Guidelines for the management of acute gastroenteritis in children in Europe

Whyte, Lisa; Al-Araji, Rulla; McLoughlin, L.

doi:10.1136/archdischild-2014-307253

Cited by 27 publications

(15 citation statements)

References 4 publications

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“…We defined AGE based on the occurrence of symptoms such as diarrhea and vomiting, lasting not for more than 14 days. 10 Severe AGE was defined when the patient required intravenous rehydration.…”

Section: Methodsmentioning

confidence: 99%

Occurrence of severe rotavirus gastroenteritis in children younger than three years of age before and after the introduction of rotavirus vaccine: a prospective observational study in four pediatric clinics in Shibata City, Niigata Prefecture, Japan

Oishi

Matsunaga

Nakano

et al. 2020

Human Vaccines & Immunotherapeutics

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In Japan, rotavirus (RV) vaccines have already been introduced but not used for universal vaccination as of 2018. Therefore, we identified cases of severe rotavirus gastroenteritis (RVGE) in children younger than three years of age and investigated the occurrence of infection before and after the introduction of RV vaccines. An ecological study through prospective surveillance was conducted in four pediatric clinics in Shibata City, Niigata Prefecture, Japan, during the 2011 to 2018 RVGE epidemic seasons. We divided the study period into three eras: pre-vaccine introduction era (2011), low-mid coverage transitional era (2012 to 2014, RV vaccine coverage rate: 32.9-56.5%), and high coverage plateau era (2015 to 2018, 67.7-81.7%). In this study, the incidence rate of severe RVGE was significantly lower in the plateau era than in the pre-vaccine introduction and transitional eras. Furthermore, the hospitalization rate due to RVGE in Shibata City was lower in the plateau era than in the pre-vaccination introduction and transitional eras. The number of hospitalizations due to RVGE in subjects who required or did not require intravenous rehydration at the pediatric clinics significantly decreased with the increase in vaccine coverage rates by more than 70% in the plateau era.

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Section: Methodsmentioning

confidence: 99%

Occurrence of severe rotavirus gastroenteritis in children younger than three years of age before and after the introduction of rotavirus vaccine: a prospective observational study in four pediatric clinics in Shibata City, Niigata Prefecture, Japan

Oishi

Matsunaga

Nakano

et al. 2020

Human Vaccines & Immunotherapeutics

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“…Epidemiologisch [6,7,47]. So wird auch bei einer infektiösen Durchfallerkrankung in den ersten beiden Lebensmonaten eine stationäre Aufnahme empfohlen [48].…”

Section: I31 Statementunclassified

S2k-Leitlinie „Akute infektiöse Gastroenteritis im Säuglings-, Kindes- und Jugendalter“ – AWMF Registernummer 068-003

et al. 2019

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Leitlinie der Gesellschaft für pädiatrische Gastroenterologie und Ernährung (GPGE) gemeinsam mit der Deutschen Gesellschaft für Kinder-und Jugendmedizin (DGKJ), dem Berufsverband der Kinder-und Jugendärzte (BVKJ), der Deutschen Gesellschaft für pädiatrische Infektiologie (DGPI), der österreichischen Gesellschaft für Kinder-und Jugendheilkunde (ÖGKJ), der Deutschen Gesellschaft für Gastroenterologie, Verdauungs-und Stoffwechselstörungen (DGVS), dem Arbeitskreis "Krankenhaus & Praxishygiene" der AWMF und der Deutschen Gesellschaft für Pflegewissenschaft e. V. (DGPW)

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“…The rate of fluid administration depends on the severity of dehydration and the clinical status of the patient. Experts recommend rapid IV fluid infusion (3-6 hours), followed by resumption of oral rehydration (1,3,6) . In the case of infants with the symptoms of acute infectious diarrhoea, breastfeeding should be continued throughout rehydration therapy.…”

Section: Introductionmentioning

confidence: 99%

“…In the case of infants with the symptoms of acute infectious diarrhoea, breastfeeding should be continued throughout rehydration therapy. In older children, age-appropriate diet should be continued during or immediately after the initial rehydration phase (1,3,6) .…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and clinical course of acute gastroenteritis in the Department of Paediatrics, Paediatric Nephrology and Allergology in 2018

Wawrzyniak¹,

Lipińska-Opałka²,

Będzichowska³

et al. 2020

Pediatr Med Rodz

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Rotavirus infection is the most common cause of acute diarrhoea in all European countries. In contrast, norovirus aetiology is becoming more common in countries where rotavirus vaccination has become a standard practice. Aim: The aim of the paper was to assess the aetiology and the clinical course of acute gastroenteritis in children hospitalised in the Department of Paediatrics, Paediatric Nephrology and Allergology of the Military Institute of Medicine. Materials and methods: Medical records of children hospitalised in the Department of Paediatrics, Paediatric Nephrology and Allergology of the Military Institute of Medicine in Warsaw between January and December 2018 due to gastroenteritis were analysed retrospectively. The study group included children diagnosed with acute gastroenteritis who had microbiological stool analysis performed. Results: Gastroenteritis of unknown aetiology was diagnosed in 93/155 children, rotaviral aetiology in 37, adenoviral aetiology in 7, and noroviral aetiology in 5 children. Stool culture was positive for Salmonella spp. in 5 children. Furthermore, mixed aetiology was found in 8 children (rotavirus/adenovirus in 5, and rotavirus/norovirus in 3 children). Rotaviruses were the most common aetiology of gastroenteritis among children aged ≤2 years. Vomiting and diarrhoea were the only symptoms in 48 and 40 children, respectively. The symptoms co-occurred in 67 children. Increased C-reactive protein (CRP) was found in patients with adenoviral aetiology and Salmonella spp. infection. We observed statistically more common low CRP levels and increased aminotransferase levels in patient with rotavirus infection. Conclusions: Rotaviruses were the most common aetiology of acute gastroenteritis in the study group. The clinical picture of rotavirus infection is dominated by vomiting and diarrhoea, which are relatively often accompanied by transient hypertransaminasemia.

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Guidelines for the management of acute gastroenteritis in children in Europe

Cited by 27 publications

References 4 publications

Occurrence of severe rotavirus gastroenteritis in children younger than three years of age before and after the introduction of rotavirus vaccine: a prospective observational study in four pediatric clinics in Shibata City, Niigata Prefecture, Japan

Occurrence of severe rotavirus gastroenteritis in children younger than three years of age before and after the introduction of rotavirus vaccine: a prospective observational study in four pediatric clinics in Shibata City, Niigata Prefecture, Japan

S2k-Leitlinie „Akute infektiöse Gastroenteritis im Säuglings-, Kindes- und Jugendalter“ – AWMF Registernummer 068-003

Epidemiology and clinical course of acute gastroenteritis in the Department of Paediatrics, Paediatric Nephrology and Allergology in 2018

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