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Published on: September 7, 2022
Astrovirus infection in young children with diarrhea hospitalized at Beijing Children's Hospital
Chun-yan Liu1, Kun-ling Shen, Shu-xin Wang
1Beijing Children's Hospital, Capital University of Medical Sciences, Beijing 100045, China. chunyan73@hotmail.com
Insights
Astrovirus infection affected 9.0% of young children hospitalized with diarrhea in Beijing. The predominant strain was astrovirus serotype 1, indicating its significant role in pediatric viral gastroenteritis.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Epidemiology
Background:
- Astrovirus is a significant cause of viral gastroenteritis in children worldwide.
- Understanding its epidemiological and clinical features in specific populations is crucial for public health interventions.
Purpose of the Study:
- To determine the incidence and characteristics of astrovirus infection in hospitalized children under 5 years old with diarrhea in Beijing.
- To identify the predominant astrovirus serotype circulating in this population.
Main Methods:
- A total of 288 children under 5 with diarrhea were studied from September 1999 to August 2001.
- Fecal samples were analyzed for astrovirus using enzyme immunoassay (EIA) and reverse-transcription polymerase chain reaction (RT-PCR).
- Serotyping was performed using RT-PCR with serotype-specific primers.
Main Results:
- Astrovirus was detected in 9.0% of the pediatric patients.
- Coinfection with rotavirus occurred in 19.2% of astrovirus-positive cases.
- The majority of infected children (92.3%) were under 12 months old, with infection peaking between October and March.
- Astrovirus serotype 1 was the predominant type identified.
Conclusions:
- Astrovirus infection accounts for 9.0% of viral diarrhea cases in hospitalized young children in Beijing.
- Astrovirus serotype 1 is the main circulating strain, highlighting its importance in pediatric gastroenteritis.
- These findings underscore the significant role of astrovirus in pediatric viral diarrhea in Beijing, China.
Background:
This study was to assess certain epidemiological and clinical characteristics of astrovirus infection in children with diarrhea below 5 years old hospitalized at the Beijing Children's Hospital.
Methods:
From September 1999 to August 2001, a total of 288 children with diarrhea below 5 years old hospitalized at Beijing Children's Hospital were studied. Fecal specimens collected from each patient were tested for astrovirus by using enzyme immunoassay (EIA) and further serotyped by reverse-transcription polymerase chain reaction (RT-PCR) using serotype-specific primers.
Results:
Astrovirus antigen was positive in 9.0% of the patients, and the rate of coinfection with rotavirus was 19.2% among the astrovirus positive patients. The patients with astrovirus infection were at the age of 7 days to 17 months, most (92.3%) of them were less than 12 months. Astrovirus infection occurred mainly between October and March of the following year. Main symptoms included watery stool, vomiting, fever, and dehydration. Increased activity of myocardial enzyme was seen in 4 patients. Of the 22 astrovirus positive specimens, 14 were successfully serotyped by RT-PCR and they were all serotype 1.
Conclusions:
The overall incidence of astrovirus infection in young children with diarrhea hospitalized at the Beijing Children's Hospital was 9.0%. The predominant serotype was type 1. Astrovirus may play an important role in viral diarrhea in young children in Beijing, China.
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