A wide variety of diarrhea viruses circulating in pediatric patients in Thailand
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Updated: May 24, 2026

A High-throughput Platform for the Screening of Salmonella spp./Shigella spp.
Published on: November 7, 2018
Natthawan Chaimongkol1, Pattara Khamrin, Boonpa Suantai
1Department of Microbiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Insights
Viral gastroenteritis is common in children globally. This study found group A rotavirus and norovirus were the most prevalent diarrhea viruses in Chiang Mai, Thailand, with seasonal peaks observed.
Area of Science:
- Virology
- Epidemiology
- Pediatrics
Background:
- Viral gastroenteritis is a leading cause of illness in infants and young children worldwide.
- A diverse range of viruses are implicated in causing gastroenteritis.
- Understanding the epidemiology of these infections is crucial for public health.
Purpose of the Study:
- To investigate the epidemiological situation of diarrhea virus infections in pediatric patients in Chiang Mai, Thailand.
- To identify the prevalence and distribution of various enteric viruses.
- To analyze the seasonality of detected viral infections.
Main Methods:
- Collected 160 fecal specimens from hospitalized pediatric patients with acute gastroenteritis.
- Utilized RT-multiplex PCR to test for a panel of common diarrhea viruses, including rotaviruses (A, B, C), norovirus, sapovirus, astrovirus, adenovirus, Aichi virus, enterovirus, bocavirus, and human parechovirus.
- Conducted monthly distribution analysis of detected viruses.
Main Results:
- 53.1% of specimens tested positive for diarrhea viruses.
- Group A rotavirus (27.5%) and norovirus GII (11.9%) were the most prevalent pathogens.
- Group A rotavirus and norovirus showed distinct seasonal peaks during the cool season (January-March and December, respectively).
Conclusions:
- A wide spectrum of diarrhea viruses circulates among pediatric patients with acute gastroenteritis in Chiang Mai, Thailand.
- Group A rotavirus and norovirus are significant contributors to pediatric gastroenteritis in the region.
- The findings highlight the importance of continued surveillance for enteric viral pathogens in children.
Background:
Viral gastroenteritis has been recognized as one of the most common illnesses that affects infants and young children all over the world. A wide variety of viruses associated with the disease are continually being reported. To investigate the epidemiological situation of diarrhea virus infection in Chiang Mai, Thailand, surveillance was conducted during January to December 2007.
Methods:
A total of 160 fecal specimens collected from pediatric patients admitted to the hospital with acute gastroenteritis were tested for the presence of group A, B, and C rotaviruses, norovirus, sapovirus, astrovirus, adenovirus, Aichi virus, enterovirus, bocavirus, and human parechovirus by RT-multiplex PCR.
Results:
Of 160 fecal specimens tested, 85 (53.1%) were positive for diarrhea viruses. Of these, group A rotavirus was the predominant with a prevalence of 27.5%, followed by norovirus GII (11.9%), sapovirus (3.1%), enterovirus (2.5%), human parechovirus (1.9%), and norovirus GI, astrovirus, adenovirus (each 0.6%). Mixed-infections of 2 or 3 viruses were observed in 7 (4.4%) patients. However, none of groups B and C rotaviruses and Aichi virus were detected in this study. Monthly distribution analysis revealed that all those diarrhea viruses were detected continually throughout the year at a low level of infection except for group A rotavirus and norovirus infections which appeared to peak in a cool season in January-March and December, respectively.
Conclusions:
This surveillance revealed a wide variety of diarrhea viruses currently circulating in pediatric patients with acute gastroenteritis in Chiang Mai, Thailand.
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