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Nosocomial rotaviral gastroenteritis in paediatric departments

Mária Stefkovicová1, Pavol Simurka, Lenka Juracková

  • 1Department of Epidemiology, Regional Office of Public Health, Nemocnicná 4, 911 01 Trencín, Slovak Republic. stefkovicova@gmail.com

Central European Journal of Public Health
|May 8, 2008
PubMed

Insights

Rotaviral gastroenteritis (RVGE) in children under 5 is often acquired in hospitals, with younger patients experiencing more severe illness. Vaccination could reduce both community and hospital-acquired RVGE cases.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Epidemiology

Background:

  • Rotaviral gastroenteritis (RVGE) is a significant cause of illness in young children.
  • Understanding the origins of RVGE, whether community-acquired or hospital-acquired (nosocomial), is crucial for effective prevention and control.

Purpose of the Study:

  • To analyze the incidence and characteristics of community-acquired and nosocomial RVGE in children under 5 years of age.
  • To evaluate the impact of nosocomial RVGE on patient outcomes, including hospital stay and illness duration.

Main Methods:

  • Retrospective analysis of RVGE cases from 2001-2005 and prospective analysis in 2006.
  • Study population included 7,000 children under 5 years in a defined referral area.
  • Comparison of clinical characteristics between community-acquired and nosocomial RVGE patients.

Main Results:

  • Nosocomial RVGE accounted for 27.75% of 228 total RVGE cases.
  • Children with nosocomial RVGE were significantly younger (average 9.8 months difference).
  • Nosocomial cases experienced longer intensive care stays, overall hospitalizations, and illness duration.

Conclusions:

  • A substantial proportion of pediatric RVGE cases are acquired in healthcare settings.
  • Younger age and increased severity are associated with nosocomial RVGE.
  • Wider rotavirus vaccination implementation is recommended to reduce both community and hospital-acquired RVGE.

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