Abstract:

Acute gastroenteritis in children can be seen with high mortality and morbidity. In acute gastroenteritis diagnosis and treatment approaches, viral factors are often ignored and the use of unindicated ampyric antibiotics is a very common condition. This study aims to determine the frequency of rotavirus and adenovirus in patients who apply to a child clinic due to acute gastroenteritis. Tools and Methods: From January 2018 to January 2019, 518 patients who were applied to our hospital due to diarrhea were examined retrospectively. The presence of rotavirus and adenovirus antigen in the extract samples was qualitatively assessed in accordance with the manufacturer’s recommendations by the immunochromatographic method with the ROTA/ADENO (Acrobiotech, USA) kit. The study contains 518 cases of infection. In 49 cases (9.4%) rotavirus antigen was positive, in 5 cases (0.96) adenovirus was positive. When assessed by seasons, rotavirus was seen at a rate of 18% in the winter, while adenovirus was found at a rate of 2.5% in the autumn. Rotavirus and adenovirus were identified between the ages of 6-10 years. In the diagnosis and treatment of acute gastroenteritis, it should be considered as a factor of rotavirus and adenovirus, especially in winter months. The lower rate of rotavirus than literature can be linked to an increase in vaccination consciousness. If we get into the routine vaccine calendar, we think this rate will be even lower. Keywords: Adenovirus; Acute Gastroenteritis; Rota virus ABSTRACT Objective: Acute gastroenteritis in children may progress with high mortality and morbidity. It is a common practice using antibiotics for the treatment of diarrhea in children usually without taking into account viral agents. In this study, we aimed to investigate the frequency of rotavirus and adenovirus antigen positivity in children with acute gastroenteritis admitted to children outpatient clinic. Material and Methods: A total of 518 children who applied between January 2018 and January 2019, with complaints of acute gastroenteritis, were investigated retrospectively. The presence of rotavirus and adenovirus antigen in stool samples was evaluated qualitatively with the immunochromatographic method, ROTA / ADENO (Acrobiotech, USA) kit according to the manufacturer's recommendations. Results: Five-hundred-eighteen cases of diarrhea were included in the study. Rotavirus antigen was positive in 49 cases (9.4 %), adenovirus was positive in 5 cases (0.96 %). When evaluated according to the seasons; rotavirus was most common in winter, at a rate of 18%, adenovirus, on the other hand, was most common in the fall with 2.5%. According to the ages, rotavirus and adenovirus were most common between the ages of 6-10. In the diagnosis and treatment of acute gastroenteritis especially in winter, rotavirus and adenovirus should be considered as agents. The fact that the rotavirus rate is lower than the literature may be related to increased awareness of vaccination. We think that this rate will decrease even more if the routine enters the vaccination schedule. Keywords: Acute Gastroenteritis; Adenovirus; Rotavirus

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