Clinical manifestations of rotavirus diarrhea in the outpatient clinic of Cipto Mangunkusumo Hospital, Jakarta
ABSTRACT: Rotavirus is one of
the most common cause of acute diarrhea among hospitalized and pediatric
outpatients, especially those aged 6-24 months. Data of hospitalized children
showed that rotavirus causes severe diarrhea, but data of outpatient children
in Indonesia, especially at Cipto Mangunkusumo Hospital Jakarta, islimited.
Objective To characterize the clinical manifestations of rotavirus diarrhea
in the pediatric outpatient clinic at Cipto Mangunkusumo Hospital Jakarta.
Methods This was a cross-sectional study, done in July 2003 – March 2004.
Stool specimens were collected from patients aged 6-24 months with diarrhea and
tested for rotavirus by ELISA.
Result Of the 98 children enrolled, 35 (35.7%) children excreted rotavirus.
Rotavirus diarrhea was seen in 43.8% of children aged 6-11 months, of whom
37.0% of them were undernourished. Males were affected 1.4 times as much as
females. The clinical manifes-tations were passage of diarrheic stools more
than 10 times a day (58.3%),
mild-moderate dehydration (55.8%), cough (51.9%), rhinorhea (46.0%), vomiting
(44.8%), fever (41.1%), yellow stools (38.9%), and mucus in the stool (20.0%).
The highest prevalence of rotavirus diarrhea was identified in the combination
of diarrhea, fever, vomiting and cough/rhinorrhea (55.3%). Stool analysis
re-vealed that the prevalence of rotavirus diarrhea among children with fat
malabsorption, lactose malabsorption, and stool leukocyte of +2 were 50.0%,
46.7% and 33.9%, respectively. Conclusion The prevalence of rotavirus diarrhea
in the pediatric outpatient clinic of Cipto Mangunkusumo Hospital, Jakarta was 35.7%.
The highest prevalence of rotavirus diarrhea was identified in the combination
of diarrhea, fever, vomiting and cough/rhinorrhea (55.3%)
Author: Teny Tjitrasari, MD;
Agus Firmansyah, MD, PhD; Imral Chair, MD
Journal Code: jpkedokterangg050065
