Aim: To investigate the epidemiology of acute gastroenteritis in our environment and look for a correlation between the data provided by the clinical history and symptomatology and the probable etiology. Material and methods: Prospective study of all infants submitted at the Emergency Room of the Sant Joan de Deu Hospital with the diagnosis of acute gastroenteritis, between June 1, 1992 and May 31, 1993. Clinical data were recorded and a fecal sample was taken for further microbiological study and detection of viral antigens. Results: A total of 365 patients were examined. Ninety samples turned out positive (25%). The most frequently isolated bacterial agent was Salmonella Enterica, found in 52 cases (14%). Campylobacter jejuni was detected in 38 (11%). Viral antigens were observed in 49 samples (14%): Rotavirus in 36 (10%) and Adenovirus in 13 (4%). Pathogens were not found in 226 cases (62%). Those infants with positive coproculture showed higher and longer-lasting temperature, more frequent defecation and less frequent vomits than the positive virus group. Conclusions: According to the symptoms, it is possible to recognize the viral or bacterial etiology of acute diarrheas. Since the favorable evolution in all the cases, independently on the etiology, it is believed that routine microbiological study is not indispensable in the Pediatric Emergency Room. although in other circumstances it is obviously useful.
|Títol traduït de la contribució||Acute gastroenteritis in a Pediatric Emergency Room. Epidemiology and clinics|
|Nombre de pàgines||5|
|Revista||Revista Espanola de Pediatria|
|Estat de la publicació||Publicada - 1995|