Korean J Pediatr Infect Dis.  2003 Nov;10(2):186-192. 10.14776/kjpid.2003.10.2.186.

A Study of Acute Gastroenteritis in Neonates Transfered from Postpartum Care Centers

  • 1Department of Pediatrics, College of Medicine, Soon Chun Hyang University, Seoul, Korea. eunmi@hosp.sch.ac.kr
  • 2Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea.
  • 3Department of Pediatrics, So Hwa Chidren's Hospital, Seoul, Korea.
  • 4Department of Pediatrics, Buchun Soon Chun Hyang Hospital, College of Medicine, Soon Chun Hyang University, Ilsan, Korea.
  • 5Department of Pediatrics, Ilsan Paik Hospital, Inje University, Ilsan, Korea.
  • 6Department of Pediatrics, Ilsan Hopital, Ilsan, Korea.
  • 7Department of Pediatrics, Pil-dong Hospital, Colleage of Medicine, Chung Ang University, Seoul, Korea.
  • 8Department of Pediatrics, Kangnam Sungsim Hospital, College of Medicine, Han Lim University, Seoul, Korea.
  • 9Department of Pediatrics, Kangdong Sungsim Hospital, College of Medicine, Han Lim University, Seoul, Korea.
  • 10Kangnam General Hospital Public Corporation, Seoul, Korea.


Recently, acute gastroenteritis broke out among the neonates transferred from postpartum care centers located in Seoul, and Gyeounggi area. Thus, we researched the cause, progress and characters of the disease by analyzing the cases from 9 hospitals in Seoul and Gyeounggi area.
We conducted retrospective study of 33 neonates transferred from postpartum care centers from October 2001 to July 2002 : we divided the neonates into 2 groups. The severe group had any of following 5 conditions : blood pH < 7.20, respiratory difficulty, mechanical ventilation, shock, and disseminated intravascular coagulation. And the rest were classified into the moderate group.
The severe group was significantly more aged than the moderate group(P=0.005). Weight loss was significantly severe in the severe group(P=0.0512). In blood gas analysis, bicarbonate was less in the severe group than the moderate group(P=0.032). In the virus examination, rotavirus was detected in 7 cases, and astrovirus was detected in 1 case. In the severe group, 4 neonates were dead.
In acute gastroenteritis of neonates, early diagnosis and treatment are important. Thus, the legislation of postpartum care center is needed, and the medical specialists should be stationed in postpartum care center. We assume that the severe group had severe conditions because they were treated comparatively late. However, to find out the cause of the disease and to cope with it, the nationwide epidemiologic study on acute gastrenteritis of neonates is needed.


Neonate; Acute gastroenteritis

MeSH Terms

Blood Gas Analysis
Disseminated Intravascular Coagulation
Early Diagnosis
Epidemiologic Studies
Hydrogen-Ion Concentration
Infant, Newborn*
Postnatal Care*
Postpartum Period*
Respiration, Artificial
Retrospective Studies
Weight Loss
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