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Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Analysis of prognostic factors for infantile rotavirus infection
1Department of Pediatrics, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Insights
Age, feeding patterns, and central nervous system damage are key prognostic factors for infantile rotavirus (RV) enteritis. These elements significantly impact recovery and should guide clinical management of RV infections in infants.
Area of Science:
- Pediatrics
- Infectious Diseases
- Gastroenterology
Background:
- Infantile rotavirus (RV) infection is a common cause of gastroenteritis in infants.
- Identifying prognostic factors is crucial for managing RV enteritis and improving infant outcomes.
Purpose of the Study:
- To investigate the significant prognostic factors associated with infantile rotavirus (RV) enteritis.
- To analyze clinical data and biochemical markers to determine predictors of RV infection outcomes.
Main Methods:
- A cohort of 102 infants with RV enteritis was divided into 'improvement' and 'cure' groups.
- Serum levels of AST, CK-MB, and LDH were measured.
- Univariate and multivariate logistic regression analyses were performed on prognostic factors and clinical data.
Main Results:
- Age, feeding pattern, and central nervous system (CNS) damage were identified as significant independent prognostic factors for RV enteritis (P < 0.05).
- No significant differences were observed in gender, disease course, or respiratory infection between groups.
- Temporary myocardial and hepatic damages did not significantly influence prognosis.
Conclusions:
- Infant age, feeding practices, and the presence of CNS damage are critical independent prognostic factors for rotavirus enteritis.
- These factors necessitate careful consideration in clinical practice for effective management of RV infections.
Abstract:
In this study, we investigated the prognostic factors of infantile rotavirus (RV) infection. A total of 102 infants with RV enteritis were divided into 2 groups according to the standards of improvement and cure at the time of discharge from the hospital: improvement group (N = 58; 47 males and 11 females with an average age of 15.19 ± 5.03 months) and the cure group (N = 44; 34 males and 10 females with an average age of 10.02 ± 4.92 months). Both groups were phlebotomized for the detection of serum glutamic oxaloacetic aminotransferase, creatine kinase-MB, and lactate dehydrogenase. Prognostic factors and clinical data were analyzed by univariate and multivariate logistic analysis. Among the 102 cases of RV infection, 58 were cured and 44 were improved. Univariate analysis showed that the 2 groups were significantly different in age, feeding pattern, concentrations of serum glutamic oxaloacetic aminotransferase, creatine kinase-MB, and lactate dehydrogenase, and central nervous system damage. Logistic regression analysis showed that age, feeding, and central nervous system damage were significant independent prognostic factors for RV enteritis (P < 0.05). There were no statistical differences in gender, course of disease, and respiratory infection (P < 0.05). Both myocardial and hepatic damages presented a temporary feature in the infants and had no significant influence on prognosis. Age, feeding pattern, and central nervous system damage are significant independent prognostic factors for RV infection. These factors should be carefully considered in clinical practice.
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