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Age distribution of paediatric rotavirus gastroenteritis cases in Europe: the REVEAL study
Carlo Giaquinto1, Pierre van Damme,
1Department of Paediatrics, University of Padua, Via Giustiniani 3, Padua, Italy. carlog@child.pedi.unipad.it
Insights
Rotavirus gastroenteritis (RVGE) is a common cause of severe diarrhea in young children. This study found that most cases occur in children aged 3 months to 3 years, supporting early childhood vaccination.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Rotavirus is a leading cause of severe diarrhea in children under five years old.
- Acute gastroenteritis (AGE) and rotavirus gastroenteritis (RVGE) represent a significant public health concern in young children.
Purpose of the Study:
- To estimate the incidence of community-acquired AGE and RVGE in children under five.
- To describe the age distribution of children with RVGE in Europe.
Main Methods:
- A prospective, multicentre, observational study conducted across seven European countries during the 2004-2005 rotavirus season.
- Inclusion of 2846 children with AGE seeking medical care in primary care, emergency departments, and hospitals.
- ELISA testing used to confirm rotavirus positivity in 2712 children.
Main Results:
- Rotavirus positivity was confirmed in 40.6% (1102/2712) of children with AGE.
- The majority of rotavirus gastroenteritis (RVGE) cases, 86.1%, occurred in children aged 3 months to 3 years.
- Infants under 3 months accounted for 1.8% of cases, and children over 4 years accounted for 3.6%.
Conclusions:
- The findings highlight that the primary at-risk period for rotavirus gastroenteritis in Europe is early childhood.
- Routine rotavirus vaccination for all infants in early childhood is recommended to mitigate the burden of this disease.
- Vaccination during the peak incidence period could significantly reduce the impact of rotavirus gastroenteritis in children.
Abstract:
Rotavirus is the most frequent cause of severe diarrhoea in children aged <5 y. A prospective, multicentre, observational study was conducted in Europe during the 2004-2005 rotavirus season. The study was undertaken in areas of Belgium, France, Germany, Italy, Spain, Sweden, and the UK, to estimate the incidence of community-acquired acute gastroenteritis (AGE) and rotavirus gastroenteritis (RVGE) in children under 5 y of age seeking medical care in 3 settings: primary care, emergency department, and hospital. A post-hoc analysis was done to further describe the age distribution of children with RVGE. The study included 2846 children with AGE. Of 2712 children for whom ELISA results were available, 1102 (40.6%) were rotavirus-positive to the results section well. Overall, 86.1% of RVGE cases occurred in children aged between 3 months and 3 y, whereas 1.8% of cases were observed in infants aged less than 3 months. A total of 3.6% of cases occurred in children aged more than 4 y. These results suggest that, in Europe, routine vaccination for rotavirus should be offered to all infants in early childhood to be effective during the main at-risk period. This could significantly reduce the substantial burden of this potentially serious childhood disease.
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