Mihai Mihaela, Manole Alina-Mihaela, Manole M, Duca Elena, Petrariu F D, Moraru D
Rev Med Chir Soc Med Nat Iasi. 2014 Jul-Sep;118(3):788-95.
The study aim was to assess the epidemiological potential of acute gastroenteritis (AGE) in children between 2009 and 2012.
We studied two groups; first, a lot of 7237 cases (group A) recorded in the Iasi County through passive surveillance system, reported monthly by the network of primary health care, the assisted outpatients, respectively, those reported by hospitals. The second group (group B) was composed of 4191 hospitalized cases reported also in the passive surveillance system m by telephone, weekly, during only June/end of May to October/beginning of November. Structural peculiarities of the two groups are due to different reporting methodology, so that they were analyzed separately.
AGE cases come from urban or rural areas in relatively stable proportions and slightly increased in rural areas compared to urban. The distribution by sex of cases from the group B is maintained at the same shape from one year to another, with a slight predominance in males. The best represented age group in every studied was 0-3 (54.3% of all cases), followed by children between 5 and 10 years with 17.5%). Laboratory investigations have enabled the etiologic diagnosis for hospitalized cases, which ranged from 15.3 to 17.5%, with the exception of 2009 when the diagnosis was noted for almost half of the discharged patients (47.5%).
AGE remains a public health problem in the Iasi County and Romania also, by affecting all age groups, but especially children under 3, an insufficient knowledge of the etiology, and economic losses insufficiently evaluated.
本研究旨在评估2009年至2012年间儿童急性胃肠炎（AGE）的流行病学潜力。
我们研究了两组；第一组，通过被动监测系统记录在雅西县的7237例病例（A组），由初级卫生保健网络、辅助门诊每月报告，以及医院报告的病例。第二组（B组）由4191例住院病例组成，这些病例也是通过被动监测系统每周通过电话报告的，时间仅为5月底/6月至11月初/10月。两组的结构特点是由于报告方法不同，因此分别进行分析。
AGE病例来自城市或农村地区的比例相对稳定，农村地区与城市相比略有增加。B组病例的性别分布从一年到另一年保持相同形状，男性略有优势。每个研究组中最具代表性的年龄组是0 - 3岁（占所有病例的54.3%），其次是5至10岁的儿童（占17.5%）。实验室检查使住院病例能够进行病因诊断，诊断率在15.3%至17.5%之间，但2009年除外，当时几乎一半的出院患者（47.5%）被诊断出病因。
AGE在雅西县乃至罗马尼亚仍然是一个公共卫生问题，因为它影响所有年龄组，但尤其是3岁以下儿童，病因知识不足，经济损失评估不足。
