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Paediatrica Indonesiana
Published by Ikatan Dokter Anak Indonesia
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of health practice throughout the world.
Arjuna Subject : -
Articles 2,118 Documents
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Risk factors for hearing loss in neonates Ni Luh Putu Maharani; Ekawaty Lutfia Haksari; I Wayan Dharma Artana
Paediatrica Indonesiana Vol 55 No 6 (2015): November 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.366 KB) | DOI: 10.14238/pi55.6.2015.328-32

Abstract

Background An estimated 6 of 1,000 children with live births suffer from permanent hearing loss at birth or the neonatal period. At least 90% of cases occur in developing countries. Hearing loss should be diagnosed as early as possible so that intervention can be done before the age of 6 months. Objective To determine risk factors for hearing loss in neonates. Methods We performed a case-control study involving 100 neonates with and without hearing loss who were born at Sanglah Hospital, Denpasar from November 2012 to February 2013. Subjects were consisted of 2 groups, those with hearing loss (case group of 50 subjects) and without hearing loss (control group of 50 subjects). The groups were matched for gender and birth weight. We assessed the following risk factors for hearing loss: severe neonatal asphyxia, hyperbilirubinemia, meningitis, history of aminoglycoside therapy, and mechanical ventilation by Chi-square analysis. The results were presented as odds ratio and its corresponding 95% confidence intervals. Results Seventy percent of neonates with hearing loss had history of aminoglycoside therapy. Multivariable analysis revealed that aminoglycoside therapy of 14 days or more was a significant risk factor for hearing loss (OR 2.7; 95%CI 1.1 to 6.8; P=0.040). There were no statistically significant associations between hearing loss and severe asphyxia, hyperbilirubinemia, meningitis, or mechanical ventilation. Conclusion Aminoglycoside therapy for >=14 days was identified as a risk factor for hearing loss in neonates.
Paternal and maternal age at pregnancy and autism spectrum disorders in offspring Luh Putu Rihayani Budi; Mei Neni Sitaresmi; I Gusti Ayu Trisna Windiani
Paediatrica Indonesiana Vol 55 No 6 (2015): November 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.887 KB) | DOI: 10.14238/pi55.6.2015.345-51

Abstract

Background The prevalence of autism spectrum disorders (ASDs) has increased 10 times over the past half century, while paternal and maternal age at pregnancy has also increased. Studies looking for an association between paternal or maternal age at pregnancy and ASDs in offspring have not been conclusive. Objective To assess for possible associations between paternal and maternal age at pregnancy and ASDs in offspring. Methods This case-control study had 50 case and 100 control subjects, each case was matched for age and gender to two controls. Case subjects were obtained by consecutive sampling of patients aged 18 months to 7 years who visited the Developmental Behavioral & Community Pediatrics Outpatient Clinic and private growth and development centers from January to April 2013, while control group were children of the same age range and same gender who visited pediatric outpatient clinic at Sanglah Hospital mostly due to acute respiratory tract infection, without ASDs as assessed by the DSM-IV-TR criteria. We interviewed parents to collect the following data: maternal and paternal age at pregnancy, child’s birth weight, history of asphyxia, hospital admission during the neonatal period, pathological labor, maternal smoking during pregnancy, paternal smoking, and gestational age. Data analysis was performed with Chi-square and Fisher’s exact tests. Results Multivariable analysis showed that higher paternal age at pregnancy was associated with ASDs in offspring (OR 6.3; 95%CI 2.0 to 19.3; P 0.001). However, there was no significant association between maternal age during pregnancy and the incidence of ASDs. Asphyxia and paternal smoking were also associated with higher incidence of ASDs in the offspring (OR 10.3; 95%CI 1.9 to 56.5; P 0.007 and OR 3.2; 95%CI 1.5 to 6.9; P 0.003, respectively). Conclusion Paternal age >=40 years increased the risk of ASDs in offspring by 6.3 times. In addition, paternal smoking increased the risk of ASDs in offspring by 3.2 times and asphyxia increased the risk of ASDs in offspring by 10.3 times.
Blood pH and urinary uric acid-creatinine ratio in newborns with asphyxia Sally Palit; Rocky Wilar; Ari Runtunuwu; Julius Lolombulan
Paediatrica Indonesiana Vol 55 No 6 (2015): November 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.279 KB) | DOI: 10.14238/pi55.6.2015.352-6

