BackgroundRotavirus is the leading cause of severe diarrhea in young children and infants worldwide, representing a heavy public health burden. Limited information is available regarding the impact of rotavirus gastroenteritis on the quality of life of affected children and their families.The objectives of study were to estimate the impact of rotavirus infection on health-related quality of life (HRQL), to assess the social and emotional effects on the families of affected children.MethodsThis study enrolled all (n = 527) RotaStrip®-positive (with further PCR detection) cases (0–18 years of age) hospitalized from April 2013 to December 2015 and their caregivers. A questionnaire comprising clinical (filled-in by the medical staff) and social (filled by the caregivers) sections was completed per child.ResultsMain indicators of emotional burden reported by caregivers were compassion (reported as severe/very severe by 91.1% of parents), worry (85.2%), stress/anxiety (68.0%). Regarding social burden, 79.3% of caregivers reported the need to introduce changes into their daily routine due to rotavirus infection of their child. Regarding economic burden, 55.1% of parents needed to take days off work because of their child’s sickness, and 76.1% of parents reported additional expenditures in the family’s budget.Objective measures of their child’s health status were not associated with HRQL of the family, as were the parent’s subjective evaluation of their child’s health and some sociodemographic factors. Parents were significantly more worried if their child was tearful (p = 0.006) or irritable (p < 0.001). Parents were more stressful/anxious if their child had a fever (p = 0.003), was tearful (p < 0.001), or was irritable (p < 0.001). Changes in parents’ daily routines were more often reported if the child had a fever (p = 0.02) or insufficient fluid intake (p = 0.04).ConclusionObjective health status of the child did not influence the emotional, social or economic burden, whereas the parents’ subjective perception of the child’s health status and sociodemographic characteristics, were influential.A better understanding of how acute episodes affect the child and family, will help to ease parental fears and advise parents on the characteristics of rotavirus infection and the optimal care of an infected child.
Background Rotavirus is the leading cause of acute gastroenteritis in children worldwide. A quality of life (QOL) study was conducted as a part of a larger study “Clinical peculiarities of rotaviral infection, molecular epidemiology and health associated QOL for hospitalised children and their family members”, financially supported by Riga Stradins University. Aim To investigate the impact of rotaviral gastroenteritis (RVGE) on the QOL of affected children and their parents. Methods Data associated with the burden of RVGE were extracted from questionnaires completed by parents of children (1–133 month of age) hospitalised in University Children’s Hospital within the time period of June 2013 – February 2014. Parents of 165 children evaluated their feelings during child’s illness and estimated child’s physical symptoms and emotions. Results Mean age of children were 27.96 (SD 22.85) month. Most of parents felt compassion (92%), worries (76%), stress (61%) and fatigue (48%) quite a lot or very much. Such child’s symptoms as diarrhoea (77%), excess fluid intake (69%), apathy or lethargy (64%), vomiting and reduced appetite (55%), fever (50%) parents evaluated as quite a lot or very much experienced as well. In half of the cases a parent or other family member was absent from work because of the child’s RVGE. Conclusions RVGE has adverse impact on child’s and family QOL, causing not only serious child’s illness, but parental distress, worries, fatigue and inability to work as well. The burden of RVGE on children and their families could be substantially reduced by routine rotavirus vaccination of infants.
Background The incidence of rotaviral gastroenteritis (RVGE) has significantly increased in last 10 years in Latvia. Aims To assess the impact of family on RVGE. Methods The study enrolled children (1–23 month of age) hospitalised in University Children’s Hospital within time period of June 2013 – February 2014 if the child has rotavirus positive stool sample. The clinical severity of illness was rated using a clinical scoring system. Parents were interviewed and clinical examination of the child was done. Results Mean age of 91 enrolled patients was 12.54 (SD 5.74) months. 91.6% of children did not attend kindergarten. There is a tendency (although statistically insignificant, p > 0.05) for breastfed children to have shorter hospitalisation time as well as to have milder clinical severity degree (see Table below). Abstract PO-0227 Table 1 Mean duration (days) of treatment in hospital (SD), median Number of children with moderate dehidratation in the first three days of disease Breastfed children (n = 32) 4.31 (SD 2.64), 3.00 n = 5 (38.9%) Not breastfed (n = 59) 4.66 (SD 2.37), 4.00 n = 7 (33.3%) While 73.6% of parents had heard about rotaviral vaccination before, only 1 child was vaccinated against it. 65.9% of parents agreed that children should be vaccinated against rotavirus. Conclusions There should be higher access to information about RVGE and vaccination against it. Breastfeeding till age of 2 years may facilitate severity of RVGE. Part of the study “Clinical peculiarities of rotaviral infection, molecular epidemiology and health associated life quality for hospitalised children and their family members”, financially supported by Riga Stradins University.
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