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Published on: January 28, 2019
Rotavirus-associated acute gastroenteritis in children under five years: a cross-sectional study from southern Iran
Marjan Tariverdi1, Mohammad Tamaddondar2, Dariush Hooshyar3
1Department of Pediatrics, Clinical Research Development Center of Children's Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Insights
Rotavirus infection affects over a third of young children with acute gastroenteritis. Rotavirus-positive cases frequently experienced severe dehydration, highlighting the need for prompt medical evaluation and care.
Area of Science:
- Pediatrics
- Infectious Diseases
- Gastroenterology
Background:
- Rotavirus is a leading cause of severe diarrhea in children globally.
- Acute gastroenteritis poses a significant health burden on young children.
Purpose of the Study:
- To determine the prevalence of rotavirus in children under five with acute gastroenteritis.
- To characterize the clinical features associated with rotavirus infection in this age group.
Main Methods:
- A cross-sectional study involving 301 children with acute gastroenteritis.
- Clinical and demographic data collection, dehydration assessment.
- Rotavirus antigen detection in stool samples using ELISA.
Main Results:
- Rotavirus was identified in 34.6% of the children studied.
- Rotavirus-positive children had significantly higher rates of vomiting and diarrhea.
- Severe dehydration and need for parenteral rehydration were more common in rotavirus-positive cases.
Conclusions:
- Rotavirus is prevalent in children with acute gastroenteritis in southern Iran.
- Rotavirus infection is associated with increased severity of dehydration.
- Early recognition and management of rotavirus gastroenteritis are crucial.
Background And Objectives:
Rotavirus is a major cause of acute gastroenteritis in children. This study assessed the frequency and clinical characteristics of rotavirus infection in children under five years old.
Materials And Methods:
This cross-sectional study was conducted in 2020 on children with acute gastroenteritis. Clinical and demographic data were collected, dehydration severity was assessed by a pediatrician, and stool samples obtained within 48 hours of admission were tested for rotavirus antigen using ELISA.
Results:
A total of 301 children with acute gastroenteritis were included. Rotavirus antigen was detected in 34.6% of cases. Vomiting (81.2%) and diarrhea (96.1%) were significantly common among rotavirus-positive children (p = 0.01). Severe dehydration (>10%) and the need for parenteral rehydration were observed more frequently among rotavirus-positive children compared with rotavirus-negative cases (20.9% vs. 9.2%, p = 0.02 and 91.1% vs. 78.1%, p = 0.01, respectively). However, these findings should be interpreted cautiously, as clinical severity may also have been influenced by other demographic and clinical factors.
Conclusion:
Rotavirus was detected in a considerable proportion of children with acute gastroenteritis in southern Iran. Rotavirus-positive cases showed more frequent severe dehydration, although this finding should be interpreted cautiously. Early assessment and supportive care remain important.
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