DOI: https://dx.doi.org/10.18203/2349-3291.ijcp20223063
Published: 2022-11-24

The electrolyte abnormalities and duration of hospitalisation in children with gastroenteritis

Vaseefat Ul Zehra, Naseer Yousuf Mir, Elmira Haji Esmail Memar, Aakifa Fayaz

Abstract


Background: Diarrhoea remains one of the major causes of death among infants significantly in Asia, Africa and Latin America. The major contributing factors for higher incidence and mortality rates are improper sanitation, unsafe drinking water, physiological conditions like malnutrition, weak immune system.Rotavirus is the major causative agent of diarrhoea in young children in developed and undeveloped countries. Electrolyte abnormalities is the leading causes of morbidity and mortality in younger children with acute gastroenteritis and increased mortality is seen in malnourished children. The common abnormalities associated with acute gastroenteritis are hyponatremia and hypokalaemia. The average duration of hospital stay is 2.5 days.

Methods: This is a descriptive cross-sectional study which studied 173 patients of acute gastroenteritis which have been admitted to the CMC, Tehran in 1 year. (June 2021-May2022).

Results: In this study 173 patients were studied. 101 patients (58.4%) were infants, 55 patients (31.8%) were preschool children and 17 patients (9.8%) were older children. 70 patients (40.5%) were females and 103 patients (59.5%) were males. The most common electrolyte abnormality that was encountered in this study is hyponatremia (51.4%) >hypokalaemia (11.6%) >hypernatremia (6.9%) >hyperkalaemia (1.2%).

Conclusions: The order of electrolyte abnormalities seen: Hyponatremia (51.4%), hypokalaemia (11.6%), hypernatremia (6.9%), hyperkalaemia (1.2%). Duration of hospitalisation is 1 day for majority of the patients and is high for patients with hyponatremia.


Keywords


Acute gastroenteritis, Electrolyte, Hyponatremia, Hypokalaemia, Duration of hospitalisation

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References


Sturmberg JP, Watt P. Acute gastroenteritis in children. In: Aust Fam Physician. 1999;28(4):329-32.

Giordano MO, Ferreyra LJ, Isa MB, Martinez LC, Yudowsky SL, Nates SV. The epidemiology of acute viral gastroenteritis in hospitalized children in Cordoba city, Argentina: an insight of disease burden. SciELO Brazil. 2001;8.

Cardine AM, Gourlain K, Mouterde O, Castignolles N, Hellot MF, Mallet E et al. Epidemiology of Acute Viral Gastroenteritis in Children Hospitalized in Rouen, France. Clin Infect Dis. 2002;34(9):1170-78.

Kim KH, Yang JM, Joo SI, Cho YG, Glass RI, Cho YJ. Importance of rotavirus and adenovirus types 40 and 41 in acute gastroenteritis in Korean children. J Clin Microbiol. 1990;28(10):2279-84.

Fletcher SM, McLaws ML, Ellis JT. Prevalence of gastrointestinal pathogens in developed and developing countries: systematic review and meta-analysis. J Publ Heal Res. 2013;2(1):45-53.

Tajiri H, Takeuchi Y, Takano T, Ohura T, Inui A, Yamamoto K, Higashidate Y, Kawashima H, Toyoda S.The burden of rotavirus gastroenteritis and hospital-acquired rotavirus gastroenteritis among children aged less than 6 years in Japan: a restrospective, multicenter epidemiological survey. BMC Pediatr. 2013;22.

Pratima P, Geethanjali MP. Study of electrolyte imbalance in children suffering from acute gastroenteritis of under 5 age group. ResearchGate. 2018;3210-13.

Shah GS, Das BK, Kumar S, Singh MK, Bhandari GP. Acid base and electrolyte disturbance in diarrhea. In: Kathmandu Univ Med J (KUMJ). 2007;5(1):60-2.

Assar S, Samir MA, Manesh HJ. The frequency of plasma sodium and potassium imbalance in children hospitalized with gastroenteritis in Ahvaz’s Golestan hospital, 2011-2012. Jundishapur Scientific Med J. 2017;453-60.

Homsi M, Singh B, Azawi M, Panchal A, Hauter N, Salafia C et al. Antibiotic therapy in acute gastroenteritis: a single-center retrospective cohort study. Ann Gastroenterol. 2019;32(6):565-9.