Nosocomial Rotaviral Gastroenteritis in Paediatric Departments

Abstract

The authors present a retrospective analysis of community-acquired and hospital-acquired rotaviral gastroenteritis (RVGE) cases in a 5 years period 2001-2005 and prospective analysis in 2006 in the referral area in a population of 7,000 children under 5 years of age.Out of 228 patients with RVGE, nosocomial RVGE accounted for 27.75% of the cases. Children with nosocomial RVGE were in average 9.8 months younger compared to patients with community-acquired RVGE. Nosocomial cases were also characterised by the need for longer stay in intensive care, overall longer hospital stay, longer duration of the illness and by lower age of the patients.The wider implementation of vaccination in the youngest members of the population would be likely to have a significant influence on the occurrence of not only community-acquired but also hospital-acquired RVGE.

Rotavirus Frequency in Children With Acute Gastroenteritis Who Were Hospitalized in Keçiören Education and Research Hospital Pediatric Clinic

“…(19) 73 gastroenteritli çocukla yaptıkları çalışmada olguların % 42'sinin nozokomiyal infeksiyon olduğunu bildirmişlerdir. İran'da yapılan bir çalışmada nozokomiyal rotavirus gastroenteritinin sıklığı % 26.25, Slovakya'da yapılan bir çalış-mada da % 27.75 olarak saptanmıştır (11,15) . Çalışmamızda bu oran % 27 olarak saptanmış …”

Burden of rotavirus gastroenteritis in the pediatric population in Central and Eastern Europe

“…Although, initially we limited our search to rotaviral infection in children under five, many of the studies were carried out in pediatric populations that included older patients (up to 16 or in one study 18 years of age). [14][15][16][17][18][19] However, rotaviral infection has the most impact on the pediatric population under 5 years of age. 7 Epidemiology of RVGE.…”

“…Incidence of RVGE. Only two studies contained incidence data, 18,20 although one of these studies watery diarrhea, vomiting, abdominal pain and possibly fever and severe cases may lead to death, mainly through acute dehydration. 2 Rotavirus affects 95% of all children by the age of 5 years.…”

“…20 The second study from Slovakia examined the age related yearly incidence of rotavirus cases (both nosocomial and community acquired) requiring hospital admission in patients up to the age of 18 years. 18 The total annual incidence was reported to be 2.6 per 1,000 children, with over 50% of infections affecting patients under 2 years of age. 18 Proportion and seasonality of RVGE.…”

“…18 The total annual incidence was reported to be 2.6 per 1,000 children, with over 50% of infections affecting patients under 2 years of age. 18 Proportion and seasonality of RVGE. The mean proportion of RVGE among cases of acute gastroenteritis for children under 15 years of age ranged from 22.0% per year to 55.3% per year (Fig.…”