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Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Treatment and prevention of rotavirus infection in children
1Division of Pediatric Infectious Diseases, Hasbro Children's Hospital, 593 Eddy Street, Providence, RI, 02903, USA, pdennehy@lifespan.org.
Insights
Rotavirus vaccines significantly reduce severe diarrhea hospitalizations in infants and children. Widespread vaccination has led to herd immunity without notable rotavirus strain changes.
Area of Science:
- Pediatrics
- Infectious Diseases
- Vaccinology
Background:
- Rotavirus is a leading cause of severe diarrhea in young children globally.
- Current treatment for rotavirus gastroenteritis is limited to rehydration therapy.
- No specific antiviral treatments are available for rotavirus infections.
Purpose of the Study:
- To assess the health impact and indirect benefits of rotavirus vaccines.
- To monitor for potential strain changes after vaccine introduction.
- To evaluate the effectiveness of rotavirus vaccination programs.
Main Methods:
- Analysis of health data following rotavirus vaccine implementation.
- Monitoring of rotavirus strains in vaccinated populations.
- Assessment of hospitalization and emergency room visit rates.
Main Results:
- Rotavirus vaccination has dramatically decreased severe rotavirus-related hospitalizations.
- Emergency room visits for rotavirus have been significantly reduced.
- Herd immunity has been observed, and no significant strain shifts or escape mutants have been detected.
Conclusions:
- Rotavirus vaccines are highly effective in reducing childhood morbidity and mortality.
- Vaccination programs have demonstrated substantial public health benefits, including herd immunity.
- Current rotavirus vaccines have not led to concerning strain alterations.
Abstract:
Rotavirus infection is the most common cause of severe diarrhea disease in infants and young children worldwide and continues to have a major global impact on childhood morbidity and mortality. No antiviral therapy is available. Treatment of rotavirus gastroenteritis is limited to rehydration therapy. Recently, therapies, such as probiotics, have been developed as adjuncts to rehydration therapy. Two effective rotavirus vaccines are available and recommended for routine immunization of all infants. These vaccines have been introduced in both developed and developing countries. As rotavirus vaccines are implemented, studies that assess health impact, indirect benefits, and strain changes after the introduction of rotavirus vaccine have been reported. In the United States, rotavirus vaccination has led to dramatic drops in severe rotavirus-related hospitalizations and has reduced emergency room visits. Herd immunity has also been noted after routine rotavirus immunization. There have been no significant strain shifts or escape mutants noted since the introduction of rotavirus vaccines.
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