Rotavirus and not age determines gastroenteritis severity in children: a hospital-based study

Antonio Cascio, Serenella Arista, Lucina Titone Lanza Di Scalea, Nicola Principi, Alfredo Guarino, Massimo Fontana, Giancarlo Izzi, Raffaele Virdis, Paola Pecco, Eugenia Bruzzese, Fabio Albano, Lucina Titone, Antonino Bella

Risultato della ricerca: Articlepeer review

52 Citazioni (Scopus)

Abstract

Background The severity of childhood gastroenteritis is generally believed to be age-related rather than aetiologyrelated. Rotavirus-induced gastroenteritis is more severe than gastroenteritis caused by other enteric pathogens and is also age-related. We thus addressed the question of whether the increased severity of rotavirus-induced gastroenteritis is related to age or to features intrinsic to the agent. Study design In this multicentre, hospital-based, prospective survey, we evaluated the severity of diarrhoea in rotavirus-positive and rotavirus-negative children up to 4 years of age. Severity was assessed with a score in four groups of age-matched children. Results Rotavirus was detected in 381 of 911 children. Disease severity was evaluated in 589 cases for which clinical data were complete. The rotavirus-positive and rotavirus-negative groups differed with regards to diarrhoea duration, hospital stay, degree of dehydration and the number of episodes of vomiting. Gastroenteritis was more severe in rotavirus-positive than in rotavirus-negative children. In contrast, none of the main severity parameters differed in the four age groups, irrespective of the presence of rotavirus. Conclusions These data provide the evidence that aetiology and not age determines diarrhoeal severity. The demonstration that diarrhoea was more severe in rotavirus-positive children supports the need for a rotavirus vaccine and for studies that address the duration of vaccine protection.
Lingua originaleEnglish
pagine (da-a)241-247
Numero di pagine7
RivistaEuropean Journal of Pediatrics
Volume166 (3)
Stato di pubblicazionePublished - 2007

All Science Journal Classification (ASJC) codes

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