Table 3.
Characteristics of Transplant Recipients with Norovirus (NoV) Diarrhea and non-NoV Diarrhea*
| NoV Diarrhea (n=22) |
non-NoV Diarrhea (n=22) |
P-value | |
|---|---|---|---|
| Age, mean years ± SD | 10.4 ± 6.2 | 9.3 ± 7.2 | 0.49 |
| Female patient (%) | 11 (50) | 7 (32) | 0.22 |
| Duration from transplantation to diarrhea onset (days) | |||
| Median | 136.5 | 93 | 0.77 |
| Range | −3 to 1962 | −5 to 4079 | |
| Hospital admission for diarrhea (%) | 12 (55) | 8 (36) | 0.23 |
| Intensive care unit admission during diarrhea episode (%) | 6 (27) | 0 | 0.02 |
| Median white blood cell count (cells/uL) (range)‡ | 4.3 (0–14.1) | 4.1 (0–11.8) | 0.72 |
| Median absolute lymphocyte count (cells/uL) (range)‡ | 777 (0–6453) | 392 (0–2068) | 0.59 |
| Presence of fever at diarrhea onset (%) | 7 (32) | 8 (36) | 0.75 |
| Median duration of diarrhea (range) | 12.5 (1–324) | 7 (1–34) | 0.16 |
| Persistent diarrhea** (%) | 11 (50) | 8 (36) | 0.36 |
| Recurrence of diarrhea† | 6 (29) | 7 (33) | 0.74 |
| Median maximum no. stool in 24 hours (range) | 9 (3–16) | 8 (3–14) | 0.16 |
| Median rise in serum creatinine (mg/dL) during diarrhea (range) | 0.3 (0–1.4) | 0.2 (0–0.9) | 0.01 |
| Median weight loss (kg) during diarrhea (range) | 1.6 (0–7) | 0.6 (0–3.8) | <0.01 |
| Required total parenteral nutrition during diarrhea (%) | 12 (55) | 8 (37) | 0.23 |
| Death during diarrhea episode (%) | 1 (5) | 0 | 1.00 |
| Death within 6 months of diarrhea onset (%) | 2 (9) | 1 (5) | 1.00 |
Note:
Transplant patients receiving tube feeding were excluded, including 3 NoV diarrhea subjects, one of whom expired ≤6 months of diarrhea onset. Five NoV diarrhea patients were co-infected with C. difficile (n=2), rotavirus (n=2), or adenovirus (n=2). Four non-NoV diarrhea patients were identified with C. difficile (n=2) or adenovirus (n=2).
Within 24 hours of diarrhea onset.
Persistent diarrhea was defined as diarrhea duration ≥14 days.
Recurrence of diarrhea >1 week but ≤4 weeks of diarrhea resolution. Data for diarrhea recurrence was not available for 1 NoV and 1 non-NoV patient.