Rotavirus disease course among immunocompromised patients; 5-year observations from a tertiary care medical centre

P Bruijning-Verhagen1, M D Nipshagen2, H de Graaf3

  • 1Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Huispostnummer STR.6.131, Postbus 85500, 3508 GA Utrecht, The Netherlands.

The Journal of Infection
|August 17, 2017
PubMed

Insights

Rotavirus gastroenteritis (RVGE) is severe in immunocompromised patients, often requiring disease management changes. Routine rotavirus testing is recommended for these individuals with suspected gastroenteritis.

Area of Science:

  • Infectious Diseases
  • Gastroenterology
  • Immunology

Background:

  • Rotavirus (RV) is a common cause of gastroenteritis, posing significant risks to immunocompromised individuals.
  • Disease severity and outcomes of rotavirus gastroenteritis (RVGE) in immunocompromised populations are not well-characterized.
  • Rotavirus testing is not standard practice for immunocompromised patients beyond infancy.

Purpose of the Study:

  • To assess the severity and characteristics of rotavirus disease in immunocompromised hospitalized patients.
  • To determine if immunocompromised status predisposes individuals to RVGE.
  • To evaluate rotavirus testing practices in a hospital setting.

Main Methods:

  • Retrospective analysis of 5-year laboratory records for rotavirus infections.
  • Chart review to evaluate disease course in immunocompromised patients.
  • Matched case-control analysis comparing immunocompromised and non-immunocompromised patients.
  • Assessment of rotavirus testing rates over a 3-year period.

Main Results:

  • Immunocompromised patients constituted a significant proportion of adult (57%) and pediatric (12%) RVGE cases.
  • A complicated disease course occurred in 81% of immunocompromised patients, with 33% requiring management adaptations.
  • Immunocompromised adults were 7.4 times more likely to develop RVGE than controls.
  • Rotavirus testing was infrequent (12%) in adult patients with suspected infectious gastroenteritis.

Conclusions:

  • Adult immunocompromised patients represent the majority of RVGE cases in a hospital setting.
  • RVGE in immunocompromised individuals is linked to substantial morbidity and impacts underlying disease management.
  • Routine rotavirus testing should be considered for immunocompromised patients presenting with suspected infectious gastroenteritis.

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