Profile and Epidemiology of Intussusception in Children Under-Two Years of Age: A Prospective Surveillance.
Children
Coimbatore
Incidence
Intussusception
Prospective surveillance
South India
Journal
Indian journal of pediatrics
ISSN: 0973-7693
Titre abrégé: Indian J Pediatr
Pays: India
ID NLM: 0417442
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
24
11
2020
accepted:
13
04
2021
pubmed:
1
6
2021
medline:
15
12
2021
entrez:
31
5
2021
Statut:
ppublish
Résumé
To report background intussusception epidemiology in children under-two years in Coimbatore district of Tamil Nadu state, India, prior to rotavirus vaccine (RVV) introduction. Prospective sentinel surveillance was done at four hospitals in Coimbatore during April 2016 to September 2017. The children aged >1 mo and < 24 mo with diagnosed intussusception were recruited and data on clinical, treatment, diet, immunization, and sociodemography were collected. Sixty-eight children with intussusception were recruited. Among them 76.5% were infants with male predominance (57.4%) and 48.5% were 4-8 mo old. Vomiting (83.8%), pain in abdomen (including excessive crying) (72.1%), and bloody stools (45.6%) were the main symptoms. Reduction was tried in 92.6% cases with success in 83.8%. Surgery was needed by 16.2% children. No child died. Any RVV dose was received by 24.1% children and 2 children received RVV in 8-21 d and none within 1-7 d window. The incidence of intussusception requiring hospitalization was estimated to be 36.4 and 11.7 cases/100,000 children/y for the first and second years, respectively. Intussusception occurred in infants even without RVV exposure. Continued surveillance is needed to document the changes in intussusception epidemiology after RVV introduction.
Identifiants
pubmed: 34057604
doi: 10.1007/s12098-021-03776-8
pii: 10.1007/s12098-021-03776-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1187-1194Subventions
Organisme : Bill and Melinda Gates Foundation
ID : OPP1116433
Informations de copyright
© 2021. Dr. K C Chaudhuri Foundation.
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