Complications attributable to rotavirus-induced diarrhoea in a Swedish paediatric population: Report from an 11-year surveillance

The aim of this retrospective observational study was to evaluate age, length of hospital stay and development of complications in children hospitalized with community- or nosocomially- acquired rotavirus gastroenteritis (RV GE). In total, medical records of 984 children with RV GE were analysed ret...

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Bibliographic Details
Published in:Scandinavian journal of infectious diseases 2008, Vol.40 (11-12), p.958-964
Main Authors: Johansen, Kari, Hedlund, Kjell-Olof, Zweygberg-Wirgart, Benita, Bennet, Rutger
Format: Article
Language:English
Subjects:
Age Distribution
Biological and medical sciences
Child
Child, Preschool
Community-Acquired Infections - epidemiology
Cross Infection - epidemiology
Diarrhea - epidemiology
Diarrhea - virology
Human viral diseases
Humans
Infant
Infant, Newborn
Infectious diseases
Medical sciences
Medicin och hälsovetenskap
Population Surveillance
Retrospective Studies
Rotavirus
Rotavirus Infections - epidemiology
Sweden - epidemiology
Viral diseases
Viral diseases of the digestive system
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Summary:The aim of this retrospective observational study was to evaluate age, length of hospital stay and development of complications in children hospitalized with community- or nosocomially- acquired rotavirus gastroenteritis (RV GE). In total, medical records of 984 children with RV GE were analysed retrospectively. The median age was 13.8 months (3 weeks to 99 months) in children with community acquired RV GE (n=723) and 9.0 months (range 3 weeks to 82 months) in children with nosocomially acquired RV GE (n=261). During this 11-y surveillance, only 2 children were admitted twice for a RV GE, suggesting development of subsequent protective immunity against severe rotavirus gastroenteritis after the first episode. Complications occurred in 16.5% of the children with community acquired RV GE and only in 1.9% of the nosocomially acquired RV GE. Identified complications in children with community acquired RV GE were: severe dehydration resulting in intensive care (1.7%), death (0.1%), hypertonic dehydration (9.1%), seizures (4.0%) and encephalitis with abnormal EEG (1.7%). The median age of children in need of intensive care was 9.1 months and in those developing hypertonic dehydration 10.8 months, both significantly lower than in children with no complications (p
ISSN:0036-5548
1651-1980
DOI:10.1080/00365540802415509