Nosocomial diarrhea

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Abstract
Objective: To study the occurrence of nosocomial diarrhea in pediatric wards and the role of infections in its causation.Methods: 75 cases conforming to the CDC definition of nosocomial diarrhea were selected for the study. Stool samples were subjected to direct microscopic examination, bacteriological culture and direct antigen detection forClostridium difficile (C. difficile) andRota virus.Results: All the cases were sporadic in origin.Rota virus was detected in 16.67% cases andEnteropathogenic Escherichia coli (E.P.E.C.) was detected in 12% cases. Cases in which no pathogen was detected (82.7%) outnumbered those in which a pathogen was identified (17.3%).Conclusion:Rota virus andE.P.E.C were the most common etiological agents.C. difficile was detected in one case only. Most of the sporadic cases of nosocomial diarrhea in pediatric patients can be managed on fluids and electrolytes.

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