Gastrointestinal infections in the pediatric population

  title={Gastrointestinal infections in the pediatric population},
  author={Hania Szajewska and Piotr Dziechciarz},
  journal={Current Opinion in Gastroenterology},
Purpose of review To summarize the literature concerning gastrointestinal infections in the pediatric population, primarily in developed countries. Searches of MEDLINE and the Cochrane Library databases were performed in August 2009 to locate studies published in the last 18 months. Recent findings Several independent guidelines based on systematic reviews of the best available evidence related to rotavirus vaccination and to the management of acute gastroenteritis were recently published… 
The management of paediatric gastroenteritis
Results show a decrease in consultation rates over 10 years however hospital referrals and stool sample requests have increased and parent and clinician beliefs need to be addressed in order to ensure management of GE is appropriate and not detrimental to patients.
Acute gastroenteritis among children in the developing world
Acute gastroenteritis represents a major cause of morbidity and mortality worldwide. Young children are affected most frequently, with three to 10 episodes of diarrhoea per subject per year, a rate
A novel solution for prevention and treatment of alimentary tract diseases
This commentary summarizes the laboratory investigations and clinical trials published recently involving per-oral application of IgY supplemented food for specifi c orogastrointestinal disease
How to Predict Oral Rehydration Failure in Children With Gastroenteritis
Early recognition of young children with AGE at risk of failure of oral rehydration therapy is important, as emphasized by the 21% therapy failure in this population.
Treatment and Prevention of Rotavirus Infection in Children
  • P. Dennehy
  • Medicine
    Current Infectious Disease Reports
  • 2013
There have been no significant strain shifts or escape mutants noted since the introduction of rotavirus vaccines and herd immunity has also been noted after routine rotav virus immunization.
Prevalence, risk factors and seasonal variations of different Enteropathogens in Lebanese hospitalized children with acute gastroenteritis
Analysis of demographic, clinical and laboratory data of 619 Lebanese children admitted with AGE to pediatrics departments of three tertiary care centers in South Lebanon revealed that males had a higher incidence of AGE than females, and E. histolytica caused the most severe AGE.
Implementation of clinical decision support in young children with acute gastroenteritis: a randomized controlled trial at the emergency department
Implementation of a nurse-guided clinical decision support system on treatment of AGE in young children showed good feasibility, resulting in a more standardized ORS use in children with mild to moderate dehydration, compared to usual care.
Surveillance Study of Acute Gastroenteritis Etiologies in Hospitalized Children in South Lebanon (SAGE study)
The high prevalence of E. histolytica infection as the major cause of pediatric gastroenteritis in hospitalized children, during the summer period likely reflecting the insanitary water supplies and lack of hygiene should prompt us to widen the diagnostic laboratory arsenal by adopting new diagnostic technologies.
Oral passive IgY-based immunotherapeutics
This commentary summarizes the laboratory investigations and clinical trials published recently involving per-oral application of IgY supplemented food for specific orogastrointestinal disease
Burden of acute gastroenteritis among children younger than 5 years of age – a survey among parents in the United Arab Emirates
Given its high incidence, pediatric gastroenteritis has an important financial and productivity impact on parents in the United Arab Emirates, and efforts should be made both to prevent acute gastroEnteritis and to optimize its treatment.


Saccharomyces boulardii for treating acute gastroenteritis in children: updated meta‐analysis of randomized controlled trials
This update of the meta-analysis of data from RCTs confirms that in otherwise healthy infants and children, the use of S. boulardii is associated with clinical benefits in the treatment of AGE, specifically a reduction in the duration of diarrhoea by approximately 1 day.
Use of antiemetic agents in acute gastroenteritis: a systematic review and meta-analysis.
Ondansetron therapy decreases the risk of persistent vomiting, the use of intravenous fluid, and hospital admissions in children with vomiting due to gastroenteritis.
Oral diosmectite reduces stool output and diarrhea duration in children with acute watery diarrhea.
Prospective study of Clostridium difficile infections in Europe with phenotypic and genotypic characterisation of the isolates.
Ooing epidemiological surveillance of cases of C. difficile-associated diarrhoea, with periodic characterisation of the strains involved, is required to detect clustering of cases in time and space and to monitor the emergence of specific highly virulent clones.
Prevention of Rotavirus Disease: Updated Guidelines for Use of Rotavirus Vaccine
This statement updates and replaces the 2007 American Academy of Pediatrics statement for prevention of rotavirus gastroenteritis and addresses the maximum ages for doses, contraindications, precautions, and special situations for administration of rotvirus vaccine.
Clostridium difficile-associated diarrhea in a region of Quebec from 1991 to 2003: a changing pattern of disease severity
An epidemic of CDAD with an increased case-fatality rate has had important consequences on the elderly population of Quebec and the equivalence of vancomycin and metronidazole in the treatment ofCDAD needs to be questioned.
European Society for Paediatric Gastroenterology, Hepatology, and Nutrition/European Society for Paediatric Infectious Diseases Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe: Executive Summary
The ESPGHAN/ESPID Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe Expert Working Group is presented.
A predominantly clonal multi-institutional outbreak of Clostridium difficile-associated diarrhea with high morbidity and mortality.
A strain of C. difficile that was resistant to fluoroquinolones and had binary toxin and a partial deletion of the tcdC gene was responsible for this outbreak ofC.difficile-associated diarrhea.
European Society for Paediatric Infectious Diseases/European Society for Paediatric Gastroenterology, Hepatology, and Nutrition Evidence-Based Recommendations for Rotavirus Vaccination in Europe
This paper presents a systematic literature review and meta-analyses showing clear trends in prognosis for vaccine-preventable disease in children aged five to eight years of age and indicates that vaccination and infection are more closely related than previously thought.