Severity and treatment level of acute gastroenteritis with rotavirus in children under 5 years in INDONESIA
Abstract
Rotavirus diarrhea causing gastroenteritis in children under five years is an important issue that urgently needs to be addressed globally. Delay in management of rotavirus diarrhea can be fatal. Diagnostic tool for detecting rotavirus is, therefore, needed. However, until now the gold standard diagnostic tools are expensive, often not available and affordable in health care settings. The aim of the study was to compare the Vesikari clinical severity score of rotavirus-positive with rotavirus-negative in hospitalized children with acute gastroenteritis. Furthermore, the difference of the level of treatment between rotavirus-positive with rotavirus-negative was also evaluated. This was a cross sectional study that using secondary data from medical records of five general teaching hospital in Indonesia. Subjects were children aged <5 years with acute watery diarrhea admitted to the hospital. Statistical analysis used was chi square test, U-Mann Whitney, and Kruskal Wallis. The results showed that the patient with rotavirus positive have higher dehydration (80.2%) compared to rotavirus negative (70%). The severity level of clinical feature was higher in diarrhea due to rotavirus positive than non rotavirus (11.47± 2.89 vs 10.41 ± 2.70; p<0.000). The level of treatment was higher in rotavirus positive. The majority had treatment plan C (47.7%) higher than plan B and A (45.6% and 30.9%; p<0.050). This was opposite with patient with rotavirus negative that majority had treatment…
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