Unusual rotavirus genotypes among children with acute diarrhea in Saudi Arabia

Mahmoud Aly1,2, Aisha Al Khairy3, Sameera Al Johani4,5

  • 1King Abdullah International Medical Research Centre, P.O. Box 22490, Riyadh, 11426, Kingdom of Saudi Arabia. alyma@ngha.med.sa.

Insights

Human rotavirus A (RV-A) causes severe diarrhea in infants. This study identified common G and P genotypes in Saudi Arabia, finding G1P[8] as dominant and noting uncommon strains similar to those in other Asian countries.

Area of Science:

  • Virology
  • Pediatric Infectious Diseases
  • Molecular Epidemiology

Background:

  • Human rotavirus A (RV-A) is a primary cause of viral gastroenteritis in infants globally.
  • Understanding circulating RV-A genotypes is crucial for public health surveillance and vaccine efficacy.
  • This study focused on characterizing RV-A genotypes in pediatric diarrhea cases in Riyadh, Saudi Arabia.

Purpose of the Study:

  • To determine the G and P genotypes of human rotavirus A (RV-A) in clinical isolates from children with acute diarrhea.
  • To analyze the prevalence and distribution of these genotypes in Saudi Arabia.

Main Methods:

  • Fecal samples from 541 pediatric patients with acute diarrhea were collected between 2011 and 2012.
  • Rotavirus RNA was extracted using a commercial kit, followed by RT-PCR and sequencing for genotyping.
  • Phylogenetic analysis using the Maximum Likelihood method was employed to study genotype clustering.

Main Results:

  • A total of 171 out of 541 (31.6%) samples tested positive for human RV-A, predominantly in children under 2 years old.
  • The most prevalent P genotype was P[8] (96.7%), with G1P[8] being the dominant strain (61.9%), followed by G9P[8] (16.8%).
  • Uncommon genotypes G1P[4] and G12P[6] were detected and clustered with isolates from other Asian countries, suggesting potential international transmission.

Conclusions:

  • The study identified dominant and uncommon human rotavirus A (RV-A) genotypes in Saudi Arabia, with G1P[8] being the most frequent.
  • The detection of uncommon strains linked to other Asian countries highlights the need for ongoing molecular surveillance.
  • Further research into emerging genotypes and rotavirus seasonality is recommended, particularly post-vaccination introduction in routine childhood immunizations.
Abstract

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