ESPID18-1117

EPIDIMIOLOGICAL ANALYSIS OF ACUTE GASTRENTERITIS IN CHILDREN PRESENTED IN A DISTRICT NHS GENERAL HOSPITAL IN SOUTH ATHENS GREECE: PRELIMINARY DATA
Tsekoura E., M.D., Ph.D., Katsaras G., M.D., Pneumatikou A., M.D.
Asklepieion General Hospital, Paediatric, Athens, Greece 
Background
Acute gastrenteritis (AGE) in one of the main public health issues world wide. We aimed to study the epidemiology of paediatric AGE cases in South Athens Greece, in view of their clinical characteristics, etiology, antibiotic use and rotavirus vaccination.
Methods
Retrospective analysis over a two year period 2016-2017 of Α&Ε records and inpatient files of all AGE paediatric cases from an NHS District General Hospital in South Athens Greece
Results
A total of 530 paediatric AGE cases were analysed, 49,8% boys,  48,7% girls, Greek ethnicity 70.9%, mean age= 60 months (r: 9 days-16 y). Maximum admission A&E rate was recorded on December (15,09%) and minimum on April (2,64%). Main reason for A&E admission was vomiting 72.9%, diarrhoea 50.2%, vomiting and diarrhoea 23%, fever 37%. Hospitalization rate 19.6%, maximum  rate recorded on January (15.09%) and minimum on October (2.9%) and mean hospitalization days=2. Boys 48.1% , girls 51.9%,  greek ethnicity 69.2%.  mean age 72 months (r: 5 months-16 years), mean vomiting episodes/day=5, mean diarrhea episodes /day=3, fever 48.1%, bloody stools 5.8%, mean siblings=2. Borderline leucopenia or leukocytosis <6000 or >10.000 had 76%. Rotavirus detection 23.1%, adenovirus 2.9%, salmonella 4.8%. From the 6 cases with bloody stools salmonella identified in only one. One case only treated with antibiotics. Rotavirus vaccination data were available in 15/104 hospitalized cases of which only 4/15 were vaccinated (26.7%). In the 24 rotavirus cases age spectrum was 5 months-15 years old, vaccination data were available in 5/24 of which 4/5 (aged 4 months-7 years) were not vaccinated.
Conclusions
AGE paediatric cases presented mainly on December with a fifth being hospitalized mainly on January. Rotavirus vaccination rate is low, although rotavirus remain the main detected agent with another 69.2% not being identified

EPIDEMIOLOGICAL ANALYSIS OF ACUTE GASTRENTERITIS IN CHILDREN PRESENTED IN A DISTRICT NHS GENERAL HOSPITAL IN SOUTH ATHENS GREECE: PRELIMINARY DATA