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Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
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.
Background:
Pathogen prevalences and antimicrobial susceptibilities are essential for the rational development of preventive strategies for diarrheal diseases, but little recent information from Vietnam is available. We prospectively studied the prevalence of enteric pathogens in children less than 5 years of age with acute diarrhea and in nondiarrhea controls in a city hospital in Hanoi, Vietnam for 1 year.
Methods:
Enteric bacteria and viruses were detected by standard culture methods, and enzyme immunoassay in 291 cases and 291 controls.
Results:
Detection rates of viral pathogens among cases and controls were 31% and 3% for rotavirus, 12% and 1% for astrovirus and 4% and 1% for adenovirus. For bacterial pathogens, Aeromonas, Shigella, Salmonella, Campylobacter and enterotoxigenic E. coli were isolated from cases and controls in 15% and 8%, 9% and 1%, 7% and 1%, 4% and 0%, and 3% and 0%, respectively. The isolation of bacterial and viral pathogens except for adenovirus was significantly lower in controls than cases. Fluoroquinolones were effective against most bacterial enteropathogens, but resistance was observed in 27% of Campylobacter isolates.
Conclusions:
Viral etiologic agents especially rotavirus were the most important cause of acute diarrhea in children less than 5 years of age in Hanoi. The burden of rotavirus in young children in Hanoi warrants consideration of using the recently released rotavirus vaccine.
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