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Acute infantile gastroenteritis associated with human enteric viruses in Tunisia
Khira Sdiri-Loulizi1, Hakima Gharbi-Khélifi, Alexis de Rougemont
1Centre National de Référence des virus entériques, Laboratoire de Virologie, Centre Hospitalier Universitaire de Dijon, 2 boulevard Maréchal de Lattre de Tassigny, BP 77908, F-21079 Dijon Cedex, France.
Insights
Rotavirus and norovirus are common causes of viral gastroenteritis in Tunisian children. This study found no significant difference in disease severity between these two prevalent enteric viruses.
Area of Science:
- Virology
- Pediatrics
- Infectious Diseases
Background:
- Infantile gastroenteritis is a significant health concern globally.
- Enteric viruses are major causative agents of acute diarrhea in children.
- Understanding viral etiology and clinical impact is crucial for public health interventions.
Purpose of the Study:
- To determine the incidence of enteric viruses causing gastroenteritis in Tunisian children.
- To investigate the clinical role and severity of different viral infections.
- To analyze the seasonal patterns of viral gastroenteritis.
Main Methods:
- Prospective study conducted from January 2003 to June 2005.
- Inclusion of 632 Tunisian children with acute diarrhea (dispensary and hospitalized).
- Detection of enteric viruses using molecular methods (implied).
Main Results:
- Enteric viruses were detected in 43.7% of samples.
- Rotavirus (22.5%) and norovirus (17.4%) were the most frequent viruses.
- Mixed infections occurred in 5.7% of positive samples.
- No significant difference in clinical severity or dehydration was noted between rotavirus and norovirus.
Conclusions:
- Rotavirus and norovirus are key pathogens in Tunisian infantile gastroenteritis.
- Viral gastroenteritis exhibits seasonal variations, including an unusual summer peak.
- Clinical management strategies for rotavirus and norovirus gastroenteritis may be similar.
Abstract:
This prospective study, conducted from January 2003 to June 2005, investigated the incidence and the clinical role of various enteric viruses responsible for infantile gastroenteritis in 632 Tunisian children presenting in dispensaries (380 children) or hospitalized (252 children) for acute diarrhea. At least one enteric virus was found in each of 276 samples (43.7%). A single pathogen was observed in 234 samples, and mixed infections were found in 42 samples. In terms of frequency, rotavirus and norovirus were detected in 22.5 and 17.4% of the samples, respectively, followed by astrovirus (4.1%), Aichi virus (3.5%), adenovirus types 40 and 41 (2.7%), and sapovirus (1.0%). The seasonal distribution of viral gastroenteritis showed a winter peak but also an unusual peak from May to September. The severity of the diarrhea was evaluated for hospitalized infants. No significant differences were observed between rotavirus and norovirus infections with regard to the incidence and the clinical severity of the disease, especially in dehydration.
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