Abstract

NOTEJANE, Martín et al. Acute gastroenteritis: clinical presentation and etiology in children hospitalized at the Children's Hospital of Pereira Rossell Hospital Center in 2012. Arch. Pediatr. Urug. [online]. 2015, vol.86, n.2, pp.91-97. ISSN 1688-1249.

Introduction: Acute gastroenteritis is a common disease in childhood. In Uruguay mortality decreased and it ranked tenth in 2012. In 2004, the diarrhea inpatient unit was created at the Children’s Hospital of Pereira Rossell Hospital Center, facilitating the implementation of standards of care and control. Objective: to study hospitalization rate and clinical, epidemiological and microbiological characteristics of children hospitalized for acute gastroenteritis in in the Diarrhea Inpatient Unit at Children’s Hospital of Pereira Rossell Hospital Center from 1/1 to 31/12 2012 and to describe possible etiological correlations with clinical expression. Methodology: descriptive, prospective study. Included: children under 15 years admitted to the Diarrhea Inpatient Unit. Variables: age, reason for admission, complications and etiology. Data analysis: absolute and relative frequencies for qualitative variables; measures of central tendency and dispersion for quantitative. Excel 2011 and Epi-info program. Results: There were 826 children hospitalized for acute gastroenteritis, hospitalization was rate 122 / thousand. Income from gastroenteritis represents 12.3% of total annual revenue. Average age: 3 months. Enteric pathogens were isolated in 20% of the samples studied: Rotavirus 7.9%, Campylobacter 5.9%  and Norovirus 1.6%. Dehydration was the most frequent reason for 59% income. There were no deaths. Conclusions: This ongoing pathology is a frequent reason for hospitalization. Rotavirus was mostly isolated germ. First National description of Norovirus causative agent of gastroenteritis in children. There were significant clinical associations with enteropathogens such as rotavirus, norovirus and campylobacter.

Keywords : GASTROENTERITIS; ACUTE DISEASE; HOSPITALIZED CHILD.

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