https://scholars.lib.ntu.edu.tw/handle/123456789/537080
標題: | Microbial etiology of acute gastroenteritis in hospitalized children in Taiwan | 作者: | Chen S.-M. YEN-HSUAN NI HUEY-LING CHEN MEI-HWEI CHANG |
公開日期: | 2006 | 出版社: | Scientific Communications International Ltd | 卷: | 105 | 期: | 12 | 起(迄)頁: | 964-970 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background/Purpose: Viral infections are the most common causes of acute infectious diarrhea in the pediatric population. To explore any possible microbial etiologies of acute gastroenteritis in children, we detected stool viral antigen including rotavirus, adenovirus, norovirus and astrovirus. We also studied the possible precipitating factors. Methods: During a period of 1 year (from October 2003 to September 2004), children from birth to 15 years old admitted to the pediatric ward were prospectively surveyed. Stool specimens were collected within 48 hours after admission and then frozen at -40°C until analysis. Enzyme immunoassay was used to detect rotavirus, astrovirus, norovirus and adenovirus. Bacterial culture was performed at the same time. Results: During the study period, 82 stool samples were collected due to acute gastroenteritis and fit the definition of a diarrhea episode. Forty-two (51.2%) patients with viral infection, 11 (13.4%) with bacterial infection, and six (7.3%) with mixed viral and bacterial infection were detected. The most prevalent virus was rotavirus (35.4%), followed by norovirus (29.3%). The most prevalent cause of bacterial infection was Salmonella (19.5%). With regard to clinical severity, rotavirus resulted in longer hospital stay, higher rate of vomiting, stool occult blood, leukocytosis, lower rate in stool pus cell, and C-reactive protein elevation more than 5 mg/dL as compared with norovirus. Only the difference in hospital stay reached significant statistical difference. Conclusion: Norovirus is an important cause of acute gastroenteritis in children, although rotavirus is still the leading cause of pediatric acute gastroenteritis. ? 2006 Elsevier & Formosan Medical Association. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-33846266949&doi=10.1016%2fS0929-6646%2809%2960280-1&partnerID=40&md5=40265eb23aeb182502404464ed253942 https://scholars.lib.ntu.edu.tw/handle/123456789/537080 |
ISSN: | 0929-6646 | DOI: | 10.1016/S0929-6646(09)60280-1 | SDG/關鍵字: | C reactive protein; virus antigen; acute gastroenteritis; Adenovirus; adolescent; antigen detection; article; Astrovirus; bacterium culture; bacterium detection; child; clinical feature; diarrhea; disease severity; enzyme immunoassay; feces analysis; hospitalization; human; infant; infectious diarrhea; length of stay; leukocytosis; major clinical study; microbial identification; Norovirus; occult blood; prevalence; protein blood level; Rotavirus; Salmonella; statistical significance; Taiwan; virus detection; virus infection; vomiting |
顯示於: | 醫學系 |
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