Most common cause of diarrhea in infants and children is: March 2013
## **Core Concept**
The question tests knowledge on the etiology of diarrhea in infants and children. Diarrhea in this age group can be caused by various infectious agents, including bacteria, viruses, and parasites. Understanding the common causes helps in appropriate management and prevention.
## **Why the Correct Answer is Right**
Rotavirus is identified as the most common cause of diarrhea in infants and children worldwide. It primarily affects children under the age of 5 and is highly contagious. The virus causes severe diarrhea, often leading to dehydration, and can be fatal if not treated promptly. The introduction of the rotavirus vaccine has significantly reduced the incidence of rotavirus infections.
## **Why Each Wrong Option is Incorrect**
* **Option A:** While bacterial causes like Escherichia coli, Salmonella, and Shigella can cause diarrhea in children, they are not as common as rotavirus in infants and young children.
* **Option B:** Parasitic causes are less common in the context of acute diarrhea in infants and children, especially in areas with good sanitation.
* **Option D:** Other viral causes, like norovirus, can cause diarrhea in children but are not as prevalent as rotavirus in this age group.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that the introduction of rotavirus vaccines (e.g., RV1 and RV5) has significantly decreased the incidence of severe rotavirus gastroenteritis in infants and young children. This is a critical preventive measure in pediatric care.
## **Correct Answer:** . Rotavirus.