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Related Experiment Videos

Nosocomial diarrhea.

B Uppal1, Vishal Wadhwa, S K Mittal

  • 1Department of Microbiology, Maulana Azad Medical College, LN Hospital, New Delhi, India. beenauppal@rediffmail.com

Indian Journal of Pediatrics
|November 9, 2004
PubMed
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Nosocomial diarrhea in pediatric wards is often sporadic. Rota virus and Enteropathogenic Escherichia coli (E.P.E.C.) were common causes, though most cases lacked identified pathogens and could be managed with fluids and electrolytes.

Area of Science:

  • Pediatric Infectious Diseases
  • Hospital-Acquired Infections
  • Gastroenterology

Background:

  • Nosocomial diarrhea is a significant concern in pediatric healthcare settings.
  • Understanding the etiological agents is crucial for effective management and prevention.

Purpose of the Study:

  • To investigate the incidence of nosocomial diarrhea in pediatric wards.
  • To identify the infectious agents responsible for nosocomial diarrhea in children.

Main Methods:

  • Study included 75 pediatric patients meeting the CDC definition of nosocomial diarrhea.
  • Stool samples were analyzed using microscopy, bacterial culture, and antigen detection for Clostridium difficile and Rotavirus.

Main Results:

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  • All identified cases of nosocomial diarrhea were sporadic.
  • Rotavirus was detected in 16.67% and Enteropathogenic Escherichia coli (E.P.E.C.) in 12% of cases.
  • No pathogen was identified in 82.7% of cases, while pathogens were found in 17.3%.

    • Conclusions:

    • Rotavirus and E.P.E.C. were the most frequent causes of infectious nosocomial diarrhea in this pediatric cohort.
    • Clostridium difficile was identified in only one case.
    • The majority of sporadic nosocomial diarrhea cases in pediatric patients can be managed effectively with fluid and electrolyte therapy.