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Rota virus genotypes and the clinical severity of Diarrhoea among children under 5 years of age
Ezeonwu Bertilla Uzoma1, Chinedu Chukwubuikem, Efe Omoyibo
1From the Department of Paediatrics, Federal Medical Centre, Asaba, Delta State, Nigeria.
Insights
Rotavirus diarrhoea affects young children, with G12P[8] genotype linked to severe dehydration. This study identified common rotavirus serotypes and their impact on illness severity in Nigerian children.
Area of Science:
- Pediatrics
- Infectious Diseases
- Virology
Background:
- Diarrhoeal disease is a major cause of child mortality globally.
- Rotavirus is a leading cause of severe diarrhoea in children under five.
- Understanding rotavirus prevalence and serotypes is crucial for public health interventions.
Purpose of the Study:
- To determine the prevalence and risk factors of rotavirus diarrhoea in children under five.
- To identify common rotavirus serotypes and their association with diarrhoea severity.
- To investigate the epidemiology of rotavirus in Asaba, Nigeria.
Main Methods:
- A hospital-based cross-sectional study was conducted.
- Stool samples from children under five with diarrhoea were tested for rotavirus antigen using ELISA.
- Statistical analyses included t-tests and Chi-square tests.
Main Results:
- Rotavirus was detected in 37.1% of the 132 children studied.
- The most common genotypes were G3P[6] (24.5%), G1P[6] (12.2%), and G12P[8] (10.2%).
- G12P[8] infection was associated with increased dehydration and overall diarrhoea severity.
Conclusions:
- Rotavirus infection is prevalent in children under five with diarrhoea in Asaba.
- The G12 rotavirus genotype, associated with severe outcomes, has emerged in the region.
- Further surveillance and targeted interventions are needed to control rotavirus disease.
Background:
Diarrhoeal disease still remains one of the common causes of morbidity and mortality in children under 5 years of age. It is caused notably by the different serotypes of rotavirus.
Objectives:
To ascertain the prevalence and risk factors for rotavirus diarrhoea in children under 5 years of age seen at Federal Medical Centre, Asaba, and to determine the different serotypes and their relationship with diarrhoea severity.
Subjects And Methods:
A hospital-based cross-sectional study in which all children under 5 years of age, with diarrhoea had their stool samples tested for rotavirus antigen with enzyme immunoassay. Significant values of variables were determined using t-tests and Chi-square tests as appropriate.
Results:
One hundred and thirty-two children were studied: 52.3% were males and 46.7% were females. Children 1-11 months of age constitute 49.2%, whereas those 12-59 months were 50.8%. Only 49 (37.1%) children were ELISA positive for rotavirus and of this number, 31 (63.3%) were within 1-11 months of age, P = 0.013. The three most common rotavirus genotypes were G3P[6] in 24.5%, G1P[6] in 12.2% and G12P[8] in 10.2% of the samples, respectively. Duration of vomiting was more prolonged with G3P[6] infection, P = 0.029, whereas dehydration and the overall severity of the diarrhoea were more with G12P[8] infection, P = 0.026 and 0.010, respectively.
Conclusion:
The emerging G12 rotavirus genotype was isolated in Asaba.
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