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Volume 16, Number 1—January 2010


Healthcare-associated Viral Gastroenteritis among Children in a Large Pediatric Hospital, United Kingdom

Nigel A. CunliffeComments to Author , J. Angela Booth, Claire Elliot, Sharon J. Lowe, Will Sopwith, Nick Kitchin, Osamu Nakagomi, Toyoko Nakagomi, C. Anthony Hart1, and Martyn Regan
Author affiliations: University of Liverpool, Liverpool, UK (N.A. Cunliffe, J.A. Booth, O. Nakagomi, T. Nakagomi, C.A. Hart); Royal Liverpool Children’s National Health Service Foundation Trust, Liverpool (N.A. Cunliffe, C. Elliot, S.J. Lowe, C.A. Hart); Health Protection Agency NW, Liverpool (C. Elliot, W. Sopwith, M. Regan); Sanofi Pasteur MSD, Maidenhead, UK (N. Kitchin); Nagasaki University, Nagasaki, Japan (O. Nakagomi, T. Nakagomi)

Main Article

Table 1

Modified 20-point scoring system used to evaluate severity of gastroenteritis (11)

Clinical sign or symptom Points
Duration of diarrhea, d
<2 1
2–4 2
Maximum no. diarrheal stools in 24 h
3 1
4–5 2
Duration of vomiting, d
No vomiting 0
1–2 2
Maximum no. vomiting episodes in 24 h
1 1
2 2
None 0
Oral 1
Fever, ºC
<37.6 0
37.6ºC–38.5 2
Normal 0
Lethargic/irritable 1
Convulsion 3

Main Article

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