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The most common cause of diarrhea in children is viral diseases and the most common cause of viral diarrhea is route virus diarrhea (40-60%).
Acıbadem Kocaeli Hospital Pediatric Specialist Contact sevinç directly, gave information about the route virus.
Rota virus was first described in Australia in 1973. There are 3 groups of 7 groups that cause disease in humans; “A, B, C groups”. The most common diarrhea in children is group A. It is most commonly seen in late autumn (December-January) and mid-spring, but may occur at any time of the year. Especially in environments where hygiene conditions are not good, the route virus can easily spread to the environment with the feces of a person with diarrhea. The door handles, telephone, elevator button, toys, cups touched by this person can easily be transmitted to the surrounding people by various means. Studies have found that the virus can survive on dry surfaces for 6-60 days.
Which Age Group is Most Affected?
- Severe diarrhea due to the route virus often affects children between 3 months and 2 years.
- Babies before 3 months are protected by antibodies passing through breast milk.
- In the first 2-3 years of life, children are necessarily infected with course virus diarrhea and form antibodies against this virus.
- 95% of children all over the world meet this virus, which is responsible for the deaths of more than 1 million children per year by the age of 3-5.
- Being exposed to the route virus allows a more gentle subsequent infection attack.
- Rota virus diarrhea affects the small intestine and disrupts the absorption of fluid and electrolytes; Vomiting and diarrhea is important because it disrupts the electrolyte balance in the body and causes serious fluid loss.
- Therefore, it is in the first place in hospitalizations due to diarrhea.
- Symptoms of infection are between 12 hours and 4 days after contact. Usually after an incubation period of 1-3 days, suddenly vomiting begins.
- Half of the cases may be accompanied by fever. For 5-8 days watery diarrhea, mild fever, vomiting, resistant anorexia are sometimes observed as signs of upper respiratory tract infection (cough, runny nose).
- In premature cases, it can be seen as severe diarrhea.
- There is no blood or leukocyte in the stool assay for diagnosis, in some cases a small number of erythrocytes are detected in the stool, while secret blood in the stool may be positive.
- There is no reproduction in stool culture. Rota virus antigen test is diagnosed in a short time. The virus is excreted through the stool throughout the disease, or even the virus can be detected in the stool for another 2-3 days after the recovery of symptoms. Therefore, infectiousness lasts for at least 1 week.
- Treatment of the route virus infection consists only of liquid electrolyte supplementation and the administration of antibiotics is unnecessary.
- Breastfeeding is often recommended in infants receiving breast milk.
- If it can get liquid from the mouth, sugar-salt solutions (ORS) which are available in the market are recommended. Probiotics can be used to ensure that the viral agents in the intestine adhere to the intestinal wall, to proliferate, to neutralize the toxins.
- In case of severe fluid loss, inpatient serum treatment should be performed. Low-fat diarrhea diet is low and frequent nutrition is recommended.
How Should We Prevent Route Virus?
The most effective way to avoid route diarrhea is to follow the rules of hygiene. Wash hands frequently. Vaccines developed in recent years are also very important in preventing disease. The first doses of vaccines should be administered for 6 weeks to 3 months.