Children With Hepatitis in a Tertiary Care Center in Nepal: A Prospective Observational Study.

IF 1.4 Q3 PEDIATRICS Global Pediatric Health Pub Date : 2024-09-06 eCollection Date: 2024-01-01 DOI:10.1177/2333794X241274713

Bikash Shrestha, Umesh Singh, Kavita Karmacharya, Shreejana Singh

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Abstract

Objective. Viral hepatitis is a global problem leading to significant morbidity and mortality in adults as well as children. This study explores Hepatitis A among Nepalese children and their water habits. Methods. A prospective observational study was conducted over a period of 10 years among Nepalese children. We included 287 children with hepatitis in our study. Results. Among 287 children studied, 266 had Hepatitis A. There were 33 toddlers (11.5%), 121 pre-school children (42.2%), 102 school children (35.5%), and 31 adolescents (10.8%). Ninety-one (32%) children used filtered water, 55 (19%) used boiled water, 23 (8%) used boiled and filtered water, 53 (18%) used jar water and 65 (23%) used direct tap water. Five children had complications. One child died due to complications. The mortality rate in the study was 0.38%. Conclusion. Hepatitis A affected pre-school and school children most. Boiled and filtered is safest against transmission of Hepatitis A.

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尼泊尔一家三级医疗中心的肝炎患儿：前瞻性观察研究。

目的。病毒性肝炎是一个全球性问题，会导致成人和儿童大量发病和死亡。本研究探讨了尼泊尔儿童中的甲型肝炎及其饮水习惯。研究方法在尼泊尔儿童中开展了一项为期 10 年的前瞻性观察研究。我们在研究中纳入了 287 名肝炎儿童。结果在研究的 287 名儿童中，266 名患有甲型肝炎，其中幼儿 33 名（11.5%），学龄前儿童 121 名（42.2%），学龄儿童 102 名（35.5%），青少年 31 名（10.8%）。91名儿童（32%）使用过滤水，55名儿童（19%）使用开水，23名儿童（8%）使用开水和过滤水，53名儿童（18%）使用罐装水，65名儿童（23%）使用直接自来水。五名儿童出现并发症。一名儿童死于并发症。研究中的死亡率为 0.38%。结论甲型肝炎对学龄前和在校儿童的影响最大。煮沸和过滤的水对甲型肝炎的传播最安全。

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