Khuri-Bulos Najwa, Al Khatib Mohammad
Department of Paediatrics, Jordan University Hospital, Amman, Jordan.
Scand J Infect Dis. 2006;38(8):639-44. doi: 10.1080/00365540600606515.
Rotavirus is recognized to be a very important cause of GE in younger children in both developed as well as developing countries, but causes most of the mortality and morbidity in the latter. The recent introduction of a rotavirus vaccine in some parts of the world makes it necessary for us to determine the impact of this organism in our population with the aim of determining the need for the vaccine. In order to determine this, a study was conducted at the JUH and 3 other private hospitals. At the JUH, 64/256 (25%) of children with GE had rotavirus in 1995. The proportions of cases attributed to rotavirus in the other 3 y were 70/199 (35.2%), 69/279 (24.7%) and 76/294 (25.8%) for 2002, 2003 and 2004, respectively. The cumulative proportion of cases attributable to rotavirus gastroenteritis in all the y was 27.14%. With regard to the 3 private hospitals, rotavirus accounted for 38/225 (16.9%), 140/664 (21%) and 668/1496 (44.6%) at the Khalidy, Jordan and Islamic hospitals, respectively. It is concluded that rotavirus is a significant cause of GE in Jordanian children regardless of their social background, and attempt at controlling this infection may be warranted.
轮状病毒被认为是发达国家和发展中国家年幼儿童胃肠道疾病(GE)的一个非常重要的病因,但在发展中国家导致了大部分的死亡和发病情况。最近世界上一些地区引入了轮状病毒疫苗,这使得我们有必要确定这种病原体在我们人群中的影响,以便确定是否需要该疫苗。为了确定这一点,在朱赫医院(JUH)和其他3家私立医院开展了一项研究。1995年在朱赫医院,64/256(25%)的胃肠道疾病患儿感染了轮状病毒。2002年、2003年和2004年,其他3年中归因于轮状病毒的病例比例分别为70/199(35.2%)、69/279(24.7%)和76/294(25.8%)。所有年份中归因于轮状病毒胃肠炎的病例累计比例为27.14%。关于3家私立医院,在哈利迪医院、约旦医院和伊斯兰医院,轮状病毒分别占38/225(16.9%)、140/664(21%)和668/1496(44.6%)。得出的结论是,无论社会背景如何,轮状病毒都是约旦儿童胃肠道疾病的一个重要病因,或许有必要尝试控制这种感染。