_affiliation_string":"Department of Global Health, University of Washington, USA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074388497","display_name":"Kirkby Daniel Tickell","orcid":"https://orcid.org/0000-0002-4108-1236","observed_orcids":["https://orcid.org/0000-0002-4108-1236"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kirkby D Tickell","raw_affiliation_strings":["Department of Global Health, University of Washington, USA"],"raw_orcid":"https://orcid.org/0000-0002-4108-1236","affiliations":[{"raw_affiliation_string":"Department of Global Health, University of Washington, USA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079420669","display_name":"Alex O Awuor","orcid":"https://orcid.org/0009-0003-9138-7748","observed_orcids":["https://orcid.org/0009-0003-9138-7748"]},"institutions":[{"id":"https://openalex.org/I2841861","display_name":"Kenya Medical Research Institute","ror":"https://ror.org/04r1cxt79","country_code":"KE","type":"facility","lineage":["https://openalex.org/I2841861"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Alex O. Awuor","raw_affiliation_strings":["Kenya Medical Research Institute (KEMRI), Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kenya Medical Research Institute (KEMRI), Kenya","institution_ids":["https://openalex.org/I2841861"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125706149","display_name":"Rebecca Oketch","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2841861","display_name":"Kenya Medical Research Institute","ror":"https://ror.org/04r1cxt79","country_code":"KE","type":"facility","lineage":["https://openalex.org/I2841861"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Rebecca Oketch","raw_affiliation_strings":["Kenya Medical Research Institute (KEMRI), Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kenya Medical Research Institute (KEMRI), Kenya","institution_ids":["https://openalex.org/I2841861"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122243707","display_name":"Samba O. Sow","orcid":"https://orcid.org/0000-0002-6335-5066","observed_orcids":["https://orcid.org/0000-0002-6335-5066"]},"institutions":[{"id":"https://openalex.org/I4210088409","display_name":"Centre Pour le D\u00e9veloppement des Vaccins-Mali","ror":"https://ror.org/004ymwd44","country_code":"ML","type":"other","lineage":["https://openalex.org/I4210088409"]}],"countries":["ML"],"is_corresponding":false,"raw_author_name":"Samba Sow","raw_affiliation_strings":["Centre pour le D\u00e9veloppement des Vaccins du Mali, Bamako, Mali"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre pour le D\u00e9veloppement des Vaccins du Mali, Bamako, Mali","institution_ids":["https://openalex.org/I4210088409"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107521875","display_name":"Karen L. Kotloff","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Karen L. Kotloff","raw_affiliation_strings":["Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121245593","display_name":"M. Jahangir Hossain","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210116687","display_name":"MRC Unit the Gambia","ror":"https://ror.org/025wfj672","country_code":"GM","type":"facility","lineage":["https://openalex.org/I124357947","https://openalex.org/I4210087105","https://openalex.org/I4210089966","https://openalex.org/I4210116687","https://openalex.org/I90344618"]}],"countries":["GM"],"is_corresponding":false,"raw_author_name":"M. Jahangir Hossain","raw_affiliation_strings":["The Gambia Medical Research Council Unit at the London School of Hygiene and Tropical Medicine, Banjul, The Gambia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Gambia Medical Research Council Unit at the London School of Hygiene and Tropical Medicine, Banjul, The Gambia","institution_ids":["https://openalex.org/I4210116687"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125744021","display_name":"Jen Cornick","orcid":"https://orcid.org/0000-0001-6841-9842","observed_orcids":["https://orcid.org/0000-0001-6841-9842"]},"institutions":[{"id":"https://openalex.org/I146655781","display_name":"University