Abstract

Background Asphyxia is one of the leading causes of death in the world. Prematurity (28%), sepsis (26%), and asphyxia (23%) are the most common causes of death in newborns. In Indonesia, the newborn mortality incidence is 82 per 1,000 live births. Blood pH is a routine laboratory examination to diagnose newborn asphyxia, but it is preferrable to avoid such invasive procedures in newborns. An examination of urinary uric acid-creatinine (UA/ Cr) ratio may be useful as an alternative method for diagnosis of asphyxia. Hypoxia causes anaerobic metabolism which will increase the blood acidity, while creatinine will decline as a result of incomplete renal function in newborns. Objective To assess for a possible correlation between blood pH and urinary UA/Cr ratio in newborn asphyxia. MethodsWe conducted an observational, cross-sectional study in Prof. Dr. R. D. Kandou Hospital, Manado, North Sulawesi, from November 2013 to April 2014. Subjects were full term newborns with asphyxia. Blood pH and urinary UA/Cr ratio were compared with Pearson’s correlation test. Data was analyzed with SPSS version 22 software and P values <0.05 were considered to be statistically significant. Results Forty subjects met the inclusion criteria. Their predominant risk factor for asphyxia was fetal distress. Subjects’ mean blood pH was 7.1 (SD 0.1) and mean urinary UA/Cr ratio was 3.7 (SD 1.9). There was a moderate negative correlation between blood pH and urinary UA/Cr ratio (r= -0.55; P<0.001). Conclusion In newborns with asphyxia, lower blood pH is correlated with higher urinary UA/Cr ratio.
Body mass index, atopy, and allergic diseases Afnita Lestary; Lily Irsa; Tiangsa Sembiring; Rita Evalina; Meiviliani Sinaga
Paediatrica Indonesiana Vol 56 No 4 (2016): July 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (399.382 KB) | DOI: 10.14238/pi56.4.2016.221-5

Abstract

Background Prevalence of atopy, allergic diseases, and obesity are increasing. Atopy is an individu and/or familial tendency to sensitization in response to ordinary exposure to allergens. Studies on association of BM I with atopy and allergic diseases in children were limited, with inconclusive results. Objective To assess associations of BM I with atopy and allergic diseases in chidren. Methods A cross-sectional was conducted in school children aged 6-12 years in Lhokseumawe City, Aceh, June 2012. Children were assessed for BMI, skin prick test, and International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire. Statistical analyses included Chi-square, Fisher exact, and logistic regression. Results The subjects consisted of 137 (85.6%) normoweight, 12 (7.5%) overweight, and 11 (6.9%) obesity. Skin prick test results were positive in 44 (27.5%) and negative in 116 (72.5%) subjects. Allergic manifestations were allergic rhinitis (AR) 17 (10.6%), bronchial asthma 6 (3.8%), and atopic dermatitis (AD) 3 (1.9%). There was significant association of obesity with atopy, compared with normoweight (OR=3.78; 95%CI 1.08 to 13.19; P=0.037), but no significant association found when family history of atopy also assesed. There was significant association of obesity with bronchial asthma (OR=9.92; 95%CI 1.46 to 67.18; P=0.004) and AR (OR=6.49; 95%CI 1.64 to 25.66; P=0.015), compared with normoweight children. Significant association of overweight with atopy and allergic disease were not found. Conclusion Obese children are more likely to have atopy, bronchial asthma, and allergic rhinitis, but overweight and normoweight children are not.
Mantoux tests of children in household contact with adult acid fast bacilli-positive or -negative pulmonary tuberculosis Wardah Wardah; Ridwan Muktar Daulay; Emil Azlin; Wisman Dalimunthe; Rini Savitri Daulay
Paediatrica Indonesiana Vol 57 No 6 (2017): November 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4004.609 KB) | DOI: 10.14238/pi57.6.2017.310-5

