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Published on: February 6, 2017
Nosocomial transmission of rotavirus from patients admitted with diarrhea
A Gaggero1, L F Avendaño, J Fernández
1Departamento de Microbiología y Parasitología, Facultad de Medicina, Santiago, Chile.
Insights
Hospitalized infants shedding rotavirus (RV) are the primary source of nosocomial RV transmission. No single RV strain showed exceptional transmissibility in this Santiago, Chile study.
Area of Science:
- Virology
- Infectious Diseases
- Pediatrics
Background:
- Nosocomial rotavirus (RV) transmission poses a significant risk to hospitalized infants.
- Understanding transmission dynamics is crucial for implementing effective infection control strategies.
Purpose of the Study:
- To investigate the sources and patterns of rotavirus transmission among hospitalized children under two years of age in Santiago, Chile.
- To identify the primary drivers of nosocomial rotavirus spread within a hospital setting.
Main Methods:
- Prospective study involving 950 hospitalized infants with diarrhea.
- Collection of stool samples every other day throughout hospitalization.
- Molecular characterization of 315 rotavirus isolates using polyacrylamide gel electrophoresis to identify distinct electropherotypes.
Main Results:
- 18 different rotavirus electropherotypes were identified among the isolates.
- Nosocomial transmission was linked to community-acquired strains in 81% of cases within the same room and 92% within the ward.
- No specific rotavirus strain demonstrated significantly higher transmissibility.
Conclusions:
- Infants admitted to the hospital already shedding rotavirus are the main source of nosocomial transmission.
- Effective infection control measures should focus on managing shedding patients to prevent hospital-acquired rotavirus infections.
- The study did not identify any single rotavirus strain with a notable advantage in transmissibility.
Abstract:
We studied the transmission of rotavirus (RV) in 950 patients under 2 years of age hospitalized for diarrhea in Santiago, Chile. Stool samples were collected every other day from all patients during their entire hospital stay. To trace nosocomial transmission, we mapped the ward at the time of detection of RV. Comparative study by polyacrylamide gel electrophoresis of 315 RV isolates (180 detected upon admission of patients and 135 attributed to nosocomial transmission) allowed the identification of 18 different electropherotypes. An electropherotype similar to that of a community-acquired case was found in the same room in 81% of nosocomial cases and in the ward in 92% of nosocomial cases. It was concluded that the infants admitted shedding RV are the major source of nosocomial transmission and there was not a RV strain that was particularly transmissible.
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