Etiology of community - acquired acute diarrhea in children

of the study was to analyse the etiology of home acute diarrhea in children. 2636 children with community-acquired acute diarrhea were included in the study. Stool samples were analysed for the presence of Salmonella spp, Shigella spp, rotaviruses and adenoviruses. etiology of acute diarrhea was est...

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Bibliographic Details
Published in:	Medycyna wieku rozwojowego Vol. 10; no. 2; p. 519
Main Authors:	Szlagatys-Sidorkiewicz, Agnieszka, Kurlenda, Julianna, Liberek, Anna, Bełza, Katarzyna, Krzykowski, Grzegorz, Bako, Wanda, Jankowska, Agnieszka, Góra-Gebka, Magdalena, Sikorska-Wiśniewska, Grazyna, Marek, Andrzej, Raczkowska-Kozak, Janina
Format:	Journal Article
Language:	Polish
Published:	Poland 01-04-2006
Subjects:	Acute Disease Adenoviridae - isolation & purification Diarrhea - complications Diarrhea - epidemiology Feces - microbiology Feces - virology Female Gram-Negative Bacteria - isolation & purification Humans Male Microbial Sensitivity Tests Poland - epidemiology Prevalence Retrospective Studies Rotavirus - isolation & purification Rotavirus Infections - complications Rotavirus Infections - epidemiology Salmonella - isolation & purification Shigella - isolation & purification Poland
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Summary:	of the study was to analyse the etiology of home acute diarrhea in children. 2636 children with community-acquired acute diarrhea were included in the study. Stool samples were analysed for the presence of Salmonella spp, Shigella spp, rotaviruses and adenoviruses. etiology of acute diarrhea was established in 1149 out of 2636 children (43.6%). Among the children with known etiology - rotaviral diarrhea was most frequently diagnosed (24.67%), whereas salmonellosis - in 7.06% of cases, EPEC C - 6.37%, EPEC B - 2.92%, EPEC A - 1.89%, adenoviral diarrhea in 0.68%. Mean age of children with bacterial acute diarrhea (Salmonella, EPEC A, B, C) was higher as compared to the mean age of children with rotaviral acute diarrhea (p < 0.002). Rotaviral acute diarrhea was more frequently diagnosed in girls (p < 0.025), whereas bacterial - in boys (p < 0.044). The highest prevalence of acute rotaviral diarrhea was found in winter/spring, with peak in April. commonly used diagnostic procedure does not allow to establish the etiology of acute home diarrhea in children in most cases. Rotavirus is found in the majority of diagnosed cases. It seems reasonable to expand the spectrum of diagnostic tests in cases of acute diarrhea in children.