Inflammatory Response Clinical Trial
Official title:
To Explore the Effect of Intestinal Microbiota and Fecal Inflammatory Marker on Childhood Gastroenteritis
Childhood gastroenteritis establishes gastrointestinal disease and increase the economic burden, and the pediatric population is especially vulnerable to these gastrointestinal infections. The aim of this study is to evaluate the role of intestinal microbiota and their relationship with childhood gastroenteritis.
Childhood gastroenteritis establishes gastrointestinal disease and increase the economic
burden, and the pediatric population is especially vulnerable to these gastrointestinal
infections. According to a World Health Organization report in 2003, the median incidence of
diarrhea for all children age under 5 years was 3.2 episodes per child-year, and this number
has not changed significantly since 1980s. In Taiwan, the enteric pathogens associated
mortality is low, but the social burden and economic costs are substantial because of the
high incidence.
Intestinal microflora are able to use the substances consumed in the diet: bacteria can
transform complex polysaccharides and monosaccharides in short-chain fatty acids. Short-chain
fatty acids are a source of energy for colonocytes and directly affect the storage of lipids
and the absorption and metabolism of food, creating the so-called 'second meal effect'.
Qualitative and quantitative alterations of commensal flora may result in various
gastrointestinal and extraintestinal diseases. One of the first interactions these bacteria
have when interacting with the intestinal epithelial cells lining the GI tact.
The first aim of this study is to evaluate the role of intestinal microbiota and their
relationship with childhood gastroenteritis. The second aim of this study is determining the
inflammatory markers (such as fecal TNF-α, interleukin -6, calprotectin, lactoferrin) on the
host of childhood gastroenteritis. The investigators try to seek to gain an advanced
understanding effect of intestinal microbiota and fecal inflammatory marker in the childhood
gastroenteritis.
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