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Published on: January 28, 2019
Rota virus Diarrhea in Hospitalized Children
Muhammad Irfan Habib1, Sayyeda Ghazala Kazi2, Khalid Mehmood Ahmed Khan1
1Department of Paediatrics, National Institute of Child Health, Karachi.
Insights
Rotavirus is a common cause of diarrhea in children under three years old. This study highlights the need for rotavirus vaccination in national immunization programs to reduce the disease burden.
Area of Science:
- Pediatrics
- Infectious Diseases
- Virology
Background:
- Rotavirus is a leading cause of severe diarrheal disease in infants and young children globally.
- Understanding the local epidemiology of rotavirus gastroenteritis is crucial for public health interventions.
Purpose of the Study:
- To determine the incidence and clinical characteristics of rotavirus diarrhea in children presenting at a tertiary care hospital.
- To provide data supporting the integration of rotavirus vaccination into national immunization schedules.
Main Methods:
- A cross-sectional, observational study was conducted involving 300 children aged 1 month to 5 years with diarrhea.
- Stool samples were analyzed for rotavirus using enzyme-linked immunoassay (ELISA).
- Exclusion criteria included bloody diarrhea and nosocomial gastroenteritis.
Main Results:
- Rotavirus was detected in 188 (63%) of the 300 children studied.
- The highest prevalence was observed in children aged 7-12 months (18.08%).
- Over 80% of positive cases were in children under 3 years old, with fever and vomiting being common symptoms.
Conclusions:
- Rotavirus is a significant pathogen responsible for a substantial proportion of diarrhea cases in young children in this region.
- The findings underscore the importance of rotavirus vaccination to mitigate the impact of this disease.
Objective:
To determine the frequency and clinical features of Rota virus diarrhea in children presenting in a tertiary care hospital.
Study Design:
A cross-sectional, observational study.
Place And Duration Of Study:
National Institute of Child Health, Karachi, from January to June 2007.
Methodology:
A total of three hundred children of either gender aged 1 month to 5 years, who presented with diarrhea of < 7 days as a primary illness were enrolled. Children with bloody diarrhea or nosocomial gastroenteritis acquired during hospitalization for other disease were not included. Detection of Rota virus in stool was done by enzyme linked immunoassay.
Results:
Out of 300 children, 188 (63%) tested positive and 112 (37%) tested negative for Rota virus. Positive Rota virus cases in 7 - 12 months of age was (n = 34, 18.08%). Overall, 151 (80.3%) children with Rota virus were less than 3 years old. 182 (60.7%) had fever, 118 (39.3%) had vomiting and 156 (82.9%) children had both fever and vomiting.
Conclusion:
This study shows that Rota virus is a common organism causing diarrhea in children less than 3 years of age. There is a need to incorporate Rota virus vaccine in the national EPI program to decrease the disease burden as highlighted in this study.
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