Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/30793 |
Resumo: | Human astroviruses have been increasingly identified as important agents of diarrheal disease in children. However, the disease burden of astrovirus infection is still incompletely assessed. This paper reports results on the epidemiological and clinical characteristics of astrovirus-associated diarrhea, as well as the impact of astrovirus infection on the ambulatory setting at a Public Hospital in Córdoba city, Argentina. From February 2001 through January 2002, 97 randomly selected outpatient visits for diarrhea among children < 36 months old were enrolled. A single specimen of stool from each child was collected and tested for astrovirus antigen by enzyme immunoassay. Astroviruses were detected in 12.37% of the diarrheal episodes. All the positive cases occurred in children 4 to 18 months, but the highest rate was in children aged 4 to 6 months (23.80%). The clinical symptoms of astrovirus associated-diarrhea were fever 41.66%, vomiting 25.00% and dehydration 8.33%; overall 16.66% required hospitalization. Astrovirus was identified through the year and no seasonally pattern was detected (cool semester 15.21% versus warm semester 9.80% p >; 0.05). According to our estimation about one out of seventy-four children in this cohort would be assisted annually for an astroviral-diarrheal episode in the Public Hospital and one out of eight diarrheal cases could be attributed to astrovirus infection. Astrovirus is a common symptomatic infection in pediatric outpatient visits in the public hospital in the study area, contributing 12.37% of the overall morbidity from diarrhea. |
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Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina Diarréia associada a astrovírus em crianças de ambulatório em Hospital Público de Córdoba, Argentina AstrovirusInfant diarrheaOutpatient visitsImpact in the medical assistance Human astroviruses have been increasingly identified as important agents of diarrheal disease in children. However, the disease burden of astrovirus infection is still incompletely assessed. This paper reports results on the epidemiological and clinical characteristics of astrovirus-associated diarrhea, as well as the impact of astrovirus infection on the ambulatory setting at a Public Hospital in Córdoba city, Argentina. From February 2001 through January 2002, 97 randomly selected outpatient visits for diarrhea among children < 36 months old were enrolled. A single specimen of stool from each child was collected and tested for astrovirus antigen by enzyme immunoassay. Astroviruses were detected in 12.37% of the diarrheal episodes. All the positive cases occurred in children 4 to 18 months, but the highest rate was in children aged 4 to 6 months (23.80%). The clinical symptoms of astrovirus associated-diarrhea were fever 41.66%, vomiting 25.00% and dehydration 8.33%; overall 16.66% required hospitalization. Astrovirus was identified through the year and no seasonally pattern was detected (cool semester 15.21% versus warm semester 9.80% p >; 0.05). According to our estimation about one out of seventy-four children in this cohort would be assisted annually for an astroviral-diarrheal episode in the Public Hospital and one out of eight diarrheal cases could be attributed to astrovirus infection. Astrovirus is a common symptomatic infection in pediatric outpatient visits in the public hospital in the study area, contributing 12.37% of the overall morbidity from diarrhea. Os astrovírus humanos têm sido identificados como importantes agentes de diarréias em crianças embora o impacto da sua infecção não tenha sido esclarecido. Este estudo não só mostra os resultados das características epidemiológicas e clínicas, mas também o impacto da infecção por astrovírus em pacientes ambulatoriais de um Hospital Público da cidade de Córdoba na Argentina. Escolheram-se randomicamente 97 pacientes ambulatoriais com menos de 36 meses, entre fevereiro de 2001 e janeiro de 2002, que consultaram por diarréia. Pesquisou-se antígeno de astrovírus por ensaio imuno-enzimático em uma única amostra de fezes por paciente estudado. Determinou-se a presença de astrovírus em 12,37% dos casos de diarréia. Todos os casos positivos foram em crianças de 4 a 18 meses, mas o índice mais elevado se apresentou em crianças de 4 a 6 meses (23,80%). Os sintomas de diarréia associada a astrovírus foram febre 41,66%; vômitos 25,00% e desidratação 8,33%; ou seja, 16,66% dos pacientes precisaram hospitalização. A presença de astrovírus foi anual sem se observar comportamento sazonal, semestre frio 15,21% versus semestre quente 9,80% p >; 0,05. Em nossa pesquisa, uma de cada 74 crianças seria atendida anualmente por apresentar um episódio de diarréia associada a astrovírus no hospital público e um de cada 8 casos de diarréia poderia atribuir-se à infecção por astrovírus. Astrovírus é uma infecção sintomática em pacientes pediátricos ambulatoriais, representando 12,37% da morbidade por diarréia. Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2004-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/30793Revista do Instituto de Medicina Tropical de São Paulo; Vol. 46 No. 2 (2004); 93-96 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 46 Núm. 2 (2004); 93-96 Revista do Instituto de Medicina Tropical de São Paulo; v. 46 n. 2 (2004); 93-96 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/30793/32677Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessGiordano, Miguel O.Martinez, Laura C.Isa, María B.Paez Rearte, MirthaNates, Silvia V.2012-07-07T18:27:28Zoai:revistas.usp.br:article/30793Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:51:32.716917Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina Diarréia associada a astrovírus em crianças de ambulatório em Hospital Público de Córdoba, Argentina |
title |
Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina |
spellingShingle |
Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina Giordano, Miguel O. Astrovirus Infant diarrhea Outpatient visits Impact in the medical assistance |
title_short |
Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina |
title_full |
Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina |
title_fullStr |
Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina |
title_full_unstemmed |
Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina |
title_sort |
Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina |
author |
Giordano, Miguel O. |
author_facet |
Giordano, Miguel O. Martinez, Laura C. Isa, María B. Paez Rearte, Mirtha Nates, Silvia V. |
author_role |
author |
author2 |
Martinez, Laura C. Isa, María B. Paez Rearte, Mirtha Nates, Silvia V. |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Giordano, Miguel O. Martinez, Laura C. Isa, María B. Paez Rearte, Mirtha Nates, Silvia V. |
dc.subject.por.fl_str_mv |
Astrovirus Infant diarrhea Outpatient visits Impact in the medical assistance |
topic |
Astrovirus Infant diarrhea Outpatient visits Impact in the medical assistance |
description |
Human astroviruses have been increasingly identified as important agents of diarrheal disease in children. However, the disease burden of astrovirus infection is still incompletely assessed. This paper reports results on the epidemiological and clinical characteristics of astrovirus-associated diarrhea, as well as the impact of astrovirus infection on the ambulatory setting at a Public Hospital in Córdoba city, Argentina. From February 2001 through January 2002, 97 randomly selected outpatient visits for diarrhea among children < 36 months old were enrolled. A single specimen of stool from each child was collected and tested for astrovirus antigen by enzyme immunoassay. Astroviruses were detected in 12.37% of the diarrheal episodes. All the positive cases occurred in children 4 to 18 months, but the highest rate was in children aged 4 to 6 months (23.80%). The clinical symptoms of astrovirus associated-diarrhea were fever 41.66%, vomiting 25.00% and dehydration 8.33%; overall 16.66% required hospitalization. Astrovirus was identified through the year and no seasonally pattern was detected (cool semester 15.21% versus warm semester 9.80% p >; 0.05). According to our estimation about one out of seventy-four children in this cohort would be assisted annually for an astroviral-diarrheal episode in the Public Hospital and one out of eight diarrheal cases could be attributed to astrovirus infection. Astrovirus is a common symptomatic infection in pediatric outpatient visits in the public hospital in the study area, contributing 12.37% of the overall morbidity from diarrhea. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/30793 |
url |
https://www.revistas.usp.br/rimtsp/article/view/30793 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/30793/32677 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 46 No. 2 (2004); 93-96 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 46 Núm. 2 (2004); 93-96 Revista do Instituto de Medicina Tropical de São Paulo; v. 46 n. 2 (2004); 93-96 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
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Instituto de Medicina Tropical (IMT) |
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IMT |
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IMT |
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Revista do Instituto de Medicina Tropical de São Paulo |
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Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
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