of Liverpool","ror":"https://ror.org/04xs57h96","country_code":"GB","type":"education","lineage":["https://openalex.org/I146655781"]},{"id":"https://openalex.org/I2799451200","display_name":"Malawi-Liverpool-Wellcome Trust Clinical Research Programme","ror":"https://ror.org/03tebt685","country_code":"MW","type":"facility","lineage":["https://openalex.org/I157591606","https://openalex.org/I2799451200","https://openalex.org/I87048295"]}],"countries":["GB","MW"],"is_corresponding":false,"raw_author_name":"Jen Cornick","raw_affiliation_strings":["Malawi-Liverpool-Wellcome Research Programme & University of Liverpool"],"raw_orcid":"https://orcid.org/0000-0001-6841-9842","affiliations":[{"raw_affiliation_string":"Malawi-Liverpool-Wellcome Research Programme & University of Liverpool","institution_ids":["https://openalex.org/I146655781","https://openalex.org/I2799451200"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090605115","display_name":"Nigel A. Cunliffe","orcid":"https://orcid.org/0000-0002-5449-4988","observed_orcids":["https://orcid.org/0000-0002-5449-4988"]},"institutions":[{"id":"https://openalex.org/I146655781","display_name":"University of Liverpool","ror":"https://ror.org/04xs57h96","country_code":"GB","type":"education","lineage":["https://openalex.org/I146655781"]},{"id":"https://openalex.org/I2799451200","display_name":"Malawi-Liverpool-Wellcome Trust Clinical Research Programme","ror":"https://ror.org/03tebt685","country_code":"MW","type":"facility","lineage":["https://openalex.org/I157591606","https://openalex.org/I2799451200","https://openalex.org/I87048295"]}],"countries":["GB","MW"],"is_corresponding":false,"raw_author_name":"Nigel A. Cunliffe","raw_affiliation_strings":["Malawi-Liverpool-Wellcome Research Programme & University of Liverpool"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Malawi-Liverpool-Wellcome Research Programme & University of Liverpool","institution_ids":["https://openalex.org/I146655781","https://openalex.org/I2799451200"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039433364","display_name":"Margaret  N. Kosek","orcid":"https://orcid.org/0000-0001-6340-4852","observed_orcids":["https://orcid.org/0000-0001-6340-4852"]},"institutions":[{"id":"https://openalex.org/I4210106616","display_name":"Prisma","ror":"https://ror.org/011y8cj77","country_code":"PE","type":"nonprofit","lineage":["https://openalex.org/I4210106616"]}],"countries":["PE"],"is_corresponding":false,"raw_author_name":"Margaret N. Kosek","raw_affiliation_strings":["Asociaci\u00f3n Ben\u00e9fica PRISMA& University of Virginia, Peru"],"raw_orcid":"https://orcid.org/0000-0001-6340-4852","affiliations":[{"raw_affiliation_string":"Asociaci\u00f3n Ben\u00e9fica PRISMA& University of Virginia, Peru","institution_ids":["https://openalex.org/I4210106616"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042853615","display_name":"Maribel Paredes Ol\u00f3rtegui","orcid":"https://orcid.org/0000-0001-9943-8157","observed_orcids":["https://orcid.org/0000-0001-9943-8157"]},"institutions":[{"id":"https://openalex.org/I4210106616","display_name":"Prisma","ror":"https://ror.org/011y8cj77","country_code":"PE","type":"nonprofit","lineage":["https://openalex.org/I4210106616"]}],"countries":["PE"],"is_corresponding":false,"raw_author_name":"Maribel Paredes_Olortegui","raw_affiliation_strings":["Asociaci\u00f3n Ben\u00e9fica PRISMA& University of Virginia, Peru"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Asociaci\u00f3n Ben\u00e9fica PRISMA& University of Virginia, Peru","institution_ids":["https://openalex.org/I4210106616"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102838612","display_name":"Firdausi Qadri","orcid":"https://orcid.org/0000-0002-8928-9888","observed_orcids":["https://orcid.org/0000-0002-8928-9888","https://orcid.org/0000-0001-8459-304X"]},"institutions":[{"id":"https://openalex.org/I205889620","display_name":"International Centre for Diarrhoeal Disease