Related Experiment Video
Updated: Jul 19, 2026

Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Risk factors for intussusception in infants in Vietnam and Australia: adenovirus implicated, but not rotavirus
Julie E Bines1, Nguyen Thanh Liem, Frances A Justice
1Department of Gastroenterology and Clinical Nutrition, Emergency Medicine, Microbiology, Clinical Epidemiology and Biostatistics Unit, Royal Children's Hospital, Parkville, Australia. julie.bines@rch.org.au
Insights
Infant intussusception is significantly more common in Vietnam than Australia. Adenovirus infection is strongly linked to intussusception in both countries, suggesting a key etiological role.
Area of Science:
- Pediatrics
- Infectious Diseases
- Epidemiology
Background:
- Intussusception is a common cause of intestinal obstruction in infants.
- Incidence rates vary globally, with higher rates suspected in developing countries.
- Understanding risk factors is crucial for prevention and management.
Purpose of the Study:
- To investigate risk factors for infant intussusception.
- To compare incidence in a developing (Vietnam) and developed (Australia) country.
- To identify potential etiological agents, particularly infections.
Main Methods:
- Prospective case-control study of infants under 2 years.
- Conducted in Vietnam (n=533) and Australia (n=51).
- Risk factors assessed via questionnaire; stool samples tested for pathogens.
Main Results:
- Vietnam incidence: 302/100,000; Australia incidence: 71/100,000.
- Strong association found between adenovirus infection and intussusception (OR 8.2-44).
- No link to rotavirus, other pathogens, vaccines, feeding, or living conditions.
Conclusions:
- Infant intussusception incidence is markedly higher in Vietnam.
- Adenovirus infection is strongly associated with intussusception.
- Adenovirus may play a significant role in the etiology of infant intussusception.
Objective:
This study aimed to investigate risk factors for the development of intussusception in infants in a developing country with a suspected high incidence and in a developed country with a low incidence.
Study Design:
A prospective case-control study of infants <2 years of age with idiopathic intussusception confirmed by air enema or surgery was conducted at the National Hospital of Paediatrics (NHP), Vietnam (n = 533) and the Royal Children's Hospital (RCH), Australia (n = 51). Diagnosis was validated in a subset (84% NHP; 67% RCH) by an independent blinded radiologist. Risk factor assessment was performed using a standardized questionnaire. Stool specimens were assayed for bacterial, viral, and parasitic agents.
Results:
The incidence of intussusception in Vietnam was 302/100,000 in infants <1 year of age (95% CI: 258-352), substantially higher than in Australia (71/100,000). A strong association with adenovirus infection was observed at both sites (cases positive at NHP: 34%, OR 8.2; cases positive at RCH: 40%, OR 44). No association was identified between intussusception and rotavirus, other enteric pathogens, oral polio vaccine, feeding practices, or living conditions.
Conclusions:
The incidence of intussusception in infants was markedly higher in Vietnam than in Australia. A strong association between adenovirus infection and intussusception was identified at both sites suggesting that adenovirus may play a role in the etiology of intussusception.
Related Concept Videos
Intestinal Obstruction II: Pathophysiology
Appendicitis
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Bacterial Gastroenteritis
Intestinal Obstruction I: Introduction
Poliomyelitis
