KMID : 1130320100530121006
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Korean Journal of Pediatrics 2010 Volume.53 No. 12 p.1006 ~ p.1011
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What is the ¡¯objective¡¯ differential factor of diarrhea in infancy?: Normal state versus diarrheal illness in infants with chronic frequent and loose stool
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Hwang Jin-Bok
Kang Kyung-Ji Lee Jung-Jeung Kim Ae-Suk
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Abstract
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Purpose:This study aimed to identify ¡¯objective¡¯ differential factors for normal frequent loose stool (NFLS) and diarrheal illness with dehydration and nutritional deficiency (DIDN) among infants with chronic frequent loose stool (CFLS).
Methods:Data were analyzed from infants under 2 years of age with CFLS who had been transferred from general pediatricians. These 46 patients were divided into 2 groups (NFLS versus DIDN). Nocturnal stool was defined as evacuation between 10 pm and 6 am. Maximal stool amount/day (measured using the mother¡¯s hand) was specified as the highest score during the period of CFLS obtained by adding up each evacuation¡¯s score (range, 0-2 points).
Results:There were 36 cases of NFLS and 10 of DIDN. A failure to gain weight (P=0.0001), fever (P=0.0079), colic/abdominal pain (P=0.0014), gross blood in stool (except allergic proctocolitis) (P=0.0113), nocturnal stool (P=0.0001), and the score of stool amount (P=0.0001) were found to significantly differentiate the groups. A failure to gain weight was observed in 39% of even NFLS. The frequency, mucus content, and microbiological findings of stools, as well as diaper dermatitis were not found to significantly differentiate the groups.
Conslusion: NFLS was more common than DIDN in infants with CFLS. The most ¡¯objective¡¯ differential factors were nocturnal stool and the score of stool amount (¡Ã7 points/day).
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KEYWORD
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Infant, Chronic disease, Diarrhea
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