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Published on: January 28, 2019
Epidemiology and burden of rotavirus infection among children in Hangzhou, China
Jin-Tu Lou1, Xiao-Jun Xu, Yi-Dong Wu
1Department of Laboratory, Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310003, PR China.
Insights
Rotavirus is a major cause of diarrhea in young children in Hangzhou. Surveillance data show high infection rates in children under two, emphasizing the need for rotavirus immunization.
Area of Science:
- Pediatrics
- Infectious Diseases
- Epidemiology
Background:
- Rotavirus is a leading global cause of acute diarrhea in children under five.
- Limited data exist on rotavirus diarrhea within outpatient settings.
Purpose of the Study:
- To determine the epidemiology of rotavirus diarrhea in Hangzhou, China.
- To assess the burden of diarrhea and rotavirus infection in children.
Main Methods:
- Conducted systematic surveillance of rotavirus diarrhea from 2007-2008.
- Analyzed 46,499 stool samples using latex agglutination testing.
Main Results:
- Rotavirus was detected in 33.7% of samples, with the highest prevalence in children aged 12-24 months.
- 92.4% of rotavirus infections occurred in children under two years old.
- Estimated annual rotavirus-associated outpatient visits and hospitalizations were 20.1 and 2.1 per 1000 children under five, respectively.
Conclusions:
- Rotavirus is the primary cause of severe childhood diarrhea in Hangzhou, particularly in children under two.
- The findings underscore the importance of widespread rotavirus vaccination for young children.
Background:
Rotavirus is the most common cause of acute diarrhea in children younger than 5 years worldwide. However, few data have been collected on children with rotavirus diarrhea basing on outpatient department surveillance.
Objectives:
To define the epidemiology of rotavirus diarrhea and to investigate the burden associated with diarrhea and rotavirus infection in Hangzhou, China.
Study Design:
Systematic surveillance of rotavirus diarrhea was conducted in inpatient wards and outpatient department from January 2007 to December 2008 in the Children's Hospital of Zhejiang University School of Medicine. All stool specimens were tested for rotavirus by latex agglutination test.
Results:
46,499 stool samples were collected and 15,649 (33.7%) were tested positive for rotavirus. Positive rate for rotavirus was highest among children aged 12-24 months (39.0-39.6%). 92.4% children with rotavirus infection were <2 years, with constitution ratios of 21.8%, 41.8%, 21.8%, 8.4% and 6.2% in children aged 0-6 months, 7-12 months, 13-18 months, 19-24 months and >24 months, respectively. The percentage of children whose samples were tested positive for rotavirus ranged from 22.6% to 44.9% at different months, with a peak in October, November and December. The estimated annual rotavirus-associated outpatient visit and hospitalization incidences were 20.1 episodes/1000 children and 2.1 cases/1000 children for children <5 years of age, and were 39.1/1000 and 4.1/1000 for children <2 years of age in Hangzhou, respectively.
Conclusions:
Rotavirus is the leading cause of severe diarrhea of children in Hangzhou, especially for children <2 years, which highlight the need of widespread rotavirus immunization for young children.
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