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Published on: July 22, 2012
Rotavirus serotypes causing acute diarrhoea in hospitalized children in Yogyakarta, Indonesia during 1978-1979
R F Bishop1, L E Unicomb, Y Soenarto
1Department of Gastroenterology, Royal Children's Hospital, Melbourne, Victoria, Australia.
Insights
This study analyzed rotavirus strains in Indonesian children, finding all four major human serotypes. Rotavirus vaccine strategies require broad immunity against common serotypes due to their changing prevalence.
Area of Science:
- Virology
- Immunology
- Pediatrics
Background:
- Rotavirus is a leading cause of acute diarrhea in children worldwide.
- Understanding rotavirus serotype distribution is crucial for vaccine development and public health strategies.
- Previous studies have indicated geographical variations in rotavirus serotype prevalence.
Purpose of the Study:
- To serotype rotavirus strains from hospitalized children in Yogyakarta, Indonesia.
- To determine the prevalence of major human rotavirus serotypes in the study population.
- To assess the potential impact of climatic changes on rotavirus serotype frequency.
Main Methods:
- Stool specimens from 111 children (3-24 months) with acute diarrhea were collected.
- VP7 serotype-specific monoclonal antibodies were used in a double sandwich enzyme immunoassay for serotyping.
- Specimens were transported from Indonesia to Australia for analysis.
Main Results:
- A serotype was assigned to 53% of specimens; 47% could not be typed, likely due to capsid loss during transport.
- All four major human rotavirus serotypes (1, 2, 3, and 4) were detected.
- Serotype 3 strains exhibited intratypic variation, and the frequency of serotypes 2, 3, and 4 varied seasonally.
Conclusions:
- Rotavirus serotype distribution in Yogyakarta showed significant seasonal variation, potentially linked to climatic changes.
- Effective rotavirus vaccine strategies must address the simultaneous circulation and rapid shifts in predominant serotypes.
- Comprehensive immunity against all four major human rotavirus serotypes is essential for successful vaccination campaigns.
Abstract:
Rotavirus strains in stool specimens from 111 children aged 3-24 months admitted to hospital in Yogyakarta, Indonesia for treatment of acute diarrhoea were serotyped using VP7 serotype specific monoclonal antibodies in a double sandwich enzyme immunoassay. A serotype could be assigned to 59 of 111 specimens (53%). Inability to assign a serotype to 47% of specimens was probably due to loss of the outer capsid during transport of specimens from Indonesia to Australia. All four major human rotavirus serotypes were detected during the 15 month survey from June 1978 to August 1979, including one serotype 1, 5 serotype 2, 31 serotype 3, and 21 serotype 4 strains. One additional strain reacted with serotype 3 and 4 Mabs. Serotype 3 strains showed intratypic variation. The relative frequency of serotypes 2, 3, and 4 varied during the 15 months and appeared to be influenced by climatic changes associated with dry and wet seasons. Vaccine strategies must take account of comparatively rapid changes of predominant serotypes in a community and are only likely to be successful if comprehensive immunity can be established simultaneously against the four major human serotypes.
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