Infectious Etiology of Vomiting in Children With Presumed Acute Gastroenteritis

NCT ID: NCT05270291

Last Updated: 2022-06-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

198 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-05-01

Study Completion Date

2024-12-31

Brief Summary

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In children with acute gastroenteritis (AGE), vomiting often precedes diarrhea. To establish the diagnosis of AGE, enteropathogen detection typically relies on diarrheal stool samples. However, testing requires sufficient stool sample, which may not be easily available. Recent studies suggest that in children presenting to emergency departments with presumed AGE with isolated vomiting, an enteropathogen can be identified using rectal swabs and molecular diagnostic tests. The rate of enteropathogen detection in children with isolated vomiting due to AGE may differ in various populations. Using rectal swabs and molecular diagnostic tests, we plan to assess the proportion of children with isolated vomiting with presumed AGE in whom an enteropathogen can be identified.

This will be a prospective cohort study. Children younger than 5 years with presence of ≥3 episodes of vomiting due to presumed AGE, lasting no longer than 7 days before enrolment, will be recruited. A total of 198 participants will be recruited and a rectal swab will be collected. The participants will be contacted 14 days after enrollment to complete a survey regarding symptoms experienced during that period and to identify any additional clinical care.

Detailed Description

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Conditions

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Acute Gastroenteritis Vomiting

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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rectal swab

rectal swab

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* age 0-5-year-old
* presence of ≥3 episodes of vomiting due to presumed AGE at inclusion
* \<7 days of symptoms at the time of inclusion
* signed written informed consent

Exclusion Criteria

* anticipated inability to complete 14 days follow-up
* history of neutropenia (as rectal swabs are contraindicated)
* critically ill status requiring urgent medical intervention
* inability to provide a rectal swab for testing
* chronic gastrointestinal tract disorders such as inflammatory bowel disease, cystic fibrosis, coeliac disease
* immunodeficiency
Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Warsaw

OTHER

Sponsor Role lead

Responsible Party

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Hanna Szajewska

Profesor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Medical University of Warsaw

Warsaw, Mazovian, Poland

Site Status RECRUITING

Countries

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Poland

Central Contacts

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Aleksandra Cepińska, MD

Role: CONTACT

223179444

Aleksandra Cepińska

Role: CONTACT

Facility Contacts

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Aleksandra Cepińska, MD

Role: primary

223179444

Maciej Kołodziej, PhD

Role: backup

223179444

References

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Cepinska A, Kolodziej M, Podsiadly E, Szajewska H. Infectious Etiology of Vomiting in Children With Presumed Acute Gastroenteritis in the Absence of Diarrhea: Protocol for a Cohort Study. JPGN Rep. 2022 Oct 25;3(4):e268. doi: 10.1097/PG9.0000000000000268. eCollection 2022 Nov.

Reference Type DERIVED
PMID: 37168472 (View on PubMed)

Other Identifiers

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Isolated vomiting etiology

Identifier Type: -

Identifier Source: org_study_id

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