Related Experiment Video
Updated: May 5, 2026

Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Prevalence of rotavirus diarrhea among hospitalized under-five children
M A Mathew1, Abraham Paulose, S Chitralekha
1Department of Pediatrics, Malankara Orthodox Syrian Church Medical College Hospital, Kolenchery, Ernakulam District, Kerala; Department of Microbiology, Christian Medical College, Vellore, India and Division of Translational Research, International Vaccine Institute, Seoul, South Korea. Correspondence to: Dr MA Mathew, Professor, Department of Pediatrics, Malankara Orthodox Syrian Church Medical College Hospital, Kolenchery, Ernakulam District, Kerala 682 311, India. drmathew_11@yahoo.com.
Insights
Rotavirus diarrhea is prevalent in hospitalized children under 5 in Kerala, affecting 35.9% of cases. The most common strain identified was G1P[8], highlighting the need for targeted interventions.
Area of Science:
- Pediatrics
- Infectious Diseases
- Virology
Background:
- Rotavirus is a leading cause of severe diarrheal disease in young children globally.
- Understanding local prevalence and circulating strains is crucial for effective public health strategies.
Purpose of the Study:
- To determine the prevalence of rotavirus diarrhea in hospitalized children under 5 years in Kerala.
- To identify the specific rotavirus strains circulating in the region.
Main Methods:
- A multicenter, cross-sectional study was conducted in eight hospitals in Ernakulam district, Kerala.
- Stool samples from 1827 hospitalized children with acute diarrhea were tested using ELISA and RT-PCR for rotavirus detection and strain typing.
Main Results:
- Rotavirus was detected in 35.9% of the children studied.
- Prevalence varied by age, peaking in the 24-35 month group (46.9%).
- The most common genotype was G1P[8] (49.7%), followed by G9P[8] (26.4%).
Conclusions:
- Rotavirus diarrhea poses a significant public health burden among hospitalized children in Ernakulam, Kerala.
- The predominance of G1P[8] strain suggests potential targets for vaccination and surveillance efforts.
Objective:
To estimate the prevalence of rotavirus diarrhea among hospitalized children less than 5 years of age in Kerala State and to determine the circulating strains of rotavirus in Kerala.
Design:
Multicenter, cross-sectional study.
Setting:
Eight representative hospitals in Kunnathunadu Thaluk, Ernakulam district, Kerala.
Participants:
Children in the age group under 5 years.
Methods:
Hospitalized children admitted with acute diarrhea were examined and standardized case report form was used to collect demographic, clinical and health outcome. Stool specimens were collected and ELISA testing was done. ELISA rotavirus positive samples were tested by reverse transcription PCR for G and P typing (CMC Vellore).
Results:
Among the 1827 children, 648 (35.9%) were positive for rotavirus by the Rotaclone ELISA test. The prevalence of rotavirus diarrhea in infants less than 6 months of age was 24.7%; 6- 11 months 31.9%; 12- 23 months 41.9%; 24- 35 months 46.9%; and 33.3% in 36- 59 months. Rotavirus infections were most common during the dry months from January through May. G1P[8] (49.7%) was the most common strain identified followed by G9P[8] (26.4%), G2P[4] (5.5%), G9P[4] (2.6%) and G12P[6] (1.3%).
Conclusions:
The prevalence of rotavirus diarrhea among hospitalized children less than 5 years is high in Ernakulam district, Kerala State.
Related Concept Videos
Bacterial Gastroenteritis
Cholera
Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents
Reservoir of Infection
Drugs for Treatment of Diarrhea-Predominant IBS
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Drug Dosing: Infants and Children

