Turkish Archives of Pediatrics
Original Article

Clinical Features and Outcomes of Children Admitted to the PICU due to Rotavirus Infection

1.

Department of Pediatrics, Division of Pediatric Critical Care Medicine, Ankara University School of Medicine, Ankara, Turkey

2.

Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey

3.

Department of Pediatrics, Division of Pediatric Emergency Medicine, Ankara University School of Medicine, Ankara, Turkey

4.

Department of Pediatrics, Division of Pediatric Infectious Diseases, Ankara University School of Medicine, Ankara, Turkey

Turk Arch Pediatr 2021; 56: 591-595
DOI: 10.5152/TurkArchPediatr.2021.21140
Read: 149 Downloads: 70 Published: 01 November 2021

Objectives: In this study, we aimed to evaluate the clinical and laboratory features of the patients with rotavirus (RV) antigen positivity on or following admission to the pediatric intensive  care unit (PICU).

Methods: Patients admitted to the PICU due to community-acquired rotavirus (CA-RV) or hospital-acquired rotavirus (HA-RV)-induced gastroenteritis between January 1, 2013, and December 31, 2019 were evaluated.

Results: Thirty-four patients with a mean age of 14.00 ± 19.17 months were enrolled. Fortyfour percent were girls. Twenty (58.8%) patients had a history of chronic diseases. Nine (26.5%) patients had CA-RV and 25 (73.5%) patients had HA-RV infection. RV antigens were simultaneously found in 44.1% (n = 14) of the other patients at the time of diagnosis. In the study sample, 5 patients had hyponatremia, 8 had hypernatremia, 6 had hypokalemia, 4 had hypoalbuminemia, 21 had leukocytosis, 2 had leukopenia and 3 had thrombocytopenia, and 17 had elevatedC-reactive protein (CRP) levels. Three patients had seizures, 1 patient had cardiac arrest, and 2 patients had secondary bacteremia. The mean (SD) PICU length of stay was 6 (6.02) with CA-RV gastroenteritis. All CA-RV patients survived, but 8 of the HA-RV patients succumbed to causes other than RV.

Conclusion: RV-related PICU admission is not rare, and occasional severe clinical consequences occur, especially in young children, with both CA-RV and HA-RV gastroenteritis. Appropriate timely intervention and meticulous follow-up improve survival.

Cite this article as: Gün E, Kendirli T, Öztürk AG, et al. Clinical features and outcomes of children admitted to the picu due to rotavirus infection. Turk Arch Pediatr. 2021; 56(6): 591-595.

Files
EISSN 2757-6256