Abstract

Background Tuberculosis (TB) is the leading cause of mortality and morbidity in developing countries. In children, the major source of TB transmission is adults with pulmonary TB who have acid fast bacilli (AFB)-positive sputum. However, tuberculosis infection can also occur in children in household contact with adults who have AFB-negative pulmonary TB. Objective To compare Mantoux test results and induration diameters in children with adult pulmonary TB household contact who were either positive or negative for AFB, and to assess for possible associations between Mantoux test results with age, family income, and house ventilation in both groups. Methods A cross-sectional study was conducted from January to March 2014. Mantoux test was performed in children aged 3 months to 18 years who had household contact with either AFB-positive or -negative adult pulmonary TB patients. Results A total of 106 children were enrolled in the study. All subjects had household contact with adult pulmonary TB patients who were either AFB-positive (54 children) or AFB-negative (52 children). Mean Mantoux test induration diameters were significantly different between groups (10.9 (SD 6.55) mm vs. 6.2 (SD 5.91) mm, respectively; P=0.001). In addition, there was significantly higher risk of positive Mantoux test in children in contact with adult AFB-positive TB patients than in the AFB-negative group (OR 5.66; 95%CI 2.36-13.59; P=0.0001). However, there were no significant differences in positive Mantoux test results in each of the AFB-positive and -negative groups, with regards to age, family income, or house ventilation. Conclusion Mean Mantoux test induration diameter in children who had household contact with AFB-positive adults is significantly larger than that of the AFB-negative group. Positive Mantoux test results in children are associated with AFB-positive adult TB in the household. There is no association between positive Mantoux test results and age, family income, or house ventilation in both groups. Â
Comparison of ventilation parameters and blood gas analysis in mechanically-ventilated children who received chest physiotherapy and suctioning vs. suctioning alone Monalisa Elizabeth; Chairul Yoel; Muhammad Ali; M. Sjabroeddin Loebis; Hasanul Arifin; Pertin Sianturi
Paediatrica Indonesiana Vol 56 No 5 (2016): September 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (867.979 KB) | DOI: 10.14238/pi56.5.2016.285-90

Abstract

Background Chest physiotherapy and suctioning are routine methods for airway clearance in mechanically-ventilated children. However, chest physiotherapy has not been confirmed to affect ventilation parameters, such as tidal volume (TV), peak inflation pressure (PIP), peak inspiratory flow (PIF), and peak expiratory flow (PEF), as well as blood gas analysis (BGA) values in pediatric intensive care unit (PICU) patients.Objective To determine the efficacy of chest physiotherapy and suctioning vs. suctioning alone for improving the mechanical ventilation parameters and BGA.Methods This randomized, single-blind, clinical trial was conducted from November 2012 to June 2013 in the PICU at Haji Adam Malik Hospital, Medan. A total of 40 mechanically-ventilated pediatric patients were enrolled and divided into either the chest physiotherapy and suctioning group (24 subjects) or the suctioning alone group (16 subjects). Subjects underwent treatment, followed by monitoring of their ventilation parameters and blood gas analyses. Data were analyzed by independent t-test and Mann-Whitney test.Results Subjects comprised of 23 boys and 17 girls, with an age range of 1–204 months. After the respective treatments (chest physiotherapy and suctioning vs. suctioning alone), the ventilation parameters were as follows: median TV (60.0 vs. 56.5 mL, respectively; P=0.838), median PEF (10.4 vs. 10.8 I/s, respectively; P=0.838), median PIF (7.4 vs. 8.2 I/s, respectively; P=0.469), and mean PIP (17.3 vs. 15.6 cmH2O, respectively; P=0.23). The BGA values were: median pH (7.4 vs. 7.3, respectively; P=0.838), median pCO2 (38.4 vs. 36.2 mmHg, respectively; P=1.000), mean pO2 (136.6 vs. 139.2 mmHg, respectively; P=0.834), median HCO3 (20.4 vs. 22.7 mmol/L, respectively; P=0.594), median TCO2 (22.0 vs. 23.7 mmol/L, respectively; P=0.672), mean BE (-4.3 vs. -3.1 mmol/L, respectively; P=0.629), and median O2 saturation  (98.5 vs. 98.3 %, respectively; P=0.967).Conclusion In mechanically-ventilated children in the PICU, ventilation parameters and BGA values are not significantly different between subjects who received both chest physiotherapy and suctioning and those who received suctioning alone.
Quality of sleep and hypertension in adolescents Arie Taufansyah P. Nasution; Rafita Ramayati; Sri Sofyani; Oke rRna Ramayani; Rosmayanti Siregar
Paediatrica Indonesiana Vol 56 No 5 (2016): September 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (200.192 KB) | DOI: 10.14238/pi56.5.2016.272-6

