Aetiology and clinical features of acute childhood diarrhoea in an outpatient clinic in Vellore, India.

V. Mohandas, J. Unni, M. Mathew, M. C. Steinhoff, D. P. Rajan, M. Mathan, S. M. Pereira

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Abstract

The aetiology of acute diarrhoea was investigated in 245 children less than 3 years old in a paediatric outpatient clinic in southern India. In 55% of the children organisms were found in the stools, and one quarter were infected with multiple organisms. Viruses, enteropathogenic E. coli, shigella and campylobacter species accounted for 75% of all isolates. Cholera and helminthiasis were rare, and no child had amoebiasis. Clinical findings were useful in the diagnosis of shigella and rotavirus infection only. Children with shigellosis had classical dysentery, and a greater number of stools; they were unlikely to be breast-fed, to be less than 6 months old, or to have watery stools. Rotavirus infections were characterized by vomiting. Only 20% of the 245 children had an infection which could be treated effectively with antimicrobials.

Original languageEnglish (US)
Pages (from-to)167-172
Number of pages6
JournalAnnals of tropical paediatrics
Volume7
Issue number3
DOIs
StatePublished - Sep 1987

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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Mohandas, V., Unni, J., Mathew, M., Steinhoff, M. C., Rajan, D. P., Mathan, M., & Pereira, S. M. (1987). Aetiology and clinical features of acute childhood diarrhoea in an outpatient clinic in Vellore, India. Annals of tropical paediatrics, 7(3), 167-172. https://doi.org/10.1080/02724936.1987.11748500