Özet:

Introduction: The purpose of this study is to examine cases of acute gastroenteritis associated with rotavirus, laboratory parameters of acute gastroenteritis associated with rotavirus, hospitalization periods, hospitalization frequency and repeated emergency applications within 72 hours following the first application. Methods: Patients of <18 years of age who have applied to the Child Emergency Service three or more times between 1 January and 30 June 2018 due to vomiting and/or diarrhea have been examined. The output rotavirus antigen was determined as the study group of the positive events, the output rotavirus antigen was determined as a negative, randomly selected age and gender matching, and the same number of patients were identified as the control group. Results: In total 2,834 patients were studied rotavirus antigen in the output. The output rotavirus antigen positivity was determined at 5.3% (n=149). There was no difference between the two groups in terms of age (2,5±2,0 years vs. 2,5±2,0 years, p=0,657) and gender (53% male vs. 55% male, p=0,816). In the rotavirus group, vomiting and diarrhea associations were significantly more common than in the control group (87% vs. 55, p<0,001). Dehydration findings were more common in the rotavirus group (57 percent vs. 27,5 percent, p<0,001). In the laboratory parameters, pH (7.37±0,06 vs. 7.39±0,06, p=0,009), HCO3 (15.7±3,5 mmol/L vs. 17.4±3,5 mmol/L, p<0,001), BUN (31.9±16,0 mg/dL vs. 25.4±11,3 mg/dL, p<0,001) and uric acid (7.0±2,8 mg/dL vs. 5.7±2,5 mg/dL, p<0,001) were statistically significant between the two groups. Additionally, adenovirus and/or amype were detected in 8 patients in the rotavirus-positive group. When compared to the duration of stay in the hospital, it was found that the duration of stay in the hospital of the rotavirus group was significantly longer (12,3±14,2 hours vs. 7,6±10,4 hours, p=0,029). Both hospitalization (38.9 percent vs. 18.1 percent, p<0,001) and repeated emergency service applications rates (14.1 percent vs. 5.4 percent, p=0.018) were higher in the rotavirus group. The result: Rotavirus, which is commonly found in childhood due to acute gastroenteritis, has been linked to vomiting, diarrhoea and dehydration in patients who are in the forefront, and the Rotavirus positivity has been linked to higher hospitalization and repeated emergency service applications rates with longer stay in the hospital.

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