[Etiology of community - acquired acute diarrhea in children].
OBJECTIVE
of the study was to analyse the etiology of home acute diarrhea in children.


METHODS
2636 children with community-acquired acute diarrhea were included in the study. Stool samples were analysed for the presence of Salmonella spp, Shigella spp, rotaviruses and adenoviruses.


RESULTS
etiology of acute diarrhea was established in 1149 out of 2636 children (43.6%). Among the children with known etiology - rotaviral diarrhea was most frequently diagnosed (24.67%), whereas salmonellosis - in 7.06% of cases, EPEC C - 6.37%, EPEC B - 2.92%, EPEC A - 1.89%, adenoviral diarrhea in 0.68%. Mean age of children with bacterial acute diarrhea (Salmonella, EPEC A, B, C) was higher as compared to the mean age of children with rotaviral acute diarrhea (p < 0.002). Rotaviral acute diarrhea was more frequently diagnosed in girls (p < 0.025), whereas bacterial - in boys (p < 0.044). The highest prevalence of acute rotaviral diarrhea was found in winter/spring, with peak in April.


CONCLUSIONS
commonly used diagnostic procedure does not allow to establish the etiology of acute home diarrhea in children in most cases. Rotavirus is found in the majority of diagnosed cases. It seems reasonable to expand the spectrum of diagnostic tests in cases of acute diarrhea in children.
Szlagatys-Sidorkiewicz
Agnieszka
A
Klinika Pediatrii, Gastroenterologii i Onkologii Dzieciecej, Akademia Medyczna, ul. Nowe Ogrody 1-6, 80-803 Gdansk, Poland. aga1@amg.gda.pl
Kurlenda
Julianna
J
Liberek
Anna
A
Bełza
Katarzyna
K
Krzykowski
Grzegorz
G
Bako
Wanda
W
Jankowska
Agnieszka
A
Góra-Gebka
Magdalena
M
Sikorska-Wiśniewska
Grazyna
G
Marek
Andrzej
A
Raczkowska-Kozak
Janina
J
D000208:Acute Disease; D000256:Adenoviridae / Q000302:isolation & purification; D003967:Diarrhea / Q000150:complications* / Q000453:epidemiology*; D005243:Feces / Q000382:microbiology* / Q000821:virology; D005260:Female; D006090:Gram-Negative Bacteria / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D011044:Poland / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D012401:Rotavirus / Q000302:isolation & purification; D012400:Rotavirus Infections / Q000150:complications / Q000453:epidemiology; D012475:Salmonella / Q000302:isolation & purification; D012760:Shigella / Q000302:isolation & purification