Research","ror":"https://ror.org/04vsvr128","country_code":"BD","type":"facility","lineage":["https://openalex.org/I205889620"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"Firdausi Qadri","raw_affiliation_strings":["International Centre for Diarrheal Disease Research, Bangladesh (icddr,b)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"International Centre for Diarrheal Disease Research, Bangladesh (icddr,b)","institution_ids":["https://openalex.org/I205889620"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059705866","display_name":"Farhana Khanam","orcid":"https://orcid.org/0000-0002-4158-5995","observed_orcids":["https://orcid.org/0000-0002-4158-5995"]},"institutions":[{"id":"https://openalex.org/I205889620","display_name":"International Centre for Diarrhoeal Disease Research","ror":"https://ror.org/04vsvr128","country_code":"BD","type":"facility","lineage":["https://openalex.org/I205889620"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"Farhana Khanam","raw_affiliation_strings":["International Centre for Diarrheal Disease Research, Bangladesh (icddr,b)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"International Centre for Diarrheal Disease Research, Bangladesh (icddr,b)","institution_ids":["https://openalex.org/I205889620"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091049933","display_name":"Farah Naz Qamar","orcid":"https://orcid.org/0000-0003-4173-680X","observed_orcids":["https://orcid.org/0000-0003-4173-680X"]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Farah Naz Qamar","raw_affiliation_strings":["Aga Khan University, Pakistan"],"raw_orcid":"https://orcid.org/0000-0003-4173-680X","affiliations":[{"raw_affiliation_string":"Aga Khan University, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125712862","display_name":"Muhammad Tahir Yousafzai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Muhammad Tahir Yousafzai","raw_affiliation_strings":["Aga Khan University, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aga Khan University, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5027604397","display_name":"Elizabeth T. Rogawski McQuade","orcid":"https://orcid.org/0000-0002-4942-3747","observed_orcids":["https://orcid.org/0000-0002-4942-3747","https://orcid.org/0009-0008-9513-8737"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth Rogawski McQuade","raw_affiliation_strings":["Rollins School of Public Health, University of Emory, USA"],"raw_orcid":"https://orcid.org/0000-0002-4942-3747","affiliations":[{"raw_affiliation_string":"Rollins School of Public Health, University of Emory, USA","institution_ids":["https://openalex.org/I150468666"]}]}],"institutions":[],"countries_distinct_count":9,"institutions_distinct_count":11,"corresponding_author_ids":["https://openalex.org/A5073230505"],"corresponding_institution_ids":["https://openalex.org/I4210088409"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10596","display_name":"Child Nutrition and Water Access","score":0.4259999990463257,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10596","display_name":"Child Nutrition and Water Access","score":0.4259999990463257,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.26899999380111694,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.14180000126361847,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/childhood-diarrhea","display_name":"childhood diarrhea","score":0.8569999933242798},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.8569999933242798},{"id":"https://openalex.org/keywords/zinc-supplementation","display_name":"zinc supplementation","score":0.9900000095367432},{"id":"https://openalex.org/keywords/antibiotic-prescribing","display_name":"antibiotic prescribing","score":0.7570000290870667},{"id":"https://openalex.org/keywords/dysentery","display_name":"dysentery","score":0.8939999938011169},{"id":"https://openalex.org/keywords/duration-of-diarrhea","display_name":"diarrhea duration","score":0.6639999747276306},{"id":"https://openalex.org/keywords/children-under-five","display_name":"children