Children with Rota virus gastroenteritis admitted to Parami General Hospital


Rota virus is one of the most common etiologic agents in childhood diarrhea. Nearly every

child in the world is infected with rotavirus at least once by the age of five. The virus is

transmitted by fecal-oral route and occurs mainly in the winter season. Rota virus

gastroenteritis often starts with vomiting followed by four to eight days of profuse diarrhea

and mild fever. Dehydration is more common than those caused by bacterial pathogens.

Two vaccines against Rotavirus infection are approved for global use and are safe and

effective in children. This study was carried out to find out the burden of Rota virus

diarrhea, it’s clinical manifestations and outcome among children with acute

gastroenteritis who were admitted to Parami General Hospital during six month period.

(From October 2016 to March 2017)

Objective: (1) To determine the epidemiological pattern of children with rotavirus

gastroenteritis (2) To find out the presenting symptoms and severity of disease, (3) To

analyze the treatment, complications and outcome of rotavirus gastroenteritis cases, (3) To

determine the Rota virus immunization status amont these children.

Methods: Retrospective analysis of children with gastroenteritis cases from register,

patients’ charts and electronic hospital records from October 2016 to March 2017.

Results: A total of 325 children with Rota virus gastroenteritis were admitted to Parami General Hospital

during six months duration. That constituted 37% of total gastroenteritis cases admitted to Parami

General Hospital during the study period. Out of those patients 185 were boys and 140 were girls. In this

study, it was found that 1-2 year age group was mostly affected by rotavirus infection (45.2% of total

cases). The second most common age group was in infants under one year (35.7%). Vomiting, fever and

dehydration were most common presenting symptoms (94.3%, 84% and 68.3% respectively). About half

of the children had coryzal symptoms and secondary lactose intolerance was found in 71.4% of cases.

Among a total of 325 patients, blood for urea and electrolytes was done in 22.1% of children and

electrolyte abnormalities were detected in 32.6% of tested children. Nearly 90 % ( 89.5%) needed

intravenous fluid replacement therapy. The duration of intravenous fluid replacement therapy was

mostly between 12-24 hours. The duration of hospital stay was 24-48 hours in majority of children.

There was no mortality among them. Only eleven children (3.4%) took rotavirus vaccination and the

remaining 314 (96.6%) did not received rotavirus vaccination.

Conclusion: Diarrhea remains a major health problem of children. Nearly forty percent of all diarrhea

cases were due to rotavirus infection. Most common age group affected in this study was found to be

between 1-2 years age group. Significant morbidity was indicated by the finding that 90 % required

 

intravenous fluid therapy for 24-48 hours although there was no mortality. Only 3.4 % received Rota

virus vaccination and it should be encouraged to reach more children to reduce significant morbidity

due to diarrhea.

 

* In-house Pediatrician

@ Consultant Pediatrician

# Senior Medical Officer

General Enquiries

  • 95-1-657227
  • No.(60)(G-1),New Parami Road,Mayangone Township,Yangon,Myanmar.
  • info@Paramihospital.com

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