Ismaili-Jaha Vlora, Shala Muje, Azemi Mehmedali, Hoxha-Kamberi Teuta, Avdiu Muharrem, Spahiu Shqipe, Jaha Luan
Department of Pediatric Gastroenterology. University Clinical Center of Kosovo. Prishtina, Republic of Kosovo.
Mater Sociomed. 2014 Oct;26(5):335-8. doi: 10.5455/msm.2014.26.335-338. Epub 2014 Oct 29.
Diarrhea is a leading cause of child mortality worldwide. Rotavirus is one of the most common causes of severe diarrhea and dehydration in children. Authors reviewed epidemiological and clinical data of the rotavirus diarrhea in Kosovo.
This is a prospective study carried between January 1st and December 31st 2011. All data, comprising demographics, nutrition, clinical presentation, laboratory findings, management and outcome of the rotavirus diarrhea are collected on the specially designed form.
116 children with rotavirus diarrhea are included in the study. The majority boys (74.4%) and children aged 0 - 12 months (82.75%). Mean age of children in the study was 16.38 months. Almost every third child in the study was hypotrophic (29.2%). More than half of the infants (55.2%) were on mixed food, somewhat more than every third was breast feeding (36.45%), and every twelfth (8.33%) was on artificial milk (animal or formula). Apart from diarrhea, present in all patients, vomiting (97.41%) and fever (43.96%) were characteristics of the clinical presentation of the diarrhea. Two thirds of the children had mild grade dehydration (70.7%). All patients recovered with no sequels.
Rotavirus continues to be responsible for a significant portion of acute diarrhea in Kosovo. Clinical features, epidemiological data and the agglutination test are safe enough to establish the diagnosis. Treated correctly rotavirus diarrhea has a favorable outcome.
腹泻是全球儿童死亡的主要原因之一。轮状病毒是儿童严重腹泻和脱水的最常见病因之一。作者回顾了科索沃轮状病毒腹泻的流行病学和临床数据。
这是一项于2011年1月1日至12月31日进行的前瞻性研究。所有数据，包括人口统计学、营养状况、临床表现、实验室检查结果、轮状病毒腹泻的治疗及转归，均通过专门设计的表格收集。
116例轮状病毒腹泻患儿纳入研究。大多数为男孩（74.4%），年龄在0至12个月的儿童占82.75%。研究中儿童的平均年龄为16.38个月。研究中几乎每三个儿童中就有一个营养不良（29.2%）。超过一半的婴儿（55.2%）接受混合喂养，略多于三分之一的婴儿母乳喂养（36.45%），十二分之一的婴儿（8.33%）人工喂养（动物奶或配方奶）。除腹泻外，所有患者均有呕吐（97.41%）和发热（43.96%），这些是腹泻临床表现的特征。三分之二的儿童有轻度脱水（70.7%）。所有患者均康复且无后遗症。
在科索沃，轮状病毒仍是急性腹泻的重要病因。临床特征、流行病学数据及凝集试验足以确诊。正确治疗后轮状病毒腹泻预后良好。
