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[Rotavirus infection in the older child and adult]
1Staatliches Medizinaluntersuchungsamt Osnabrück.
Insights
Rotaviruses were found in 1.3% of over 10,000 stool samples from children and adults. While symptoms were similar to infant rotavirus infections, adult cases were less severe, with no link to behavior or diet.
Area of Science:
- Gastroenterology
- Virology
- Epidemiology
Background:
- Rotaviruses are a significant cause of gastroenteritis in infants.
- The prevalence and clinical presentation of rotavirus in older children and adults are less understood.
Purpose of the Study:
- To determine the prevalence of rotaviruses in stool samples from children older than 6 years and adults.
- To identify other enteropathogenic agents in the same cohort.
- To compare the clinical presentation of rotavirus infection in adults with that in infants.
Main Methods:
- Analysis of over 10,000 stool samples.
- Detection of rotaviruses and other enteropathogenic bacteria, including Salmonella and Campylobacter jejuni/coli.
Main Results:
- Rotaviruses were detected in 1.3% of samples.
- Salmonellae (6.3%) and Campylobacter jejuni/coli (1.7%) were the most common enteropathogenic agents found.
- Adult rotavirus infections presented with similar symptoms to infant infections but were generally less severe.
- No correlation was found between rotavirus infection and specific behaviors or eating habits.
Conclusions:
- Rotavirus is an enteropathogen in older children and adults, albeit with reduced severity compared to infants.
- Surveillance for rotavirus and other common enteropathogens like Salmonella and Campylobacter is important in this demographic.
- Further research may elucidate specific risk factors or transmission dynamics in non-infant populations.
Abstract:
Rotaviruses were detected in 1.3% of more than 10,000 stool samples from children--older than 6 years--and adults. Beside rotaviruses the main enteropathogenic agents found were salmonellae (6.3%) and Campylobacter jejuni/coli (1.7%). Similar as the rotavirus infection of infants, in adults symptoms and signs were nearly the same except that the disease was not so severe. A correlation of the rotavirus infection with certain behaviour or eating habits was not found.