Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1398
11
1
gregorian
2020
2
1
34
1
online
1
fulltext
en
Incidence of intussusception in children less than five years of age: a pre-rotavirus vaccine survey from Iran, 2010-2015
Pediatric
Pediatric
Original Research
Original Research
<strong>Background: </strong>The aim of this study was to determine the baseline statistics of intussusception in the under-five- year age group in Iran to facilitate the monitoring of potential side effects after administration of rotavirus vaccine.<br>
<strong>Methods: </strong>This hospital-based historical cohort study reviewed children under 60 months of age with the final diagnosis of intussusception, ICD-10 code K56.1, using census in all hospitals of Tehran, Iran from March 2010-2015. Demographic (sex, age, hospital stay duration), clinical manifestations (such as currant jelly stool, abdominal pain, vomiting, and fever),diagnostic and treatment methods (contrast enema, ultrasonography, laparotomy, and laparoscopy), and outcome data of patients aged less than 5 years with the diagnosis of intussusception were collected and analyzed using SPSS Version 16.0 (SPSS Inc., Chicago, IL, USA)<br>
<strong>Results:</strong> In this study, 759 patients were diagnosed with intussusception; 309 (40.7%) cases were less than 12 months old. The annual incidence of intussusception was 66.54 cases per 100.000 in children less than one-year-old and 31.61 cases per 100.000 in children less than five years old. The most common symptoms and signs were abdominal pain/irritability (94.2%) and tenderness (24.2%), respectively. The diagnostic method was ultrasound in 75.9% of cases. The most frequent anatomic location was the ileocolic region (87.87%) and the most common treatment method was barium enema.<br>
<strong>Conclusion:</strong> This research has provided a baseline statistic for childhood intussusception in Tehran prior to the administration of the rotavirus vaccine to provide a better comparison with post-introduction data.
Incidence, Intussusception, Invagination, Pediatrics, Rotavirus vaccine
279
284
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-5379-1&slc_lang=en&sid=1
Abdoulreza
Esteghamati
Esteghamati@gmail.com
200319475328460063906
200319475328460063906
No
Research Center of Pediatric Infectious Diseases, Institute of Immunology and Infectious Diseases, Iran University of Medical Sciences, Tehran, Iran
Mohammadamin
Joulani
Joulani.ma@tak.iums.ac.ir
200319475328460063907
200319475328460063907
No
Student Research Committee (SRC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Shirin
Sayyahfar
Sayyahfar.sh@iums.ac.ir
200319475328460063908
200319475328460063908
Yes
Research Center of Pediatric Infectious Diseases, Institute of Immunology and Infectious Diseases, Iran University of Medical Sciences, Tehran, Iran
Sarvenaz
Salahi
alahi13639@gmail.com
200319475328460063909
200319475328460063909
No
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran
Mahla
Babaie
Mahla_babaie@yahoo.com
200319475328460063910
200319475328460063910
No
Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
Ahmad Reza
Shamshiri
ar_shamshiri@yahoo.com
200319475328460063911
200319475328460063911
No
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Alireza
Fahimzad
safahimzad@yahoo.com
200319475328460063912
200319475328460063912
No
Pediatric Infections Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran