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Published on: July 22, 2012
Identification of viral agents causing gastroenteritis among children in Buenos Aires, Argentina
Alesio Bereciartu1, Karin Bok, Jorge Gómez
1Viral Gastroenteritis Laboratory, National Institute of Infectious Diseases, ANLIS Dr. Carlos G. Malbrán, Buenos Aires, Argentina.
Insights
Calicivirus and rotavirus are leading causes of viral gastroenteritis in children under three in Buenos Aires. Improved diagnostic tests are needed to reduce antibiotic use and enhance patient care.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Gastroenterology
Background:
- Gastroenteritis is a common childhood illness globally, with rotavirus being a primary cause.
- While rotavirus is known to cause gastroenteritis in Argentina, the prevalence of other gastrointestinal viruses remains understudied.
Purpose of the Study:
- To determine the frequency of calicivirus in comparison to rotavirus, astrovirus, and adenovirus in Argentine children.
- To characterize Argentine calicivirus strains through RNA polymerase sequencing.
Main Methods:
- Retrospective analysis of 66 diarrhea patients under three years old.
- Virus detection using reverse transcription-polymerase chain reaction (RT-PCR) and/or enzyme immunoassays (EIAs).
- Sequencing of calicivirus RNA polymerase regions for strain characterization.
Main Results:
- At least one viral agent was identified in 48.5% of patients.
- Rotavirus was detected in 17 children, calicivirus in 16, astrovirus in 5, and adenovirus in 2.
- Sequence analysis identified Argentine calicivirus strains related to Lorsdale, Manchester, and London/92 viruses.
Conclusions:
- Calicivirus and rotavirus are significant etiological agents of gastroenteritis in young children in Buenos Aires.
- Limited availability of viral diagnostics in Argentine hospitals hinders accurate diagnosis.
- Development of rapid, sensitive, and affordable calicivirus diagnostic tests is crucial for improved pediatric patient care and reduced antibiotic misuse.
Background:
Gastroenteritis is one of the most common diseases affecting children and rotavirus is the major etiological agent worldwide. Although the role of rotaviruses as a causal agent of gastroenteritis has been previously established in Argentina, little is known about the frequency of other gastrointestinal viruses.
Objectives:
The present study was designed to determine the frequency of calicivirus in comparison with rotavirus, astrovirus and adenovirus type 40/41 in our country.
Study Design:
Sixty six diarrhea patients (10%) =3 years of age, were randomly selected from a previous series (9/1997-8/1998) and virus frequency determined using RT-PCR and/or commercial EIAs. In addition, we sequenced the RNA polymerase region of calicivirus-positive samples to characterize Argentine strains.
Results:
We detected at least one viral agent in 48.5% (32/66) of the patients. Rotavirus, calicivirus, astrovirus, and enteric adenovirus were found in 17, 16, 5, and 2 children, respectively. Sequence analysis of 4 calicivirus positive samples allowed us to identify a strain clustered to Lorsdale virus, one strain clustered with Manchester virus and two strains clustered with London/92 virus.
Conclusions:
Our data suggest that calicivirus and rotavirus are major agents of gastroenteritis in children younger than 3 years of age in Buenos Aires, Argentina. Unfortunately, viral diagnosis is seldom available in Argentine hospitals and coproculture results are mostly negative. Our data supports the need to develop rapid and sensitive tests for calicivirus diagnosis. The introduction of affordable viral diagnosis in our pediatric hospitals will improve patient care by reducing the unnecessary use of antibiotics.
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