Back to Search
Start Over
Four-country surveillance of intestinal intussusception and diarrhoea in children.
- Source :
-
Journal of paediatrics and child health [J Paediatr Child Health] 2009 Mar; Vol. 45 (3), pp. 82-6. Date of Electronic Publication: 2008 Feb 02. - Publication Year :
- 2009
-
Abstract
- Aim: Establishment of baseline epidemiology of intussusception in developing countries has become a necessity with the possibility of reintroduction of rotavirus vaccine. The current study assessed the seasonal trend in cases admitted with intussusceptions and dehydrating acute watery diarrhoea in children aged 2 months to 10 years.<br />Methods: In a prospective surveillance study, teaching and research hospital sites in India (Lucknow and Nagpur), Brazil (Fortazela), Egypt (Ismailia) and Kenya (Nairobi) established a surveillance where a network of hospitals with surgical facilities catered to a reference population of about 1-2 million for reporting of intussusception. One large hospital per site also recruited admitted cases of acute watery diarrhoea.<br />Results: From April 2004 to March 2006, 173 and 2346 cases of intussusception and diarrhoea, respectively, were recruited. Cases of intussusception had no apparent seasonality. Most cases of intussusception (61.3%) (107/173) were in the < or =1 year age group, with males comprising 68.8% (119/173) of all cases. Hospital mortality of intussusception was 4.2% (4/96). Cases of diarrhoea peaked in March, with 56.6% (1328/2346) of admitted cases being males. Majority (83.1%) of cases of diarrhoea had received antibiotics, and the hospital mortality was 0.8% (18/2280).<br />Conclusion: Intussusception in the four participating countries exhibited no seasonal trend. We found that it is feasible to establish a surveillance network for intussusception in developing countries. Future efforts must define population base before the introduction of rotavirus vaccine and continue for some years thereafter.
- Subjects :
- Child, Preschool
Diarrhea prevention & control
Female
Humans
Immunotherapy, Active
Infant
Intussusception prevention & control
Male
Prospective Studies
Rotavirus immunology
Rotavirus isolation & purification
Seasons
Developing Countries
Diarrhea epidemiology
Intussusception epidemiology
Population Surveillance
Subjects
Details
- Language :
- English
- ISSN :
- 1440-1754
- Volume :
- 45
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of paediatrics and child health
- Publication Type :
- Academic Journal
- Accession number :
- 19210606
- Full Text :
- https://doi.org/10.1111/j.1440-1754.2008.01434.x