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Published on: January 28, 2019
Importance of rotavirus as a cause of gastroenteritis in Jordan: a hospital based study
Najwa Khuri-Bulos1, Mohammad Al Khatib
1Department of Paediatrics, Jordan University Hospital, Amman, Jordan. Bulos@nets.com.jo
Insights
Rotavirus gastroenteritis is a significant cause of illness in Jordanian children. These findings support the need for rotavirus vaccination to control this infection.
Area of Science:
- Pediatrics
- Infectious Diseases
- Vaccinology
Background:
- Rotavirus is a leading cause of gastroenteritis (GE) in young children globally, responsible for significant mortality and morbidity, particularly in developing nations.
- The recent availability of rotavirus vaccines necessitates an assessment of the pathogen's impact within specific populations to inform public health strategies.
Purpose of the Study:
- To determine the prevalence of rotavirus as a cause of gastroenteritis in children in Jordan.
- To evaluate the need for rotavirus vaccination in the Jordanian pediatric population.
Main Methods:
- A retrospective study was conducted analyzing data from children diagnosed with GE at Jordan University Hospital (JUH) and three private hospitals between 1995 and 2004.
- Rotavirus detection rates were calculated for each year and institution.
Main Results:
- At JUH, rotavirus accounted for 25% of GE cases in 1995, with yearly proportions ranging from 24.7% to 35.2% between 2002 and 2004. The overall cumulative proportion at JUH was 27.14%.
- In the private hospitals, rotavirus prevalence varied: 16.9% at Khalidy Hospital, 21% at Jordan Hospital, and 44.6% at Islamic Hospital.
- Rotavirus was identified as a significant contributor to pediatric GE across different socioeconomic backgrounds in Jordan.
Conclusions:
- Rotavirus is a major etiological agent of gastroenteritis in Jordanian children, irrespective of their socioeconomic status.
- Control measures, including vaccination, should be considered to mitigate the burden of rotavirus infections in this population.
Abstract:
Rotavirus is recognized to be a very important cause of GE in younger children in both developed as well as developing countries, but causes most of the mortality and morbidity in the latter. The recent introduction of a rotavirus vaccine in some parts of the world makes it necessary for us to determine the impact of this organism in our population with the aim of determining the need for the vaccine. In order to determine this, a study was conducted at the JUH and 3 other private hospitals. At the JUH, 64/256 (25%) of children with GE had rotavirus in 1995. The proportions of cases attributed to rotavirus in the other 3 y were 70/199 (35.2%), 69/279 (24.7%) and 76/294 (25.8%) for 2002, 2003 and 2004, respectively. The cumulative proportion of cases attributable to rotavirus gastroenteritis in all the y was 27.14%. With regard to the 3 private hospitals, rotavirus accounted for 38/225 (16.9%), 140/664 (21%) and 668/1496 (44.6%) at the Khalidy, Jordan and Islamic hospitals, respectively. It is concluded that rotavirus is a significant cause of GE in Jordanian children regardless of their social background, and attempt at controlling this infection may be warranted.
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