Variables asociadas a rotavirus, parasitismo y polimorfonucleares en una población pediátrica con enfermedad diarreica aguda atendida en el Hospital del IESS. Santo Domingo de los Tsáchilas,2014.

Abstract

Objective. To determine the variables associated with the presence of Rotavirus, parasitism or Polymorphonuclear in children with acute diarrhea treated at the hospital IESS Santo Domingo de los Tsáchilas.

Material and methods. With a transversal design information was collected 363 patients with EDA of which 13 were excluded misinformation. A 350 PCR tests, leukocytosis, eosinophilia, stools and rotavirus and polymorphonuclear was performed. The prevalence of rotavirus was estimated and the variables associated with higher prevalence was identified.

Results. There was a predominance of women in the study population (66%). 68% of the patients was greater than 5 years. 57% are from rural areas. 94% drink unhealthy water. There was malnutrition in 45% of children. The most common concomitant symptoms were vomiting (30%) and fever (26%).

The prevalence of rotavirus in the sample was 17% (95% CI 14-22) but in the smaller subgroup of five years was 55%. Parasitism was highly prevalent in older than 5 years (P < 0.001). The history of prematurity OR 42.1 (95% CI 20.0 to 88.6), P <0.001 and underweight OR 2.2 (CI 95% 1.05 to 4.9), P = 0.033, associated factors were significantly higher prevalence of rotavirus.

Conclusion. Prevalence of rotavirus in our patients with diarrheal disease is higher than those reported in the literature even in similar health realities to ours. Parasitism remains an endemic high prevalence in children.