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Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Incidence of hospitalization due to community-acquired rotavirus infection: a 12-year study (1996-2008)
1Servicio de Microbiología, Hospital Donostia, San Sebastián, Spain. carlosgustavo.cillaeguiluz@osakidetza.net
Insights
Hospitalizations for rotavirus acute gastroenteritis (AGE) significantly decreased in young children after 2002. This decline in rotavirus AGE hospitalizations coincided with increased oral rehydration solution use.
Area of Science:
- Pediatrics
- Infectious Diseases
- Vaccinology
Background:
- Acute gastroenteritis (AGE) hospitalizations are key indicators for evaluating rotavirus vaccine effectiveness in high-income nations.
- Rotavirus is a leading cause of severe gastroenteritis in infants and young children worldwide.
Purpose of the Study:
- To assess the impact of rotavirus vaccination on hospitalization rates for acute gastroenteritis in children under 5 years old.
- To determine the predominant rotavirus genotypes circulating in hospitalized children.
Main Methods:
- Retrospective analysis of hospital discharge data and microbiology records from Hospital Donostia.
- Investigation of rotavirus antigen in fecal samples from 1114 children hospitalized for AGE.
- Genotyping of rotavirus strains.
Main Results:
- Rotavirus was detected in approximately 40% of hospitalized children with AGE, with G1[P8] as the most common genotype.
- The annual incidence of rotavirus AGE hospitalizations decreased significantly from 1996-1999 to 2002-2005 in children under 5 and under 2 years old (P<0.001).
- The observed decrease in rotavirus AGE hospitalizations correlated with increased consumption of oral rehydration solutions.
Conclusions:
- Rotavirus vaccination has likely contributed to a substantial reduction in rotavirus-associated AGE hospitalizations in young children.
- Continued surveillance of rotavirus epidemiology and vaccination impact is crucial.
- Increased use of oral rehydration solutions may play a complementary role in managing AGE.
Abstract:
The incidence of hospitalization for acute gastroenteritis (AGE) is a useful parameter to assess the utility of the new rotavirus vaccines in high-income countries. Children hospitalized for AGE were identified by searching hospital discharge data and the records of the microbiology laboratory of Hospital Donostia. Rotavirus antigen was investigated in 96.1% of the 1114 children aged 1 month to <5 years hospitalized for AGE in the study period. Nearly 40% were rotavirus positive (44.9% of the 798 children aged 1 month to <2 years), with G1[P8] being the predominant genotype. The mean annual incidence rate of hospitalization due to rotavirus AGE was 29.8 and 63.7 cases/10 000 inhabitants in the <5 and <2 years age groups, respectively, in 1996-1999, decreasing to 13.6 and 27.4 cases/10 000 inhabitants in <5 and <2 years age groups, respectively, in 2002-2005 (P<0.001). This decrease coincided with a significant increase in the consumption of oral rehydration solutions.
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