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Published on: January 28, 2019
Leveraging the National Rotavirus Surveillance Network for Monitoring Intussusception
M A Mathew1, Srinvasan Venugopal, Rashmi Arora
1Department of Pediatrics, Malankara Orthodox Syrian Church Medical College Hospital, Kolenchery; *Division of Gastrointestinal Sciences, Christian Medical College, Vellore; and #Epidemiology and Communicable Diseases Division, Indian Council of Medical Research, New Delhi: India. Correspondence to: Dr Gagandeep Kang, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India.
Objective:
To assess feasibility of monitoring intussusception by hospitals participating in the National Rotavirus Surveillance Network.
Methods:
Questionnaire-based survey in 28 hospitals. One hospital with electronic records selected for detailed data analysis.
Results:
There was 75% response to the questionnaire. Few network hospitals were suitable for monitoring intussusception in addition to ongoing activities, but there was at least one potential sentinel hospital in each region. The hospital selected for detailed data analysis of cases of intussusception reported an incidence rate of 112 per 100,000 child years in infants. Over 90% of intussusceptions were managed without surgery.
Conclusions:
Selection of sentinel hospitals for intussusception surveillance is feasible and necessary, but will require training, increased awareness and referral.
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