Article Text

ROTAVIRUS GASTROENTERITIS IN CHILDREN UNDER THE AGE OF 5 YEARS
  1. T Kamoun1,
  2. I Chabchoub-Bahloul1,
  3. L Sfaihi-BenMansour1,
  4. S Smaoui1,
  5. W Kchaou1,
  6. F Messadi-Akrout1,
  7. M Zribi1,
  8. M Trabelsi1,
  9. M Hachicha1
  1. 1Service de Pediatrie, Hopital Hedi Chaker, Sfax, Tunisia
  2. 2Service D’Hygiene, Sfax, Tunisia

Abstract

Aim of Study To evaluate the frequency of rotavirus in acute diarrhoea in children under the age of 5 years.

Material and Methods We included 176 children under the age of 5 years who were admitted or examined for acute diarrhoea in the paediatric unit in Hedi Chaker hospital (Sfax, Tunisia) between 1 January 2006 and 31 December 2007. For each patient, a search for rotavirus in stool samples, by an immunoenzymatic test, was carried out.

Results The search for rotavirus was positive for 66 patients (37.5%). The rotavirus gastroenteritis was considered extra-hospital in 78.8% of cases and nosocomial in 21.2% of cases. There was an epidemic peak in January (19 cases). During winter time, the incidence of the nosocomial cases was 17.8%. The affected children were less than 6 months old in 40.9% of cases; between 6 and 12 months in 27.3% of cases; between 12 and 24 months in 27.3% of cases and between 2 and 5 years (4.5%). Common presenting symptoms were vomiting, seen in 59.1% of cases, fever in 62.1% of cases and dehydration in 60.6% of cases. Neurological disorders and respiratory signs were noted in 25 and 21.2% of children, respectively. Intravenous or oral hydration therapy was necessary in 68.2% of cases.

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