Aetiology and epidemiology of acute gastro-enteritis in Swedish children

Uhnoo, Ingrid; Wadell, Göran; Svensson, Lennart; Olding-Stenkvist, Elisabeth; Ekwall, Erik; Mölby, Roland

doi:10.1016/s0163-4453(86)92348-0

Cited by 83 publications

(46 citation statements)

References 44 publications

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“…A large proportion (39%) of the patients seen at the emergency room with rotavirus-associated gastroenteritis needed to be admitted to the hospital; this may be considered an indicator of severity. Several other studies that considered hospital admission as an indicator of severity reported that rotavirus-associated diarrhea was often more severe than the diarrhea caused by other enteropathogens [5][6][7][8][9]. We also observed that 15.6% of the admissions related to diarrhea and/or vomiting during the study period were associated with rotavirusinfection, suggesting that other pathogens also cause diarrheal symptoms that require hospital admission.…”

Section: Discussionsupporting

confidence: 63%

Clinical and epidemiological aspects of children hospitalized with severe rotavirus-associated gastroenteritis in Salvador, BA, Brazil

Carneiro¹,

Diniz-Santos²,

Fagundes³

et al. 2005

Braz J Infect Dis

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Little is known about the epidemiology of severe rotavirus-associated gastroenteritis in Brazil. Given the morbidity associated with this condition and the importance of having detailed knowledge about the impact of rotavirus infection on the epidemiology of acute diarrhea in children, especially those with the most severe diarrheal conditions, we retrospectively reviewed the medical records of all pediatric patients admitted to a tertiary hospital in Salvador, Brazil, due to rotavirusassociated gastroenteritis during one year. It was observed that rotavirus was responsible for 15.6% of the hospitalizations caused by diarrhea and/or vomiting during the period of the study and that 87 of 218 (39.1%) patients seen at the emergency room with rotavirus-associated gastroenteritis needed to be hospitalized, comprising the population of our study. Most patients presented signs of dehydration, and 41% of them had metabolic acidosis. Most patients (79%) were between six months and four years of age and 72% of the cases occurred in June and July. Gastrointestinal symptoms were rarely present at the beginning of the clinical presentation, and they normally did not last for more than one week.

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Section: Discussionsupporting

confidence: 63%

Clinical and epidemiological aspects of children hospitalized with severe rotavirus-associated gastroenteritis in Salvador, BA, Brazil

Carneiro¹,

Diniz-Santos²,

Fagundes³

et al. 2005

Braz J Infect Dis

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“…However, enteric parasites-mainly protozoa-are isolated from 1% to 65% of patients with diarrhea in various settings. The relative prevalences of enteric protozoa reported in several developed countries in outbreak and nonoutbreak settings among humans are reported in Table 1 (1, 11,12,24,60,85,90,96,128,144,184,192,193,204,215,225,247,248,255,264,265,301,335,355,370,395,416,417,425,442,444,452,467). Giardia intestinalis (0.2% to 29.2% of cases), Cryptosporidium spp.…”

Section: Distribution In Developed Countriesmentioning

confidence: 99%

Enteric Protozoa in the Developed World: a Public Health Perspective

et al. 2012

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SUMMARY Several enteric protozoa cause severe morbidity and mortality in both humans and animals worldwide. In developed settings, enteric protozoa are often ignored as a cause of diarrheal illness due to better hygiene conditions, and as such, very little effort is used toward laboratory diagnosis. Although these protozoa contribute to the high burden of infectious diseases, estimates of their true prevalence are sometimes affected by the lack of sensitive diagnostic techniques to detect them in clinical and environmental specimens. Despite recent advances in the epidemiology, molecular biology, and treatment of protozoan illnesses, gaps in knowledge still exist, requiring further research. There is evidence that climate-related changes will contribute to their burden due to displacement of ecosystems and human and animal populations, increases in atmospheric temperature, flooding and other environmental conditions suitable for transmission, and the need for the reuse of alternative water sources to meet growing population needs. This review discusses the common enteric protozoa from a public health perspective, highlighting their epidemiology, modes of transmission, prevention, and control. It also discusses the potential impact of climate changes on their epidemiology and the issues surrounding waterborne transmission and suggests a multidisciplinary approach to their prevention and control.

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“…Human adenoviruses (HAdVs) have been considered critical emerging viruses since the potential health risks associated with their waterborne transmission were noticed by the scientific community (18,48). The HAdV serotypes 40 and 41 (HAdV40 and HAdV41, respectively) are critical etiological agents of viral gastroenteritis in children (12,51). Adenoviruses are currently included in the contaminant candidate list of the U.S. Environmental Protection Agency.…”

mentioning

confidence: 99%

Occurrence of Human Adenoviruses at Two Recreational Beaches of the Great Lakes

Xagoraraki¹,

Kuo²,

Wong³

et al. 2007

Appl Environ Microbiol

107

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Human adenoviruses (HAdVs) have been related to several waterborne diseases such as acute gastroenteritis, conjunctivitis, and respiratory illness, and it has been shown that an important human exposure pathway is through recreational waters. However, HAdV occurrence at recreational freshwater beaches has not been previously investigated. In this study, a total of 58 water samples were collected from two recreational beaches on Lake Michigan (

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Aetiology and epidemiology of acute gastro-enteritis in Swedish children

Cited by 83 publications

References 44 publications

Clinical and epidemiological aspects of children hospitalized with severe rotavirus-associated gastroenteritis in Salvador, BA, Brazil

Clinical and epidemiological aspects of children hospitalized with severe rotavirus-associated gastroenteritis in Salvador, BA, Brazil

Enteric Protozoa in the Developed World: a Public Health Perspective

Occurrence of Human Adenoviruses at Two Recreational Beaches of the Great Lakes

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