Document Detail


Epidemiology, clinical course and impact on hospitalization costs of acute diarrhea among hospitalized children in Athens, Greece.
MedLine Citation:
PMID:  11669226     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to describe the etiology, morbidity and hospitalization costs associated with acute diarrhea among hospitalized children in Greece. During 1999, 294 hospitalized children (median age 1 y) with acute diarrhea were prospectively studied. Bacterial and viral enteropathogens were detected in 100 (34%) and 37 (12.5%) patients, respectively; 17 (6%) patients had mixed infections. Isolated agents included Salmonella spp. (43 patients; 15%), rotavirus (32; 11%), Campylobacter spp. (26; 9%), enteropathogenic Escherichia coli (16; 5.5%), Shigella spp. (11; 4%), Aeromonas spp. (7; 2.5%), adenovirus (6; 2%), Yersinia enterocolitica (6; 2%), enterohemorrhagic Escherichia coli (2; 0.5%) and Giardia lamblia (1; 0.5%). Of the patients with bacterial infection, 70% were admitted between April and September 1999. A rotavirus-associated peak was noted in March. Patients with a bacterial infection were hospitalized for longer periods than those with viral infections. It is concluded that bacterial enteropathogens account for one-third of admissions due to acute diarrhea among children in Greece and are associated with significant hospitalization costs. Rotavirus is also a frequent cause of acute diarrhea necessitating hospitalization.
Authors:
D A Kafetzis; H C Maltezou; A Zafeiropoulou; A Attilakos; C Stavrinadis; M Foustoukou
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of infectious diseases     Volume:  33     ISSN:  0036-5548     ISO Abbreviation:  Scand. J. Infect. Dis.     Publication Date:  2001  
Date Detail:
Created Date:  2001-10-23     Completed Date:  2002-03-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0215333     Medline TA:  Scand J Infect Dis     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  681-5     Citation Subset:  IM    
Affiliation:
Second Department of Pediatrics, University of Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Age Distribution
Campylobacter / isolation & purification
Child
Child, Hospitalized / statistics & numerical data*
Child, Preschool
Diarrhea / economics*,  epidemiology*,  microbiology
Escherichia coli O157 / isolation & purification
Female
Greece / epidemiology
Hospital Costs*
Hospitalization / economics,  statistics & numerical data*
Humans
Infant
Infant, Newborn
Male
Prospective Studies
Rotavirus / isolation & purification
Salmonella / isolation & purification
Seasons
Shigella / isolation & purification

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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