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Published on: November 7, 2018
First description of gastroenteritis viruses in Lebanese children: a pilot study
Randa Meraabi Al-Ali1, Wassim Chehadeh, Monzer Hamze
1Azm Center for Research in Biotechnology and its Applications, Doctoral School of Sciences and Technology, Lebanese University, Tripoli, Lebanon.
Insights
Rotavirus and norovirus are key causes of severe gastroenteritis in Lebanese children. This study highlights the need for routine norovirus screening in clinical settings to improve diagnosis and care.
Area of Science:
- Pediatrics
- Virology
- Public Health
Background:
- Human enteric viruses are a significant cause of acute gastroenteritis in children.
- Severe gastroenteritis frequently necessitates hospitalization, particularly in infants and young children.
Purpose of the Study:
- To investigate the prevalence and role of specific enteric viruses (rotaviruses, adenoviruses, human caliciviruses, astroviruses) in severe acute gastroenteritis requiring hospitalization.
- To determine the etiological agents responsible for severe gastroenteritis in hospitalized infants and young children in North Lebanon.
Main Methods:
- Stool specimens were collected from 79 hospitalized infants and children with severe acute gastroenteritis between April and May 2010.
- Samples were screened for enteric viruses using immunoassays and an internally controlled multiplex PCR assay.
Main Results:
- Rotavirus was detected in 38 (48%) of the samples, identifying it as a major cause of severe gastroenteritis.
- Norovirus genogroup II was identified in 5 (6%) of the samples.
- Enteric adenoviruses, sapoviruses, and human astroviruses were not detected in the study population.
Conclusions:
- Rotavirus and norovirus are significant contributors to severe acute gastroenteritis among children in North Lebanon.
- Children with rotavirus gastroenteritis were younger than those with norovirus gastroenteritis.
- Routine screening for norovirus infection is recommended in clinical settings for accurate diagnosis and management of pediatric gastroenteritis.
Abstract:
Human enteric viruses are important causes of acute gastroenteritis in infants and children. The role of rotaviruses, adenoviruses, human caliciviruses and astroviruses in the development of severe acute gastroenteritis requiring hospitalization of infants and young children in North Lebanon was investigated. Stool specimens collected between April and May 2010 from 79 Lebanese infants and children hospitalized for severe acute gastroenteritis, were screened for enteric viruses by immunoassays and internally controlled multiplex PCR assay. Out of 79 stool samples, 38 (48%) were positive for rotavirus, and 5 (6%) were positive for norovirus genogroup II. Enteric adenoviruses, sapoviruses and human astroviruses were not detected. Children with severe rotavirus gastroenteritis were younger than those with severe norovirus gastroenteritis. These results highlight the importance of rotavirus and norovirus as causes of severe gastroenteritis in Lebanese children, and the need to incorporate routine screening tests for norovirus infection in clinical settings.
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