RESUMO
OBJECTIVES: To analyze the etiology and evolution of patients with acute gastroenteritis hospitalized in our pediatric department and to study the clinical and laboratory differences between acute viral and bacterial gastroenteritis. PATIENTS AND METHODS: We studied the children with a diagnosis of acute gastroenteritis, aged between 0 and 14 years, who were consecutively admitted between 1987 and 2000. Differences were considered statistically significant if p < 0.05. RESULTS: A total of 2,613 patients diagnosed with acute gastroenteritis were hospitalized (10.4 % of hospital admissions). The most common pathogens isolated were rotaviruses (46.5 %), followed by Salmonella (32.6 %) and Campylobacter (19.3 %). Hospital admissions due to Salmonella (p < 0.0001), other bacteria (Escherichia coli and Shigella) (p < 0.002) and adenoviruses (p < 0.01) significantly decreased. Rotaviruses were the most frequently detected pathogens in winter and in children aged less than 1 year (p < 0.0001). The incidence of Salmonella spp was greater in summer and in children older than 2 years (p < 0.0001). The incidence of hyperthermia (rectal temperature higher than 38.5 degreeC) (p < 0.0001), dehydration (p < 0.0005) and fecal blood (p < 0.0001) was higher in bacterial diarrheas. Erythrocyte sedimentation rate (p < 0.001) and leukocyte counts were higher in bacterial gastroenteritis (p < 0.01). CONCLUSIONS: Rotaviruses were the most frequently isolated enteropathogens. The features that best distinguished between bacterial and viral diarrhea were hyperthermia and fecal blood. Hospital admissions due to Salmonella Shigella E. coli, and adenoviruses significantly decreased.
Assuntos
Gastroenterite , Doença Aguda , Adolescente , Criança , Pré-Escolar , Gastroenterite/epidemiologia , Gastroenterite/microbiologia , Gastroenterite/fisiopatologia , Hospitalização , Humanos , LactenteRESUMO
Objetivos: Analizar la etiología y evolución de los pacientes que ingresaron con gastroenteritis aguda y estudiar las diferencias clinicoanalíticas entre los procesos de gastroenteritis aguda ocasionados por virus y bacterias. Pacientes y métodos: Se estudiaron los pacientes con gastroenteritis agudas ingresados consecutivamente en el servicio entre los años 1987 y 2000 en pacientes entre 0 y 14 años. Se consideraron valores significativos p 38,5 °C) (p < 0,0001), deshidratación (p < 0,0005) y sangre en heces (p < 0,0001) tuvieron mayor incidencia en las diarreas bacterianas. La velocidad de sedimentación globular (p < 0,001) y la cifra de leucocitos (p < 0,01) fueron también más altas en las gastroenteritis bacterianas. Conclusiones: El enteropatógeno más frecuente fue rotavirus. Los datos que mejor diferenciaron las diarreas bacterianas de las virales fueron hipertermia y sangre en heces. Se observó un descenso significativo de ingresos por Salmonella, Shigella, E. coli y adenovirus (AU)
Assuntos
Pré-Escolar , Criança , Adolescente , Lactente , Humanos , Gastroenterite , Doença Aguda , HospitalizaçãoRESUMO
The growth and bone maturation of 43 celiac patients were analyzed. A significant correlation between gluten intake and growth rate was found. The authors suggest this is a good parameter to advise the best moment to make the control biopsie and the provocation test.
