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Updated: May 1, 2026

Detection and Genogrouping of Noroviruses from Children's Stools By Taqman One-step RT-PCR
Published on: July 22, 2012
Clinical characteristics and outcome in norovirus gastroenteritis
Min-Sho Ku1, Ji-Nan Sheu, Ching-Pin Lin
1Department of Pediatrics, Chung Shan Medical University Hospital, No. 110 Jianguo North Road, Section 1, Taichung, 402, Taiwan.
Insights
Norovirus gastroenteritis in children presents distinct clinical features compared to bacterial infections, with prolonged vomiting and diarrhea. Early clinical signs can help identify norovirus in sporadic cases.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Microbiology
Background:
- Acute gastroenteritis is a common illness in children.
- Differentiating viral from bacterial causes is crucial for appropriate management.
- Norovirus and rotavirus are significant viral pathogens in pediatric gastroenteritis.
Purpose of the Study:
- To compare clinical characteristics of norovirus, rotavirus, and bacterial gastroenteritis in children.
- To investigate outcomes of sporadic norovirus gastroenteritis.
Main Methods:
- A cohort of 198 children (4 months to 14 years) with acute gastroenteritis was studied.
- Clinical data, laboratory findings, and fecal specimens were analyzed.
- Pathogens including norovirus, rotavirus, and bacteria were identified.
Main Results:
- Norovirus infection was associated with significantly longer duration of vomiting and diarrhea, and fever compared to bacterial infections.
- Clinical manifestations on the day after symptom onset were indicative of norovirus.
- Hospital stay in norovirus patients correlated with diarrhea episodes and severity.
Conclusions:
- Clinical presentation, particularly symptom duration and fever, can help identify norovirus gastroenteritis in children.
- Early identification of norovirus is possible through clinical observation.
Objective:
To examine differences in clinical characteristics among children with norovirus, rotavirus, and bacterial gastroenteritis and investigate the outcomes in children with sporadic norovirus gastroenteritis.
Methods:
The study included patients aged 4 mo to 14 y who had acute gastroenteritis and were admitted to a tertiary care center between April 2008 and July 2009. The clinical features and laboratory findings of acute gastroenteritis were recorded. Fecal specimens were collected and tested for viruses, bacteria, and parasites.
Results:
A total of 198 children (median age, 2.1 y) with acute gastroenteritis were studied. The pathogens identified included norovirus (n = 38), rotavirus (n = 47), adenovirus (n = 5), astrovirus (n = 1), bacteria (n = 43), and mixed infections (n = 7). No causative organisms were identified in 57 patients. The norovirus-infected group had a significantly higher proportion of those still vomiting 1 d after the onset of vomiting (p < 0.001, OR 5.0, 95 % CI 1.9-12.8), cessation of diarrhea 4 d after the onset of diarrhea (p < 0.001, OR 15.5, 95 % CI 5.1-47.0) and no fever 3 d after the onset of fever (p < 0.001, OR 27.5, 95 % CI 5.8-129.7) compared with the bacteria-infected group. The length of hospital stay of the norovirus-infected patients was positively correlated with the number of diarrhea episodes, duration of diarrhea, and severity score.
Conclusions:
The clinical manifestations on the day after onset of diarrhea, vomiting and fever reflected the occurrence of norovirus infection in children with sporadic gastroenteritis.
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