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Published on: February 6, 2017
Viruses in acute gastroenteritis in children in Pune, India
P B Singh1, M A Sreenivasan, K M Pavri
1National Institute of Virology, Pune, India.
Insights
Rotavirus was a significant cause of diarrhea in hospitalized Indian children under five. An inverse relationship was observed between rotavirus and coronavirus-like particles (CVLP) prevalence.
Area of Science:
- Virology
- Pediatric Gastroenterology
- Infectious Diseases
Background:
- Diarrhea is a major cause of childhood morbidity and mortality globally.
- Viral pathogens are frequently implicated in pediatric gastroenteritis.
Purpose of the Study:
- To investigate the role of viruses in childhood diarrhea in hospitalized Indian children.
- To identify specific viral agents and their prevalence in diarrheal cases.
Main Methods:
- A 2-year study (1981-1982) involving 426 children (213 diarrheal, 213 controls) in Pune, India.
- Stool sample analysis using electron microscopy and ELISA for viral detection.
- Identification of rotavirus, coronavirus-like particles (CVLP), adenovirus, astrovirus, calicivirus, and small round virus-like particles (SRV).
Main Results:
- Rotavirus was detected in 28.6% of diarrheal patients versus 1.4% of controls, predominantly in children under 5 years.
- Coronavirus-like particles (CVLP) were more prevalent in controls (23.0%) than in diarrheal cases (8.9%), with seasonal variations.
- An inverse relationship was noted between CVLP and rotavirus detection.
Conclusions:
- Rotavirus is a key viral agent causing diarrhea in young hospitalized children in this Indian population.
- The findings suggest distinct epidemiological patterns for different viral agents, including an inverse association between rotavirus and CVLP.
Abstract:
A 2-year study from January 1981 to December 1982 was undertaken to determine the role of viruses in the causation of diarrhoea in hospitalized children in Pune, Maharashtra State, India. The stool samples of 426 children (213 diarrhoeal and 213 non-diarrhoeal controls) were investigated by electron microscopy and ELISA for the presence of viruses. Six morphologically distinct viruses were visualized: rotavirus, coronavirus-like particles (CVLP), adenovirus, astrovirus, calicivirus and small round virus-like particles (SRV). Rotavirus was detected in 28.6% of the diarrhoeal patients and in 1.4% of the controls. The frequency of infection with rotavirus was highest in the children aged less than 5 years. The mean age of rotavirus-positive patients was 11 months. Although rotavirus was detected in almost every month, there has a seasonal trend for colder months when CVLP cases were fewest. However, the prevalence of CVLP was greater in the control group (23.0%) rather than in those with diarrhoea (8.9%). In the control group, CVLP were detected more frequently during the summer months. An inverse relationship between CVLP and rotavirus was observed in children. Adenovirus, astrovirus, calicivirus and SRV were detected in a small proportion of children with and without clinical symptoms of gastroenteritis.
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