Abstract
Background and aims: The possibility of intestinal intussusception (II) following the introduction of rotavirus (RV) vaccines in infants is a global concern. Continuous surveillance of II cases is mandatory in these countries. The objective of this study was to describe all documented cases of II in infants < 24 months of age hospitalized at the pediatric tertiary referral and teaching hospital of Costa Rica during an 8-year period. This baseline information is important considering that RV vaccine is scheduled for introduction soon in our country.
Methods: Retrospective descriptive chart review study of patients (pts) < 24 months of age with a discharge diagnosis of II, who were admitted at our center from Jan 1st, 2001 to Dec 31, 2008.
Results: During this 8-year period, 182 pts were discharged with diagnosis of II. The average annual hospitalization rate for II among infants in the HNN was 31/100.000 p/year. 57.7% were male; distribution by age groups was: 0-6 months, 80(43.9%); 7-12 months, 83 patients (45.6%); and >13 months, 19 pts(10.3%). Mean age was 7.7 months. US was the most frequent method for dx, 167/182(97.6%). Enema reduction was performed in 151/182, and reduction was achieved on 79/151(52.32%).
Surgical reduction was required in 103/xs182(56.6%) pts. Bowel perforation was most frequent complication in 13(12.6%) pts, and intestinal resection was required in 16(15.5%) pts. No deaths occurred.
Conclusions: This study provides baseline information about the incidence and epidemiology of II in Costa Rican, prior to universal RV vaccination.
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Mazariegos, G., Esquivel, A. & Jimenez, A. 272 Intestinal Intussusception at Costa Rica's Children's Hospital: An 8-Year Study. Pediatr Res 68 (Suppl 1), 140 (2010). https://doi.org/10.1203/00006450-201011001-00272
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DOI: https://doi.org/10.1203/00006450-201011001-00272