[Nosocomial rotavirus infections].

Rotaviral infections in children are the important problem occurring worldwide. Little children under 5 years of age with rotaviral diarrhea usually need stay in the hospital because of severe course: fever over 38 C, vomiting, diarrhea leading to dehydration and disturbances in electrolyte and acido-alkalic balance. These children are the source of the nosocomial rotaviral infection in the other children hospitalizing because of the other cause then diarrhea. Rotaviral nosocomial infections have 23.8%-43% of participation in the world and 4.5%-45.4% in Poland in all hospitalizing rotaviral infections. Transmission of infection inside the hospital ward happens by not-washing hands of the staff, mothers remaining with their children, disregarding hospital regime. Lack of the isolation of patients with diarrhea and prolonged stay in the hospital are also agents predestinating to nosocomial rotaviral infections. Elimination of these agents, implementation of supplementary diet with antibodies or Lactobacillus GG may limit account of nosocomial rotaviral infections but will not stop them. The only way of prevention of the rotaviral infections and nosocomial rotaviral infections is implementation of effective and save rotaviral vaccine, which will be suitable for infants and toddlers worldwide.