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Published on: January 28, 2019
Human rotavirus genotypes causing acute watery diarrhea among under-five children in Benin City, Nigeria
1Department of Medical Microbiology, University of Benin Teaching Hospital, Benin City, Nigeria.
Insights
Rotavirus causes acute watery diarrhea in Nigerian children. Genotyping revealed diverse strains, suggesting a need for region-specific vaccines and advanced diagnostic methods like RT-PCR for accurate rotavirus detection.
Area of Science:
- Medical Virology
- Pediatric Infectious Diseases
- Molecular Epidemiology
Background:
- Diarrhea remains a significant cause of illness and death in children in developing nations.
- Rotavirus is a primary etiological agent responsible for acute watery diarrhea in this demographic.
Purpose of the Study:
- To characterize the predominant rotavirus G-genotypes in children under five with acute watery diarrhea in Benin City, Nigeria.
- To compare the efficacy of Enzyme-Linked Immunosorbent Assay (ELISA) and reverse transcriptase polymerase chain reaction (RT-PCR) for rotavirus detection.
Main Methods:
- Collected stool samples from 470 children under five presenting with diarrhea.
- Utilized ELISA for initial rotavirus antigen detection.
- Employed RT-PCR with VP7 primers for rotavirus G-genotype determination.
Main Results:
- RT-PCR detected rotavirus in 19.2% of samples, higher than ELISA's 13.8%.
- Identified prevalent G-genotypes: G1 (54.4%), G4 (37.8%), G2 (28.9%), G3 (21.1%), and G9 (8.9%).
- Observed dual or triple VP7 genotype reactivity in some rotavirus strains.
Conclusions:
- Diverse rotavirus genotypes contribute to acute watery diarrhea in Nigerian children.
- Recommends the introduction of rotavirus vaccines tailored to local strains.
- Advocates for the use of RT-PCR over ELISA for rotavirus screening when feasible.
Background:
Diarrhea is a major cause of childhood morbidity and mortality in the developing countries. Rotavirus is a major cause of acute watery diarrhea.
Aim:
This study aims at characterizing the prevalent rotavirus G-genotypes among under-five children presenting with acute watery diarrhea in Benin City, Nigeria.
Methodology:
A total of 470 children <5 years presenting with diarrhea of <2 weeks duration, were over a period of 1 year consecutively recruited for the study. Stool samples were collected for rotavirus antigen detection using Enzyme-Linked Immunosorbent Assay (ELISA) and further analyzed with reverse transcriptase polymerase chain reaction (RT-PCR) for VP7 genotyping.
Results:
Comparing the ability of the two methods to detect rotavirus in stool samples, 65 (13.8%) and 90 (19.2%) of the stools tested positive for rotavirus using ELISA and RT-PCR, respectively. Using VP7 primers, genotypes G1 were detected in 49 out of 90 stool samples (54.4%), G2 in 26 out of 90 stool samples (28.9%), G3 in 19 out of 90 stool samples (21.1%), G4 in 34 out of 90 stool samples (37.8%) and G9 in 8 of the 90 stool samples (8.9%). Some strains were observed to be reactive with 2 or more of the primers yielding dual or triple VP7 genotype reactivity.
Conclusion:
Rotavirus of varying genotypes as shown cause acute watery diarrhea among under-five children and vaccine with strains peculiar to this environment should be introduced. Techniques such as RT-PCR rather than ELISA, where affordable, should be used in stool rotavirus screening.
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