under five","score":0.6520000100135803},{"id":"https://openalex.org/keywords/sub-saharan-africa","display_name":"sub-Saharan Africa","score":0.6940000057220459},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.843999981880188}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9408000111579895},{"id":"https://openalex.org/C2779802037","wikidata":"https://www.wikidata.org/wiki/Q40878","display_name":"Diarrhea","level":2,"score":0.8773000240325928},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.5947999954223633},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5408999919891357},{"id":"https://openalex.org/C2780708024","wikidata":"https://www.wikidata.org/wiki/Q129279","display_name":"Dysentery","level":2,"score":0.43869999051094055},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4115999937057495},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4027999937534332},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3887999951839447},{"id":"https://openalex.org/C2779915187","wikidata":"https://www.wikidata.org/wiki/Q574891","display_name":"Antibiotic-associated diarrhea","level":4,"score":0.36730000376701355},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3626999855041504},{"id":"https://openalex.org/C2781081971","wikidata":"https://www.wikidata.org/wiki/Q7883042","display_name":"Under-five","level":2,"score":0.3278000056743622},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.3240000009536743},{"id":"https://openalex.org/C2777717012","wikidata":"https://www.wikidata.org/wiki/Q1381652","display_name":"Oral rehydration therapy","level":4,"score":0.2980000078678131},{"id":"https://openalex.org/C2987315675","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Disease control","level":2,"score":0.29409998655319214},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.27469998598098755},{"id":"https://openalex.org/C3020710733","wikidata":"https://www.wikidata.org/wiki/Q40878","display_name":"Diarrheal disease","level":3,"score":0.2687000036239624},{"id":"https://openalex.org/C160050368","wikidata":"https://www.wikidata.org/wiki/Q132453","display_name":"Developed country","level":3,"score":0.2614000141620636},{"id":"https://openalex.org/C986699","wikidata":"https://www.wikidata.org/wiki/Q7939","display_name":"El Ni\u00f1o","level":2,"score":0.2547000050544739},{"id":"https://openalex.org/C3019834005","wikidata":"https://www.wikidata.org/wiki/Q156103","display_name":"Acute diarrhea","level":3,"score":0.25380000472068787},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.25290000438690186},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.25130000710487366}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.02.10.26346032","doi":"https://doi.org/10.64898/2026.02.10.26346032","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.02.10.26346032","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/02/12/2026.02.10.26346032.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.02.10.26346032","doi":"https://doi.org/10.64898/2026.02.10.26346032","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.02.10.26346032","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/02/12/2026.02.10.26346032.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G8579527633","display_name":"University of Washington Foundation - to conduct a multi-center Shigella surveillance study to support the clinical development of vaccines against shigellosis","funder_award_id":"INV-031791","funder_id":"https://openalex.org/F4320306137","funder_display_name":"Bill and Melinda Gates Foundation"}],"funders":[{"id":"https://openalex.org/F4320306137","display_name":"Bill and Melinda Gates