Etiological agents in patients with acute diarrheal disease detected by PCR test in children from 0 to 14 years old in Hospital Metropolitano of Quito
Keywords:
etiology, gastrointestinal infections, PCR gastrointestinal panelAbstract
Objective: Determine the prevalence of gastrointestinal infections in children from 0 to 14 years old at Hospital Metropolitano of Quito from August 2017 to May 2018. Methods: A cross sectional study was carried out to determine the prevalence of gastrointestinal infections in children from 0 to 14 years old at Hospital Metropolitano of Quito. There were 58 patients with gastrointestinal infection from August 2017 to May 2018. We used the results from PCR gastrointestinal panel to determine the etiology of the disease. Results: We studied 58 patients with gastrointestinal infection between 0 to
14 years old. We found 79% of bacterial and 21% viral etiology. The most frequent agent was Clostridium difficile (15%) followed by enteropathogenic
E. coli (14%), enteroagregative E. coli (12%). The most important virus was norovirus followed by rotavirus, and Giardia lamblia as a parasite. The most
frequent coinfections were Clostridium difficile-Campylobacter, Clostridium difficile-enteropathogenic E. coli, enteropathogenic E. coli-enterotoxigenic E.
coli. The months of the year where the greatest number of infections occurred were April and May. Conclusions: The etiology of gastrointestinal infections is a very important issue to study and manage because of its high incidence at the pediatric population, so a timely diagnosis and comprehensive anagement must be made.
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