[Epidemiological features on 3 important viral diarrhea among children in Zhuhai during winter and spring]
Ya-Wei Liu1, Wan-Shan Wang, Qiu-Hua Mo
1Medical School of Chinese PLA, Beijing 100853, China.
Insights
Norovirus (NV), sapovirus (SV), and astrovirus (AstV) are significant causes of viral diarrhea in Zhuhai children during winter and spring. Enhanced monitoring of these pathogens in infants and young children is recommended.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Epidemiology
Context:
- Viral diarrhea poses a significant health burden on children.
- Norovirus (NV), sapovirus (SV), and astrovirus (AstV) are common etiological agents of gastroenteritis.
- Understanding the seasonal and age-specific epidemiology of these viruses is crucial for public health interventions.
Purpose:
- To investigate the epidemiological characteristics of viral diarrhea caused by NV, SV, and AstV in children in Zhuhai.
- To determine the prevalence and seasonality of these viral infections during winter and spring.
- To identify the age groups most affected by these pathogens.
Summary:
- A study analyzed stool specimens from children with viral diarrhea in Zhuhai between November 2009 and April 2010.
- Reverse transcription-polymerase chain reaction (RT-PCR) was used to detect NV, SV, and AstV.
- The overall detection rate was 21.49%, with NV being the most prevalent (14.70%), followed by AstV (4.04%) and SV (2.75%).
- Children aged 0-30 months accounted for 87.96% of positive cases, with specific age peaks for each virus.
- All detected NV strains belonged to the G II genogroup.
Impact:
- Norovirus is identified as a primary cause of viral diarrhea in young children in Zhuhai during the study period.
- Sapovirus and astrovirus are also recognized as important contributors to pediatric viral gastroenteritis.
- Findings underscore the need for strengthened surveillance of NV, SV, and AstV in infants and young children to inform prevention and control strategies.
Objective:
To explore the epidemiological characteristics of viral diarrhea of norovirus (NV), sapovirus (SV) and astrovirus (AstV) among children in Zhuhai during winter and spring.
Methods:
Stool specimens were collected from children with viral diarrhea in Maternal and Child Health Hospital of Zhuhai from November 21, 2009 to April 3, 2010. Nucleic acid of NV, SV and AstV from negative specimens of rotavirus and adenovirus were detected by using Reverse transcription-polymerase chain reaction (RT-PCR), and the types of positive samples of NV were also classified at the same time.
Results:
The total detection rate of the three viruses is 21.49 percent, the highest detection rate is 29.05% in December 2009, the lowest detection rate is 12.20% in February 2010, 87.96% of positive specimens were from children patients aged from 0 to 30 months. The season detection rate of NV, SV and AstV are 14.70%, 2.75% and 4.04% respectively. There were significant differences of NV and SV detection rates in every month of the season, whereas the AstV detection rate was comparatively stable. The highest detection rate of NV is 34.09% in children patients aged from 12 to 18 months, the highest SV detection rate is 12.5% in children patients aged from 60 to 120 months, and the highest AstV detection rate is 16.67% in children patients aged from 24 to 30 months. All the NV were belong to G II genogroup.
Conclusions:
NV is one of the main pathogens causing viral diarrhea among children in Zhuhai during winter and spring, SV and AstV are also important pathogens. So we should strengthen the monitoring of viral diarrhea caused by NV, SV and AstV in infants and young children.
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