Sinan Mahir KAYIRAN, Tuğba GÜRSOY, Erhan PALAOĞLU, Berkan GÜRAKAN

İSTANBUL AMERİKAN HASTANESİ’NE BAŞVURAN GASTROENTERİTLİ ÇOCUKLARDA ADENOVİRUS, NOROVİRUS VE ROTAVİRUS SIKLIĞI

Çocuklardaki gastroenterit vakalarının çoğunluğunun etiyolojisinde rotavirus, norovirus, astrovirus ve adenovirus rol almaktadır. Rotavirus aşılaması sonrasında ülkemizde ve bölgemizde değişiklik olduğu düşüncesiyle, çalışmamızda hastanemizde akut gastroenterit vakalarının etiyolojisinde virusların sıklığı değerlendirilmiştir. Çalışmaya alınan 474 hastanın taze dışkısının analizinde 17 hastada rotavirus (% 3.6), 18 hastada adenovirus (% 3.8), 27 hastada norovirus (% 5.7) antijeni pozitif bulunmuştur. Toplamda çocukların % 13'ünde (n=62) viral antijen tespit edilmiştir. Hastaların yaş ortalaması 3.2±0.7 olarak bulunmuştur. Tüm çocuklara rotavirus aşısı yapıldığı tespit edilmiştir. Viral antijenlerin pozitifliğinde yaş gruplarına göre ve cinsiyete göre anlamlı bir farklılık saptanmamıştır (p>0.05). Sonuç olarak akut pediatrik gastroenterit vakalarında etiyolojide en sık etkenin rotavirustan norovirusa değiştiğini gözlemekteyiz

Adenovirus, Norovirus and Rotavirus in Etiology of Children with Acute Gastroenteritis Applying to Istanbul American Hospital

The most common etiologic agents of gastroenteritis in children are rotavirus, norovirus, astrovirus and adenovirus. In the light of the opinion of etiological changes in the frequency of etiology after rotavirus vaccination, cases with viral gastroenteritis in our region and country in our hospital were evaluated. The analyses of the fresh stool of the study group (474 patients) revealed rotavirus in 17 (3.6 %), adenovirus in 18 (3.8 %) and, norovirus in 27 (5.7 %) of the patients. Viral antigens were detected in 62 (13 %) of all children tested. The mean age of the cases were 3.2±0.7 years old. There was no significant relation between the frequency of the viral agent, age and gender (p>0.05). As a result, we are observing the most common etiological agent in cases with acute gastroenteritis changing from rotavirus to norovirus.

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