Acute rotavirus gastroenteritis in children less than 5 years old: Salient clinical and laboratory features

C H Ding1, A A Wahab2, A Ali3

  • 1Universiti Kebangsaan Malaysia, Faculty of Medicine, Department of Medical Microbiology and Immunology, Kuala Lumpur, Malaysia. dingch@ppukm.ukm.edu.my.

Insights

Rotavirus gastroenteritis in children presents with more vomiting and dehydration but less fever and convulsions than non-rotavirus causes. Differentiating features include serum urea and C-reactive protein levels.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Gastroenterology

Background:

  • Rotavirus is a leading cause of gastroenteritis in young children globally.
  • Malaysia experiences significant burden of rotavirus gastroenteritis (RG) in pediatric populations.

Purpose of the Study:

  • To determine the clinical and laboratory features of acute rotavirus gastroenteritis (RG) in children under 5 years old.
  • To differentiate RG from non-rotavirus gastroenteritis (NRG) based on clinical and laboratory findings.

Main Methods:

  • Retrospective study of pediatric patients with acute gastroenteritis.
  • Data collected from electronic medical records and laboratory systems (2015-2022).

Main Results:

  • Rotavirus gastroenteritis (RG) diagnosed in 30.5% of 177 patients.
  • RG associated with higher rates of vomiting (85.2%) and dehydration (64.8%).
  • RG less associated with fever (57.4%) and convulsions (0.0%), with lower CRP and higher serum urea levels compared to NRG.

Conclusions:

  • Clinical presentation (vomiting, dehydration, fever, convulsions) can help distinguish RG from NRG.
  • Serum urea and C-reactive protein (CRP) levels offer further differentiation between RG and NRG.
Abstract

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