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Clinico-Epidemiological Profile of Rotavirus Infection in Children with Acute Gastroenteritis in New Delhi
 
Ajay Kumar1, Vyom Aggarwal2, Jyoti Aggarwal2
1Senior Resident, Department of Pediatrics, MaharshiValmiki Hospital, Delhi, India. 2Senior Consultant, Department of Pediatrics, Tirath Ram Shah Hospital, Delhi, India. 


Corresponding Author
:
Dr Ajay Kumar
Email: ajaychauhan669@gmail.com


Abstract

Objective: To determine the epidemiological and clinical profile of rotavirus-associated diarrhea in children under five years of age. 
Methods: Clinical characteristics were recorded and stool samples collected from 180 consecutive children aged between one month to 5 years presenting with acute diarrhea, irrespective of hydration status, to the outpatient department or emergency room of a pediatric postgraduate teaching institute catering to middle or higher socioeconomic status groups. 
Results: Rotavirus accounted for 27.8% (50 of 180) of all diarrhea cases, and 41.2% (14 of 34) in hospitalized children. Vomiting was present in 90% of children infected with rotavirus, fever in 66%, and abdominal pain in 54%. Hospitalization was required in 68.2% of children who had received the full course of rotavirus vaccine, and 96.4% among those who had not received any dose.
Conclusion: Rotavirus is a significant cause of acute diarrhea in children from higher-income groups. Rotavirus vaccine appears to reduce the frequency and severity of diarrheal episodes and, thus hospital admission rates.