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Published on: January 28, 2019
Epidemiology of rotavirus diarrhoea in Iranian children
B Khalili1, L E Cuevas, N Reisi
1Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Insights
Human rotavirus causes severe diarrhea in children globally. This study identified common rotavirus G and P types in Iran, finding they align with global strains covered by current vaccines.
Area of Science:
- Virology
- Pediatrics
- Epidemiology
Background:
- Human rotavirus is a primary cause of severe infantile diarrhea worldwide.
- Understanding rotavirus epidemiology and genotypes is crucial for public health interventions.
Purpose of the Study:
- To investigate the etiology of viral diarrhea and characterize rotavirus infections in children in Shahrekord, Iran.
- To identify common rotavirus G and P genotypes circulating in the region.
Main Methods:
- Stool samples from children under 5 were collected and screened for enteric viruses using electron microscopy (EM).
- Rotaviruses were further characterized using enzyme-linked immunosorbent assay (ELISA), reverse transcription-polymerase chain reaction (RT-PCR), and electropherotyping.
- RT-PCR was employed for G and P type determination.
Main Results:
- Rotavirus was the predominant virus identified (78%), followed by coronavirus and calicivirus.
- Rotavirus showed seasonal variation, peaking from November to February, primarily affecting children under 2 years old.
- The most frequent genotypes were G1 (82%) and P[8] (74%), consistent with global patterns.
Conclusions:
- This study provides the first report on rotavirus genotypes in Iranian children.
- The identified prevalent G1, G2, P[8], and P[4] types are globally common and targeted by existing rotavirus vaccines.
- Findings support the potential efficacy of current vaccination strategies in Iran.
Abstract:
Human rotavirus is the most important cause of severe diarrhoea in infants and young children worldwide. We describe the aetiology of viral diarrhoea and the characteristics of rotavirus infection in Shahrekord, Iran. Two hundred and fifty nine children <5 years old admitted to Hajar Hospital, 245 children with acute diarrhoea attending primary health centres in Shahrekord, and 114 children hospitalised for elective surgery were selected from October 2001 to August 2002. Stool samples were screened for enteric viruses using EM. Rotaviruses were characterised using ELISA, reverse transcription-polymerase chain reaction (RT-PCR), and electropherotyping. One hundred and eighty six viruses were identified, of which 146 (78%) were rotavirus. The second most frequent virus was coronavirus, followed by calicivirus. Rotaviruses exhibited a marked seasonal variation, being most frequently isolated from November to February (50% of rotavirus recovered) and affected mostly children <2 years old. The RT-PCR successfully typed 139 of the 146 (95%) rotavirus G types and 124 (85%) P types. The most frequent P type was, P[8] in 108 (74%), P[4] in 16 (11%), and was P non-typeable in 22 (15%). Among the G types, G1 was identified in 120 (82%), G2 in 19 (13%), and was G-non-typeable in 7 (5%). Our results are the first report of rotavirus genotypes affecting Iranian children. The most frequent G and P types (G1, G2, P[8], and P[4]) are similar to those reported from around the world and will be covered by existing rotavirus vaccines targeting G types G1-G4.
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