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Reading: Diarrhoea in north Karnataka: Rotavirus versus non-rotavirus

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Original Articles

Diarrhoea in north Karnataka: Rotavirus versus non-rotavirus

Authors:

Shankar Gouda V Patil ,

Shri BM Patil Medical College, Vijayapur, India, IN
About Shankar
Professor and Head of Department of Paediatrics, Shri BM Patil Medical College, Vijayapur, India
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Bhavana Bhushan Lakhkar,

Shri BM Patil Medical College, Vijayapur, India, IN
About Bhavana

Professor, Paediatrics, Shri BM Patil Medical College, Vijayapur, India

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S S Kalyanshettr

Shri BM Patil Medical College, Vijayapur, India, IN
About S S
Professor, Paediatrics, Shri BM Patil Medical College, Vijayapur, India
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Abstract

Background: As children with diarrhoea are often prescribed antibiotics, it was decided to study the causative organisms. Rotavirus is a major cause of diarrhoea and diarrhoea related mortality in most parts of India. Rotavirus vaccine is available but expensive. According to the World Health Organisation (WHO) the vaccine should be used in areas where diarrhoea related under five mortality is around 10%. The situation in north Karnataka is not known.

Objectives: To find proportions of rotavirus and non-rotavirus diarrhoea in children of north Karnataka and study the key clinical features of rotavirus diarrhoea.

Study design and settings: Prospective observational study conducted in patients from the paediatric ward and outpatient department in a tertiary care hospital.

Method: Children 1 to 36 months old, presenting with acute diarrhoea from July 2014 to May 2016 and fulfilling selection criteria were included. Demographic and clinical details were noted. Stools were collected within 24 hours and subjected to routine and microscopic examination, test for presence of reducing substance, bacterial culture and Rapid ELISA test for rotavirus using antigen detection micro-well ELISA kit by Premere Rotaclone.

Results: A total of 168 children was recruited. Children positive for rotavirus ELISA were labelled as having rotavirus diarrhoea and comprised 52 (31%) of total, including 17 with mixed infection and 15% were bacterial culture positive. Most common age group affected was 7 to 18 months (79%).Male female ratio was same in rotavirus and non-rotavirus diarrhoea. 

The clinical features defining rotavirus diarrhoea were fever, vomiting, watery stools, respiratory symptoms and perianal excoriations. Moderate and severe dehydration were common. There was no mortality. 

Conclusions: Around one third (31%) of diarrhoea cases were positive for rotavirus and 15% were of only bacterial aetiology. Key clinical features in rotavirus infection were fever, vomiting, watery stools, respiratory symptoms and perianal excoriations.

Sri Lanka Journal of Child Health, 2018; 47: 204-209

How to Cite: Patil, S.G.V., Lakhkar, B.B. and Kalyanshettr, S.S., 2018. Diarrhoea in north Karnataka: Rotavirus versus non-rotavirus. Sri Lanka Journal of Child Health, 47(3), pp.204–209. DOI: http://doi.org/10.4038/sljch.v47i3.8539
Published on 05 Sep 2018.
Peer Reviewed

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