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Published on: January 28, 2019
Prevalence and factors associated with rotavirus infection among children admitted with acute diarrhea in Uganda
Jane S Nakawesi1, Eric Wobudeya, Grace Ndeezi
1Department of Paediatrics and Child Health, School of Medicine, Makerere University College of Health Sciences, P O Box 7072 Kampala, Uganda. nakawesijane@gmail.com
Insights
Rotavirus infection is highly prevalent in Ugandan children with acute diarrhea. Maternal education, dehydration, and breastfeeding were associated factors in this study.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Rotavirus is a leading cause of severe dehydrating diarrhea in children globally.
- Malnutrition and limited access to hydration therapy exacerbate rotavirus mortality in developing countries.
- The burden of rotavirus disease in Uganda was previously unknown.
Purpose of the Study:
- To determine the prevalence of rotavirus infection among children with acute diarrhea in Uganda.
- To identify factors associated with rotavirus infection in this population.
Main Methods:
- A study involving 390 children aged 3-59 months admitted with acute diarrhea.
- Collection of clinical, socio-demographic, and physical examination data.
- Rotavirus antigen detection in stool samples using the DAKO IDEIA rotavirus EIA kit.
Main Results:
- The prevalence of rotavirus infection was 45.4%.
- Significant associations were found with higher maternal education, dehydration, and breastfeeding.
- No significant association was observed with nutritional status, HIV status, or day care/school attendance.
Conclusions:
- Rotavirus infection is highly prevalent in children experiencing acute diarrhea at Mulago Hospital, Uganda.
- Specific factors such as maternal education, dehydration, and breastfeeding are linked to rotavirus infection.
Background:
Rotavirus remains the commonest cause of severe dehydrating diarrhea among children worldwide. Children in developing countries die more because of several factors including poorer access to hydration therapy and greater prevalence of malnutrition. Hitherto, the magnitude of rotavirus disease in Uganda has remained unknown. This study was therefore done to determine the prevalence and factors associated with rotavirus infection among children aged 3-59 months admitted with acute diarrhea to paediatric emergency ward of Mulago Hospital, Uganda
Methods:
Three hundred and ninety children, aged between 3-59 months with acute diarrhoea were recruited. The clinical history, socio-demographic characteristics, physical examination findings and laboratory investigations were recorded. Stool samples were tested for rotavirus antigens using the DAKO IDEIA rotavirus EIA detection kit.
Results:
The prevalence of rotavirus infection was 45.4%. On multivariate analysis rotavirus was significantly associated with a higher education (above secondary) level of the mother [OR 1.8; 95% CI 1.1-2.7]; dehydration [OR 1.8; 95% CI 1.1-3.0] and breastfeeding [OR 2.6; 95% CI 1.4-4.0]. Although age was significantly associated with rotavirus on bivariate analysis; this association disappeared on multivariate analysis. No significant association was found between rotavirus infection and nutritional status, HIV status and attendance of day care or school.
Conclusions:
Rotavirus infection is highly prevalent among children with acute diarrhoea admitted to Mulago Hospital in Uganda.
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