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Fırat Tıp Dergisi
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Evaluation of Clinical and Laboratory Differences Between Rotavirus Detected and Undetected Gastroenteritis in Children Hospitalized in Pediatric Emergency Care
Onur Mert ÇELİK, Başak BURHAN YALÇIN, Damla HANALİOĞLU, Alkım Öden AKMAN
Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Sağlık Uygulamaları ve Araştırma Merkezi, Çocuk Sağlığı ve Hastalıkları Kliniği, Ankara, Türkiye

Objective: Acute gastroenteritis in children is a major health problem in our country as well as in developed and developing countries. In this study, clinical and laboratory differences between rotavirus detected and undetected gastroenteritis in children were evaluated.

Material and Method: Patients between the ages of one month-5 years who were hospitalized in Pediatric Emergency Clinic in 2017 were evaluated retrospectively by age, nationality, sex, season, day of hospitalization, presence of vomiting, presence of fever, degree of dehydration, total white blood cell, mean platelet volume, serum transaminases, uric acid, urea, creatinine, sodium, potassium, pH and bicarbonate values in blood gas, gaita tests.

Results: The mean age of 576 patients were 31,77 months (min-max:6-59 months). 270 (46.9%) of the patients were female. Of the patients, 138 (24%) had rotavirus, 11 (1.9%) had adenovirus, 22 (3.8%) had parasitic infection and 405 (70.3%) could not be detected. In patients with rotavirus positive cases; vomiting was more frequent, the degree of dehydration was higher, the duration of hospitalization was longer, the age was smaller, more frequently seen in November than in other months, the white blood cell count was lower, the transaminases and uric acid levels were higher and metabolic acidosis were more frequently accompanied.

Conclusion: Acute gastroenteritis is a common cause of hospital admission and hospitalization in children under 5 years of age. Rotavirus is an important part of the disease and can be clinically more severe.


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