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Comparison of clinical picture of rotaviral infections among breast-fed and not breast-fed infants --- Porownanie obrazu klinicznego zakazen rotawirusowych u niemowlst karmionych naturalnie i sztucznie

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Author(s): Joanna Gssiorowska | Marika Reszczynska | Anna Lichszteld | Beata Jakubowska | Anna Dsbrowska | Eliza Lezyk | Lech Gizinski | Magdalena Pilarska | Karolina Pawelska | Lukasz Prstnicki | Mieczyslawa Czerwionka-Szaflarska

Journal: Przegląd Pediatryczny
ISSN 0137-723X

Volume: 37;
Issue: 2;
Start page: 232;
Date: 2007;
Original page

ABSTRACT
Background: One of the most frequent causes of acute diarrhaeas among infants and young children is rotaviral infection. It is suggested that breast-feeding influences morbidity and clinical courses. The aim of the study was to compare clinical picture of rotaviral infections among breast-fed and not breast-feed infants. Material and methods: Medical records of 160 infants between 1 month and 12 months of age were analyzed. The children were hospitalized in the Chair and Department of Pediatrics, Allergology and Gastroenterology between 1999 and 2005. Results: Among 160 infants with confirmed rotaviral infection 27 were breast-fed and 133 not breast-fed. Vomiting was present among the 81% of breast-fed and the 74% of not breast-fed children. Symptoms of upper respiratory tract infection such as cough and sneezing were presented respectively among 30% and 41% of the children. In the breast-fed group fever was presented among 78% of the children and in the not breast-fed group among the 61% of children. Hospital rotaviral infections were observed more frequently among the not breast-fed children than among the breast-fed children (50 vs. 37%), however the differences were not statistically significant. Duration of symptoms until the time of hospitalization was longer than 24 hours among the breast-fed children and less than 24 hours among the not breast-fed children. Vomiting was observed in both groups of children for one day on average, whereas diarrhoea was observed for 6 days in the breast-fed children and 5 days in the not breast-fed children. The entire disease duration in both groups was 6 days on average. One the basis of statistical analysis it was shown that the clinical course of rotaviral infections among breast-fed and not breast-fed infants demonstrated no statistical differences. Conclusion: Breast feeding does not influence the clinical course of rotaviral infection.
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