title: [Etiology of community - acquired acute diarrhea in children].
abstract: 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.
authors.affiliation: Klinika Pediatrii, Gastroenterologii i Onkologii Dzieciecej, Akademia Medyczna, ul. Nowe Ogrody 1-6, 80-803 Gdansk, Poland. aga1@amg.gda.pl
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Szlagatys-Sidorkiewicz
authors.forename: Julianna
authors.initials: J
authors.lastname: Kurlenda
authors.forename: Anna
authors.initials: A
authors.lastname: Liberek
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Bełza
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Krzykowski
authors.forename: Wanda
authors.initials: W
authors.lastname: Bako
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Jankowska
authors.forename: Magdalena
authors.initials: M
authors.lastname: Góra-Gebka
authors.forename: Grazyna
authors.initials: G
authors.lastname: Sikorska-Wiśniewska
authors.forename: Andrzej
authors.initials: A
authors.lastname: Marek
authors.forename: Janina
authors.initials: J
authors.lastname: Raczkowska-Kozak
mesh_terms: 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