B O Osano1, R W Kamenwa, D Wamalwa, J K Wangombe. 1. Department of Paediatrics and Child Health, Aga Khan University Hospital, Nairobi, P.O. Box 30270 - 00100, Nairobi, Kenya.
Abstract
BACKGROUND: Rotavirus infection is the single most common cause of acute gastroenteritis in children under five years of age. Rotavirus gastroenteritis has a high morbidity and mortality in children in Kenya. OBJECTIVES: To determine the short term clinical outcome for children admitted to Kenyatta National Hospital with rotavirus gastroenteritis and the correlates of poor outcome. DESIGN: Short longitudinal survey. SETTING: Kenyatta National Hospital from February to May 2008. SUBJECTS: Five hundred children were screened using a rapid antigen detection kit and ELISA. RESULTS: Of the 191 children who tested positive for rotavirus in stool; 172 children were recruited into the study. Eighty eight per cent of the patients were discharged within one week, 8.1% stayed for more than seven days while 4.1% died. Children who had co-morbidities such as malnutrition, rickets and pneumonia had worse outcomes. CONCLUSION: Rotavirus gastroenteritis has a long hospital stay and a high mortality. Children in shock on admission and those with co-morbid conditions should get priority for they have a poor outcome.
BACKGROUND:Rotavirus infection is the single most common cause of acute gastroenteritis in children under five years of age. Rotavirus gastroenteritis has a high morbidity and mortality in children in Kenya. OBJECTIVES: To determine the short term clinical outcome for children admitted to Kenyatta National Hospital with rotavirus gastroenteritis and the correlates of poor outcome. DESIGN: Short longitudinal survey. SETTING: Kenyatta National Hospital from February to May 2008. SUBJECTS: Five hundred children were screened using a rapid antigen detection kit and ELISA. RESULTS: Of the 191 children who tested positive for rotavirus in stool; 172 children were recruited into the study. Eighty eight per cent of the patients were discharged within one week, 8.1% stayed for more than seven days while 4.1% died. Children who had co-morbidities such as malnutrition, rickets and pneumonia had worse outcomes. CONCLUSION:Rotavirus gastroenteritis has a long hospital stay and a high mortality. Children in shock on admission and those with co-morbid conditions should get priority for they have a poor outcome.