Rotavirus disease in young children from Hanoi, Vietnam

Ladaporn Bodhidatta1, Nguyen Thi Phong Lan, Bui Thu Hien

  • 1Department of Enteric Diseases, Armed Forces Research Institute of Medical Sciences, Phyathai, Bangkok, Thailand. ladapornb@afrims.org

Insights

Rotavirus was the primary cause of acute diarrhea in young children in Hanoi, Vietnam. This finding supports the use of the rotavirus vaccine to prevent diarrheal diseases in this age group.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Microbiology

Background:

  • Limited recent data exists on pathogen prevalence and antimicrobial resistance in Vietnamese children with diarrheal diseases.
  • This study aimed to fill this gap by investigating enteric pathogens in young children in Hanoi.

Purpose of the Study:

  • To determine the prevalence of enteric pathogens in children under 5 years old with acute diarrhea in Hanoi.
  • To assess antimicrobial susceptibility patterns of common bacterial enteropathogens.

Main Methods:

  • Prospective study involving 291 children with acute diarrhea and 291 age-matched controls.
  • Detection of enteric bacteria and viruses using standard culture methods and enzyme immunoassay.

Main Results:

  • Viral pathogens, particularly rotavirus (31% in cases), were the most common cause of diarrhea.
  • Bacterial pathogens like Aeromonas (15%) and Shigella (9%) were also identified.
  • Fluoroquinolone resistance was noted in 27% of Campylobacter isolates.

Conclusions:

  • Rotavirus is a significant etiological agent of acute diarrhea in children under 5 in Hanoi.
  • The high burden of rotavirus disease suggests the rotavirus vaccine should be considered for implementation.
Abstract

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