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      An outbreak of rotavirus-associated neonatal necrotizing enterocolitis.

      The Journal of Pediatrics
      Cross Infection, epidemiology, microbiology, Disease Outbreaks, Enterocolitis, Pseudomembranous, Feces, Gastroenteritis, Gastrointestinal Hemorrhage, Humans, Infant, Newborn, Infant, Newborn, Diseases, Nurseries, Hospital, Reoviridae Infections, Rotavirus, isolation & purification

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          Abstract

          An outbreak of necrotizing enterocolitis and hemorrhagic gastroenteritis occurred in two nurseries during 25 days in August 1982. Eleven of the 40 patients in these nurseries during that time developed disease (attack rate 27.5%). In seven of the 10 patients with gastrointestinal disease, stool samples tested for human rotavirus were positive by ELISA, whereas in 20 unaffected infants, no stools tested demonstrated HRV (P = 0.0001). Eleven staff members had serologic evidence of recent HRV infection. Comparison of risk factors traditionally associated with the development of NEC between the affected and unaffected infants revealed no significant differences. Rotavirus infection was the only finding that was highly correlated with this epidemic.

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          Association of coronavirus infection with neonatal necrotizing enterocolitis.

          From the clustered occurrence of numerous cases of necrotizing enterocolitis in newborns, it was possible to associate this disease significantly with infection due to coronavirus-like agents. Prematurity or low birth weight did not seem to affect the development of the disease, at least during the present epidemic. However, associated gas-producing bacteria could influence its severity and play a role in the appearance of pneumatosis. In many aspects the human disease is reminiscent of experimental necrotizing enterocolitis obtained by infection of germ-free newborn animals, as reported in the literature.
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            Acute necrotizing enterocolitis in infancy: a review of 64 cases.

            Sixty-four cases of necrotizing enterocolitis are reviewed. The diagnosis was based on tissue examination in 57 and on the clinical syndrome, including pneumatosis, in 7. Three factors are important in the development of the disease: injury to the intestinal mucosa, bacteria, and feedings. The indications for surgical intervention are pneumoperitoneum, signs of peritonitis, and intestinal obstruction. The importance of stress in the etiology of the disease is confirmed by the high incidence of perinatal complications, particularly hypoxia. The mortality was high, but results are improving with the institution of early aggressive treatment.
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              • Record: found
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              NECROTIZING ENTEROCOLITIS IN PREMATURE INFANTS.

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