ASPECTS OF NOSOCOMIAL GASTROENTERITIS WITH ROTAVIRUS IN CHILDREN HOSPITALIZED IN CONSTANTA-ROMANIA

SIMONA DIACONU¹, SIMONA CLAUDIA CAMBREA^1,2*, CRISTIAN LUCIAN PETCU^1,2, SORIN RUGINĂ^1,2

¹Clinical Infectious Diseases Hospital, Constanta, Romania - ²Faculty of Medicine, Ovidius” University, Constanta, Romania

Background: The infection with rotavirus is a frecquent cause of accute diarrheal disease in infants and young children anywhere in the world.

Objective: The aim of this study was to evaluate the clinical characteristics and the severity of nosocomial gastroenteritis with rotavirus.

Material and methods: We conducted a descriptive, observational, non-interventional, prospective and retrospective study (2011-2012), performed on two groups of patients patients with acute rotavirus gastroenteritis and nosocomial rotavirus gastroente- ritis hospitalized in the pediatric ward of the Clinical Infectious Diseases Hospital of Constanta. The diagnostic was confirmed by a positive test for determining latex agglutination rotavirus in faeces.

Results: From 505 cases of rotaviral gastroenteritis, 98 were nosocomial infections (19.4%). There were no statistical signifi- cant difference between the two groups-with or without nosocomial infection regarding the average age (p=0.64), the number of vomiting per day (p=0.34). There were statistical significant differences between two studied groups regarding the number of stools per day (p=0.001), the value of maximum temperature (p=0.001), the duration of hospitalization (p=0.001).

Conclusions: Our study highlighted that nosocomial rotaviral gastroenteritis in children presented more severe symptoms and prolonged hospitalisations.