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Updated: May 30, 2026

Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Clinical features and molecular epidemiology of rotavirus and norovirus infections in Libyan children
Mohamed Abugalia1, Luis Cuevas, Andrew Kirby
1National Centre for Disease Control, Tripoli, Libya.
Insights
Rotaviruses and noroviruses cause significant childhood diarrhoea in Libya. This study found rotavirus in 31.5% and norovirus in 17.5% of young children with gastroenteritis.
Area of Science:
- Virology
- Pediatrics
- Epidemiology
Background:
- Rotaviruses and noroviruses are major global causes of acute gastroenteritis in children.
- Diarrheal diseases represent a significant public health concern, particularly in developing countries.
Purpose of the Study:
- To investigate the prevalence and characteristics of rotavirus and norovirus infections among young children with acute gastroenteritis in Tripoli, Libya.
- To identify common rotavirus genotypes and norovirus genogroups.
Main Methods:
- A cross-sectional study was conducted from October 2007 to September 2008.
- Fecal samples from 520 children under five years old were analyzed using ELISA for rotavirus and real-time RT-PCR for norovirus.
- Rotavirus genotypes and norovirus genogroups/types were determined.
Main Results:
- Rotavirus was detected in 31.5% and norovirus in 17.5% of the samples.
- Rotavirus was more prevalent in inpatients (35.8%) than outpatients (27.3%), while norovirus was more common in outpatients (21.2%) than inpatients (13.8%).
- The most common rotavirus genotypes were P[8],G9 and P[8],G1. Noroviruses were predominantly genogroup II, genotype GII.4.
Conclusions:
- Rotaviruses and noroviruses are significant viral pathogens contributing to gastroenteritis in young children in Libya.
- Understanding the epidemiology and prevalent strains of these viruses is crucial for developing effective prevention and control strategies.
Abstract:
Rotaviruses and noroviruses are leading viral causes of diarrhoea in children. A cross-sectional study was undertaken among children aged <5 years with acute gastroenteritis at Al-Jala Children's Hospital, Tripoli, Libya, from October 2007 to September 2008. Of 1,090 fecal samples collected, 260 from inpatients and 830 from outpatients, all inpatients and approximately a third of outpatients, selected systematically, were investigated for rotavirus and norovirus infection by ELISA and real-time RT-PCR, respectively. Of 520 fecal samples examined (inpatients = 260, outpatients = 260), 164 (31.5%) had rotavirus and 91 (17.5%) had norovirus detected. Rotavirus was identified more often among inpatients than outpatients (35.8% vs. 27.3% respectively, P = 0.038). Norovirus was detected more commonly among outpatients than inpatients (21.2% vs. 13.8% respectively, P = 0.028). The peak incidence of infection with both viruses was among children aged between 6 and 11 months. The number of rotavirus cases was highest between November and June with a peak detection rate of 50% in January. Norovirus occurred most commonly from May through August with a peak detection rate of 47% in August. The most prevalent rotavirus genotypes were P[8], G9 (n = 116, 65.9%), followed by P[8],G1 (n = 49, 27.8%); a single P[9], G3 strain was detected. There were seven distinct electropherotypes among the G9 strains and all belonged to VP7 Lineage III. Among 91 noroviruses identified, 90 were genogroup II. Of 26 genogroup II noroviruses examined, all were genotype GII.4. Rotaviruses and noroviruses are both important causes of gastrointestinal infection among young children in Libya.
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