Abstract

Background Adolescents with hypertension are at risk of morbidity and mortality due to cardiovascular problems in later life. Hypertension may be influenced by poor quality of sleep, so early detection of hypertension and ensuring good quality of sleep in adolescence is needed.Objective To assess for a possible association between poor sleep quality and hypertension in adolescents.Methods We conducted a cross-sectional study from January to March 2013 in Mustafawiyah Boarding School, Mandailing Natal, North Sumatera. Subjects’ quality of sleep was assessed by the Pittsburgh Sleep Quality Index (PSQI) questionnaire and their systolic and diastolic blood pressures were measured. Quality of sleep was categorized as either good or poor. Blood pressure was categorized as either normotensive or hypertensive. An association between poor sleep quality and hypertension was analyzed by Chi-square test.Results Two hundred forty adolescents participated in this study, of whom 210 (87.5%) subjects were normotensive and 30 (12.5%) subjects were hypertensive. We found higher systolic blood pressure [114.9 (SD 11.7) vs. 109.5 (SD 10.5) mmHg as well as diastolic blood pressure [74 (SD 9.1) vs. 69.9 (SD 7.5) mmHg in adolescents with poor sleep quality compared to  those with good sleep quality (P=0.001).Conclusion Poor sleep quality is associated with hypertension in adolescents.
Gross motor dysfunction as a risk factor for aspiration pneumonia in children with cerebral palsy Cut Nurul Hafifah; Darmawan Budi Setyanto; Sukman Tulus Putra; Irawan Mangunatmadja; Teny Tjitra Sari; Haryanti Fauziah Wulandari
Paediatrica Indonesiana Vol 57 No 5 (2017): September 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.982 KB) | DOI: 10.14238/pi57.5.2017.229-33

Abstract

Background Respiratory problems, such as aspiration pneumonia, are major causes of morbidity and mortality in children with cerebral palsy (CP) and greatly affect the quality of life of these children. Nevertheless, there is limited data on the incidence and risk factors of aspiration pneumonia in children with CP in Indonesia. Objective To determine the incidence and risk factors of aspiration pneumonia in children with cerebral palsy.Methods In children with CP aged 1-18 years, incidence of pneumonia was studied prospectively for 6 months and the prevalence of the risk factors was studied cross-sectionally. At baseline, we evaluated subjects’ by history-taking, physical examination, risk factors, and chest X-ray to assess the incidence of silent aspiration. Subjects were followed-up for six months to determine the incidence of overt or silent aspiration pneumonia.Results Eight out of 36 subjects had one or more episodes of aspiration, consisting of silent aspiration (2/36) and clinically diagnosed aspiration pneumonia (7/36). Subjects with more severe gross motor dysfunction experienced more episodes aspiration pneumonia, although it was not statistically significant (p = 0.06), while dysphagia (P=0.2) and nutritional status (P=0.11) were not associated with pneumonia or silent aspiration.Conclusion Twenty-five percent of children with CP experienced aspiration pneumonia during the 6-month study period, with gross motor dysfunction as a possible risk factor.
Comparison of the accuracy of body temperature measurements with temporal artery thermometer and axillary mercury thermometer in term newborns Markus Gunawan; Soetjiningsih Soetjiningsih; I Made Kardana
Paediatrica Indonesiana Vol 50 No 2 (2010): March 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.852 KB) | DOI: 10.14238/pi50.2.2010.67-72

