A Clinico Epidemiological Study of Rotavirus Diarrhea in Under-5Hospitalised Children with Acute Diarrhea
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 12
Abstract
Abstract: To estimate the prevalence of rotaviral and non rotaviral diarrhea in children aged 30 days – 60 months hospitalised with acute watery diarrhea in a tertiary care hospital in Shillong, Meghalaya. And to compare the two groups based on their background epidemiological data, clinical features and laboratory parameters.64 bedded Pediatrics ward in Nazareth Hospital, Shillong.In this analytical cross sectional study carried out over 1 year, all children aged 30 days to 60 months hospitalised with acute watery diarrhea were subjected to Rapid Diagnostic Test for Rotavirus antigen in stool sample and the two groups (rotavirus positive and negative) compared on various background characteristics, clinical features and laboratory parameters using tools for statistical significance.Out of 170 total cases of acute watery diarrhea aged 30 days to 60 months which were admitted over a period of one year at Nazareth Hospital, Shillong, 100 (58.8 %) were positive for rotavirus. Mean age of presentation was 18.4 months in Rotavirus positive group and 17.7 months in Rotavirus negative group (p = 0.009). Mean duration of fever was 1.2 days in positive group and 1.8 days in negative group (p = 0.041, Z Score 2.04). Mean duration of loose stools 2.02 days (SD 1.34) in positive group and 1.91 days (SD1.71) in negative group (Z score 3.39, p = 0.0006). Duration of hospital stay 2.76 days in positive group and 2.24 days in negative group (p = 0.0004, 95% CI 0.22, 0.81). Mean potassium levels in positive group was 4.38 Mmol/l (SD 0.64) and in negative group 4.81 Mmol/l (SD 0.72) (<0.05).Study highlights that Rotavirus positive patients were older in age, were admitted in hospital for a longer duration, had shorter duration of fever but longer duration of loose stools and vomiting, were more likely to be from lower economic classes, had less degree of dehydration and lower potassium levels as compared to rotavirus negative patients, this being the first of its kind of study in the state of Meghalaya. Keywords:Rotaviral diarrhea, children, Shillong, Meghalaya, epidemiological data.
Authors and Affiliations
Ankur Sharma, Santanu Deb, Palash R Gogoi, Pramod Paharia
Keywords
Related Articles
- EP ID EP370685
- DOI -
- Views 100
- Downloads 0
Incidence of Twin Hepatitis Infections in People Living with HIV (PLWH) at a Teritiary Care Hospital
Abstract: HIV and Hepatitis B Virus, Hepatitis C Virus co-infection has emerged as leading cause of morbidity due to liver diseases throughout the world. The study is undertaken to evaluate the seroprevalence of Hepatit...
Study to Find Out the Risk Factors and Prevalence of Very Low Birth Weight and Extremely Low Birth Weight Babies in Terms of Mortality in Early Neonatal Period in Babies Admitted to a Tertiary Care Teaching Hospital in Eastern India
Abstract: Preterm birth is one of the major clinical problems in neonatology as it is commonly associated with perinatal mortality, serious neonatal morbidity. To find out the risk factors and morbidities of very low bir...
A Study of Clinical Profile of Systemic Anaphylaxis in Honey Bee Sting Reactions
The members of the Hymenoptera order are honey bees, wasps, hornets, yellow jackets and ants which are frequently involved in accidental stings to human beings. Bee venom consists of a mixture of biologically active subs...
The role of continuous assessment and feedback in learning of cardiopulmonary resuscitation program in nurses
The aim of this study is to evaluate the effect of a program on learning CPR in nurses for cardiopulmonary resuscitation. Moreover, we want to evaluate the effect of continuous assessment and feedback on this teaching p...
Maternal and perinatal outcome in induction of labour: A comparative study
Abstract: Labour induction should be performed where benefit out weights potential harm. However, it is not always without risk. The objective of our study was comparative analysis of fetomaternal outcome associated with...