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Published on: January 28, 2019
Clinical Profile, Risk-Factors, and Outcome of Rotaviral Diarrhea and Non-rotaviral Diarrhea Among Under-Five
Subal Kumar Pradhan1, Sumanta Panigrahi2, Pooja Sagar Padhi3
1Department of Pediatrics, Sardar Vallabhbhai Patel Post Graduate Institute of Pediatrics (SVPPGIP) & SCB Medical College, Cuttack, Odisha, India. drsubal@Rediffmai.com.
Insights
Rotavirus diarrhea affects over a third of young children hospitalized in India. Younger children aged 6-23 months face higher risks of rotavirus infection, highlighting the need for targeted interventions.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Diarrheal diseases are a leading cause of childhood hospitalization globally.
- Rotavirus is a primary pathogen responsible for severe gastroenteritis in infants and young children.
Purpose of the Study:
- To determine the prevalence of rotavirus diarrhea among hospitalized children under five years of age.
- To identify clinical and socio-demographic factors associated with rotavirus diarrhea.
Main Methods:
- A prospective hospital-based study was conducted in Odisha, India, from April 2016 to July 2019.
- Data on clinical and socio-demographic characteristics were collected from 1963 children.
- Simple logistic regression was used to analyze factors associated with rotavirus diarrhea.
Main Results:
- The prevalence of rotavirus diarrhea was 36.4% among the studied children.
- Children aged 6-23 months had significantly higher odds of rotavirus diarrhea compared to older children (24-59 months).
- Prevalence of malnutrition (wasting, stunting, underweight) was noted in children with rotavirus diarrhea.
Conclusions:
- Diarrhea continues to be a significant reason for pediatric hospital admissions.
- Further community-based research, including rotavirus genotyping, is recommended to inform prevention strategies.
Objective:
To understand the prevalence of rotavirus diarrhea and its associated clinical and socio-demographic characteristics.
Methods:
The prospective hospital-based study was conducted at SVP Post Graduate Institute of Pediatrics and SCB Medical College, Odisha, India among children under-five years of age from April 2016 to July 2019. From all eligible children admitted at hospital, a case-report form containing information on clinical and socio-demographic characteristics was collected and an attempt was made to collect stool sample. A simple logistic regression method was used to assess factors associated with rotavirus diarrhea.
Results:
Of the 1963 children, median (IQR) age was 12 (8-19) mo with a female/male ratio was 1:2.05. The prevalence of rotavirus diarrhea was 36.4% (95% CI, 34.2%-38.6%). Children in the age group of 6-11 (OR 1.64, 95% CI, 1.24-2.18), 12-23 (OR 1.73, 95% CI, 1.31-2.29) mo had higher odds of getting rotavirus diarrhea, compared to those in that of 24-59 mo. The prevalence of wasting, stunting, underweight among children with rotavirus diarrhea was 25.2% (95% CI, 22%-28.4%), 2.1% (95% CI, 1.1%-3.1%), 9.0% (95% CI, 6.8%-11.2%), respectively.
Conclusion:
The results of this study confirmed that diarrhea remains an important cause of hospitalization in children. Further studies are required in the community for Rotavirus and its genotyping.
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