Acute diarrhea in hospitalized children of the municipality of Juiz de Fora, MG, Brazil: prevalence and risk factors associated with disease severity
| Autor: | Maria Luzia da Rosa e Silva, Sandra Helena Cerrato Tibiriçá, Iná Pires de Carvalho, Julio Maria Fonseca Chebli, Delaine La Gatta Carminate, Monica Couto Guedes Sejanes da Rocha |
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| Rok vydání: | 2012 |
| Předmět: |
Diarrhea
Male medicine.medical_specialty Acute diarrhea Pediatrics Prevalence Juiz de Fora MG Brazil Context (language use) Age Distribution Disease severity Epidemiology Medicine Humans Child hospitalized Diarrhea infantile epidemiology lcsh:RC799-869 Antibiotic use Sex Distribution Child Fatores de risco business.industry Gastroenterology Infant Newborn Infant Criança hospitalizada Hospitalization Young age Diarreia infantil epidemiologia Risk factors Socioeconomic Factors Child Preschool Juiz de Fora MG Acute Disease lcsh:Diseases of the digestive system. Gastroenterology Female Seasons medicine.symptom business Epidemiologic Methods Brazil |
| Zdroj: | Arquivos de Gastroenterologia, Vol 49, Iss 4, Pp 259-265 (2012) Arquivos de Gastroenterologia v.49 n.4 2012 Arquivos de gastroenterologia Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia instacron:IBEPEGE |
| ISSN: | 1678-4219 |
| Popis: | CONTEXT: Acute diarrhea is a common cause of hospitalization among children under 5 years of age. Knowing the prevalence and risk factors associated with the severity of acute diarrhea is essential to control morbidity and mortality. OBJECTIVE: Describe the prevalence of demographic, epidemiologic and clinical features of children under 6 years of age hospitalized for acute diarrhea, and investigate the association between these determinants and the severity of the diarrheic episode. METHOD: Retrospective, cross-sectional study, during the period from January, 2005 through December, 2008, in the municipality of Juiz de Fora, MG, Brazil. Files from 6,201 children from 0 to 6 years of age, hospitalized in two public teaching institutions (which account for 84% of all the hospitalizations in the municipality), were assessed. Acute diarrhea was defined as the presence of at least three evacuations of liquid or loose stools, within 24 hours, for a maximum period of 14 days. The patients with acute diarrhea were divided in two groups, according to disease severity, severe diarrhea being considered whenever hospitalization lasted for at least 4 days. Epidemiologic and clinical data were assessed and compared through the application of the chi-squared test and the binomial logistic regression model. RESULTS: The prevalence rate for admission due to acute diarrhea was 8.4%. The factors significantly associated with the severity of the diarrheic episode were: age under 6 months (P = 0.01, OR = 2.762); disease onset during fall (P = 0.033, OR = 1.742), presence of fever (P = 0.017, OR = 1.715) and antibiotic use during hospitalization (P = 0.000, OR = 3.872). CONCLUSIONS: Diarrhea is the third most common cause of hospitalization among children under 6 years of age in Juiz de Fora. Young age (under or equal to 6 months), fever, antibiotic use during hospitalization and disease onset during fall are risk factors associated with longer hospital stay. |
| Databáze: | OpenAIRE |
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