Abstract

AbstractBackground Rectal mercury thermometer (RT) has beenconsidered to be a clinical thermometer that measures bodytemperature close to core temperature. Unfortunately it is relativelyuncomfortable to the patient. Axillary mercury thermometer (AT)is a relatively safe method, but time consuming and its accuracyhas been questioned. Temporal artery thermometer (TAT) isrelatively a new method that can measure body temperaturefaster, and well tolerated.Objective To compare the accuracy of temperature measurementbetween TAT and AT in neonates.Methods Cross-sectional analytic study was conducted atNeonatology Division at Sanglah Hospital, Denpasar. Every healthyterm newborn who met the criteria were measured their bodytemperature by using three kinds of thermometer consecutively. Thelimits of agreement, correlation and linear regression analysis weredone to find TAT and AT’s agreement and correlation to RT.Results One hundred and thirty four newborns were enrolledin this study. TAT had a better agreement to RT with the mean􀁇􀁌􀁉􀁉􀁈􀁕􀁈􀁑􀁆􀁈􀀃􀁒􀁉􀀃􀀐􀀓􀀑􀀓􀀔􀂞􀀦􀀃􀁚􀁌􀁗􀁋􀀃􀀕􀀃􀀶􀀧􀀃􀁏􀁒􀁚􀁈􀁕􀀃􀁏􀁌􀁐􀁌􀁗􀀃􀁒􀁉􀀃􀀐􀀓􀀑􀀕􀀙􀂞􀀦􀀃􀁄􀁑􀁇􀀃􀁘􀁓􀁓􀁈􀁕􀀃􀁏􀁌􀁐􀁌􀁗􀀃􀁒􀁉􀀃􀀓􀀑􀀕􀀖􀂞􀀦􀀏􀀃􀁆􀁒􀁐􀁓􀁄􀁕􀁈􀁇􀀃􀁗􀁒􀀃􀁄􀁊􀁕􀁈􀁈􀁐􀁈􀁑􀁗􀀃􀁅􀁈􀁗􀁚􀁈􀁈􀁑􀀃􀀤􀀷􀀃􀁄􀁑􀁇􀀃􀀵􀀷􀀏􀀃􀁚􀁌􀁗􀁋􀀃􀁐􀁈􀁄􀁑􀀃􀁇􀁌􀁉􀁉􀁈􀁕􀁈􀁑􀁆􀁈􀀃􀀐􀀓􀀑􀀖􀀘􀂞􀀦􀀏􀀃􀀕􀀃􀀶􀀧􀀃􀁏􀁒􀁚􀁈􀁕􀀃􀁏􀁌􀁐􀁌􀁗􀀃􀀐􀀓􀀑􀀚􀀓􀂞􀀦􀀃􀁄􀁑􀁇􀀃􀁘􀁓􀁓􀁈􀁕􀀃􀁏􀁌􀁐􀁌􀁗􀀃􀁒􀁉􀀃􀀓􀀑􀀓􀀓􀂞􀀦􀀑􀀃􀀷􀁋􀁈􀁕􀁈􀀃􀁚􀁄􀁖􀀃􀁄􀀃􀁖􀁌􀁊􀁑􀁌􀁉􀁌􀁆􀁄􀁑􀁗􀀃􀁏􀁌􀁑􀁈􀁄􀁕􀀃􀁄􀁖􀁖􀁒􀁆􀁌􀁄􀁗􀁌􀁒􀁑􀀃􀁅􀁈􀁗􀁚􀁈􀁈􀁑􀀃􀀷􀀤􀀷􀀃and RT with correlation coefficient 􀁕􀀃􀀠􀀃􀀓􀀑􀀛􀀚􀀃􀀋􀁓􀀟􀀓􀀑􀀓􀀓􀀔􀀌􀀏􀀃􀁌􀁑􀁗􀁈􀁕􀁆􀁈􀁓􀁗􀀃􀀓􀀑􀀜􀀛􀀚􀀃􀁄􀁑􀁇􀀃􀁖􀁏􀁒􀁓􀁈􀀃􀀓􀀑􀀘􀀓􀀜􀀑􀀃􀀷􀁋􀁈􀀃􀁏􀁌􀁑􀁈􀁄􀁕􀀃􀁄􀁖􀁖􀁒􀁆􀁌􀁄􀁗􀁌􀁒􀁑􀀃􀁅􀁈􀁗􀁚􀁈􀁈􀁑􀀃􀀤􀀷􀀃􀁄􀁑􀁇􀀃􀀵􀀷􀀃􀁖􀁋􀁒􀁚􀁈􀁇􀀃􀁗􀁋􀁈􀀃􀁆􀁒􀁕􀁕􀁈􀁏􀁄􀁗􀁌􀁒􀁑􀀃􀁆􀁒􀁈􀁉􀁉􀁌􀁆􀁌􀁈􀁑􀁗􀀃􀁕􀀃􀀠􀀃􀀓􀀑􀀚􀀙􀀃􀀋􀁓􀀟􀀓􀀑􀀓􀀓􀀔􀀌􀀏􀀃􀁌􀁑􀁗􀁈􀁕􀁆􀁈􀁓􀁗􀀃􀀔􀀓􀀏􀀕􀀚􀀔􀀃􀁇􀁄􀁑􀀃􀁖􀁏􀁒􀁓􀁈􀀃􀀓􀀏􀀚􀀖􀀓􀀑Conclusion TAT is more accurate than AT for body temperaturemeasurement in the healthy term newborns. [Paediatr Indones.2010;50:67-72].
Scoring system to distinguish between rotavirus and non-rotavirus diarrhea in children Atika Akbari; Hasri Salwan; Achirul Bakri; Erial Bahar
Paediatrica Indonesiana Vol 56 No 6 (2016): November 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.103 KB) | DOI: 10.14238/pi56.6.2016.338-42

