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Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Burden of Rotavirus Diarrhea in Under five Indian Children
Ashok Kumar1, Sriparna Basu, Vipin Vashishtha
1Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India and Indian Academy of Pediatrics, Kailash Darshan, Kennedy Bridge, Mumbai, India. Correspondence to: Professor Ashok Kumar, Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221 005, India. ashokkumar_bhu@hotmail.com.
Insights
Rotavirus diarrhea is a significant health issue in Indian children, with varied prevalence in hospitalized and community settings. Common rotavirus strains include G1, G2, and untypeable strains, showing regional differences.
Area of Science:
- Pediatric Infectious Diseases
- Gastroenterology
- Public Health Epidemiology
Background:
- Rotavirus is a leading cause of severe diarrhea in young children globally.
- The epidemiological burden of rotavirus diarrhea in Indian children requires comprehensive understanding.
- This study addresses the need for established data on rotavirus disease impact in India.
Purpose of the Study:
- To review the epidemiology of rotavirus diarrhea in Indian children.
- To analyze molecular serotypes and mortality associated with rotavirus diarrhea.
- To assess rotavirus prevalence in both hospitalized and community settings in India.
Main Methods:
- Systematic literature search of multiple databases (Medline, PubMed, IndMed) and official websites.
- Inclusion of human studies in English, focusing on children aged 0-5 years.
- No restrictions on study design or publication time frame.
Main Results:
- Rotavirus diarrhea prevalence varied significantly across Indian regions, from 4.6% to 89.8% in hospitalized children and 4% to 33.7% in the community.
- G1, G2, and untypeable rotavirus strains were predominant, with notable regional variations in strain prevalence.
- Rotavirus was a significant cause of nosocomial diarrhea, identified in 5.2% to 80.5% of cases.
Conclusions:
- Rotavirus diarrhea presents a substantial burden in Indian children, with considerable regional disparities in prevalence.
- Specific rotavirus G serotypes (G1, G2, untypeable) are common, but regional variations exist.
- Further research is needed to establish the precise mortality data for rotavirus diarrhea in India.
Need And Purpose:
Rotavirus is the most common cause of severe diarrhea in infants and young children worldwide. The burden of rotavirus diarrhea in Indian children is not well established. The present study reviewed the epidemiology of rotavirus diarrhea in hospitalized children and in the community, molecular serotyping and under-five mortality caused by rotavirus diarrhea.
Methods:
Publications, reporting rotavirus diarrhea in Indian children, were retrieved through a systematic search of databases including Medline, PubMed, IndMed, websites of WHO, UNICEF, National Family Health Survey, Ministry of Health and Family Welfare, and Government of India. Human studies in English language were included. Age group selected was 0 month to 5 years. No restrictions were applied in terms of study design and time frame.
Conclusions:
Stool sample positivity varied from 4.6% in Kolkata to 89.8% in Manipur, among hospitalized children, and from 4% in Delhi to 33.7% in Manipur in community. Most cases of rotavirus diarrhea in India are caused by G1, G2, and G untypeable strains with distinct regional variations. Rotavirus was identified as an etiological agent in 5.2 to 80.5% cases of nosocomial diarrhea. Data are lacking for rotavirus mortality.
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