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Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
A prospective study of rotavirus diarrhea in children under 1 year of age
Sudipta Misra1, Tapas K Sabui, Swati Basu
1Department of Pediatrics, UIC College of Medicine at Peoria, Peoria, Illinois 61603, USA. smisra@uic.edu
Insights
Rotavirus infection significantly hinders nutritional recovery in infants with acute diarrhea, despite breastfeeding. Universal rotavirus vaccination is recommended due to breastfeeding
Area of Science:
- Pediatrics
- Infectious Diseases
- Gastroenterology
Background:
- Acute diarrhea is a common pediatric illness.
- Understanding its clinical profile and prognosis in infants is crucial for effective management.
- Rotavirus is a leading cause of severe diarrhea in infants worldwide.
Purpose of the Study:
- To document the changing clinical profile and prognosis of acute diarrhea in infants.
- To investigate the impact of rotavirus infection on infant recovery.
- To assess the role of breastfeeding and lactose malabsorption in acute diarrhea outcomes.
Main Methods:
- Prospective observational study with follow-up.
- Collection of demographic, anthropometric, and clinical data in infants (<1 year) with acute diarrhea.
- Microscopic stool examination, culture, reducing substance and occult blood testing, and rotavirus detection via electrophoresis.
Main Results:
- A high incidence of rotavirus infection (67.6%) was observed.
- Rotavirus infection was associated with slower nutritional recovery in affected infants.
- Lactose malabsorption (reducing substance in stool) was common (67.6%) but did not affect prognosis.
- Exclusive breastfeeding did not prevent rotavirus infection.
Conclusions:
- Rotavirus infection negatively impacts infant growth through an unclear mechanism.
- The ineffectiveness of exclusive breastfeeding against rotavirus underscores the need for universal rotavirus vaccination.
- Lactose malabsorption in infants with acute diarrhea does not appear to influence prognosis.
Abstract:
The aim of this study was to document the changing clinical profile and prognosis of acute diarrhea in infants. This was a prospective observational study with follow-up. Demographic, anthropometric, and clinical data were collected in children younger than 1 year with acute diarrhea. Stool was examined under the microscope, cultured, tested for presence of reducing substance and occult blood, and subjected to electrophoresis to detect rotavirus infection. Thirty-one (91.2%) of the 34 infants were breastfed, 18 exclusively and 13 partially. Twenty-three had rotavirus infection and had slower nutritional recovery than others. There was no difference in the incidence of rotavirus infection between exclusively and partially breastfed infants. Continuation of feeds containing lactose did not affect prognosis, though 23 (67.6%) infants had reducing substance in stool. We documented a high incidence of rotavirus infection, which negatively affected growth of infants by some ill-defined mechanism. Failure of exclusive breastfeeding to protect against rotavirus infection highlights the need for universal rotavirus vaccination. Lactose malabsorption detected in many infants did not affect prognosis after acute diarrhea.
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