Abstract

Background Distinguishing rotavirus from non-rotavirus diarrhea is helpful for managing the illness. However, definitively diagnosing rotavirus diarrhea from serology is difficult and expensive.Objectives To distinguish between the clinical manifestations of rotavirus and non-rotavirus diarrhea, and to assess the accuracy of using such clinical manifestations to predict the type of diarrhea in children.Methods A cross-sectional study was performed from April to October 2015 in all children less than five years of age who presented with acute diarrhea at the Pediatric Outpatient Clinic of the Department of Child Health and Emergency Department, Dr. Mohammad Hoesin and Bari Hospitals, Palembang, South Sumatera. Clinical manifestations were collected from history and physical examinations; stool specimens were examined by immunochromatography. Clinical parameters were analyzed by multivariate analysis, and scores given to each significant parameter. The accuracy of the scoring system based in these parameters was analyzed by means of receiver-operating characteristic (ROC) area under the curve (AUC).Results Of 184 children, 92 had rotavirus and 92 had non-rotavirus diarrhea. Multivariate analysis showed 3 clinical parameters commonly seen in the rotavirus diarrhea cases: male sex (OR 2.718; 95%CI 1.373 to 5.382), cough (OR 3.500; 95%CI 1.788 to 6.582), and yellow-greenish stool (OR 4.009; 95%CI 2.061 to 7.797). A scoring system was constructed based on the parameters: male (score of 1), cough (score of 2), and yellow-greenish stool (score of 3). From ROC analysis, the AUC was 0.755. Using a cut-off score of > 3, the sensitivity was 81.5%, specificity 51.1%, and PPV 62.5%.Conclusion Cough, yellow-greenish stool, and male are significant parameters for differentiating rotavirus from non-rotavirus diarrhea. A scoring system from these parameters is sensitive for predicting rotavirus vs. non-rotavirus diarrhea in children less than five years of age.

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