Foundation","ror":"https://ror.org/0456r8d26"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7128718164.pdf","grobid_xml":"https://content.openalex.org/works/W7128718164.grobid-xml"},"referenced_works_count":12,"referenced_works":["https://openalex.org/W1947829243","https://openalex.org/W2125951051","https://openalex.org/W2564207700","https://openalex.org/W2581418793","https://openalex.org/W2808211215","https://openalex.org/W3023105405","https://openalex.org/W3087975272","https://openalex.org/W3092849554","https://openalex.org/W4366351038","https://openalex.org/W4366351718","https://openalex.org/W4366353489","https://openalex.org/W4405114133"],"related_works":["https://openalex.org/W4415785700","https://openalex.org/W2411197752","https://openalex.org/W2558716241","https://openalex.org/W3130155090","https://openalex.org/W4366351038","https://openalex.org/W3021048158","https://openalex.org/W4386769562","https://openalex.org/W7217180328","https://openalex.org/W2011302913","https://openalex.org/W4402348273"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Diarrheal":[2],"disease":[3],"is":[4],"the":[5,30,39,62,86,197,214,292],"second":[6],"leading":[7],"cause":[8],"of":[9,32,59,88,125,131,154,196,238,255,267,274,285,294],"under-five":[10],"mortality":[11],"and":[12,38,50,80,133,200,216,287,297],"morbidity":[13],"in":[14,29,48,276,283],"Sub-Saharan":[15],"Africa.":[16],"The":[17,122],"World":[18],"Health":[19,66],"Organization":[20],"(WHO)":[21],"has":[22],"developed":[23],"treatment":[24,157,293,300],"guidelines":[25,43],"to":[26,68,72,97,111,141],"support":[27],"clinicians":[28],"management":[31,75],"pediatric":[33],"diarrhea;":[34],"however,":[35],"adherence":[36,71],"to,":[37],"impact":[40],"of,":[41],"these":[42],"are":[44],"not":[45,193,246],"well":[46],"described":[47],"low-":[49],"middle-income":[51],"countries.":[52],"Method":[53],"We":[54,270],"conducted":[55],"a":[56,168,181],"secondary":[57],"analysis":[58,105],"data":[60],"from":[61],"Enterics":[63],"for":[64,291],"Global":[65],"study":[67,278],"determine":[69],"whether":[70],"WHO":[73,169],"diarrhea":[74,89,115,188,239],"guidelines,":[76],"specifically":[77],"zinc":[78,215,256,286],"supplementation":[79],"antibiotic":[81,218,289],"administration":[82],"(when":[83],"appropriate),":[84],"shortened":[85],"duration":[87,305],"among":[90],"children":[91,108,138,161,208,222,275],"aged":[92,109],"6-35":[93],"months":[94,113,130],"who":[95,174,244,250],"presented":[96,140,175],"selected":[98],"health":[99],"facilities":[100],"with":[101,114,143,150,176,186,223,230,242,303],"diarrhea.":[102,268,306],"Results":[103],"This":[104],"includes":[106],"9,397":[107],"6":[110],"35":[112],"enrolled":[116],"across":[117],"all":[118],"seven":[119],"EFGH":[120],"sites.":[121],"majority":[123],"(63.3%)":[124],"participants":[126,173,185],"were":[127,135,179,192,201,251],"under":[128],"18":[129],"age":[132],"54.4%":[134],"male;":[136],"1,214":[137],"(12.9%)":[139],"care":[142,211,282],"dysentery.":[144],"Zinc":[145],"was":[146,228,301],"frequently":[147],"administered":[148],"(96.6%),":[149],"over":[151],"10":[152],"days":[153,237,254,266],"mean":[155],"prescribed":[156,180,194],"duration.":[158],"Of":[159],"5,061":[160],"(53.9%)":[162],"offered":[163],"antibiotics,":[164],"3,082":[165],"(60.9%)":[166],"received":[167,209,279],"recommended":[170,198],"regimen.":[171],"Among":[172,184],"dysentery,":[177,190,224],"67.6%":[178],"WHO-recommended":[182,226],"antibiotic.":[183],"watery":[187],"without":[189],"72.4%":[191],"any":[195],"antibiotics":[199,227],"thus":[202],"considered":[203],"guideline-adherent.":[204],"Overall,":[205],"6,302":[206],"(67.1%)":[207],"guideline-adherent":[210],"when":[212],"combining":[213],"appropriate":[217,288],"use":[219,290],"indicators.":[220],"In":[221],"providing":[225],"associated":[229,302],"1.08":[231],"(95%":[232,261],"CI:":[233,262],"0.53,":[234],"1.53)":[235],"fewer":[236,265],"than":[240],"those":[241],"dysentery":[243],"did":[245],"receive":[247],"antibiotics.":[248],"Children":[249],"given":[252],"10+":[253],"had":[257],"on":[258],"average":[259],"0.36":[260],"0.03,":[263],"0.70)":[264],"Conclusion":[269],"found":[271],"that":[272,298],"two-thirds":[273],"this":[277],"guideline":[280],"adherent":[281,299],"terms":[284],"childhood":[295],"diarrhea,":[296],"shorter":[304]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-02-13T00:00:00"}
