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Published on: February 6, 2017
Five year study of rotavirus gastroenteritis in Bulgaria
L M Shindarov1, D H Dimitrov, S Rangelova
1Medical Academy Research Institute of Infectious ans Parasitic Diseases, Department of Virology, Sofia, Bulgaria.
Insights
Rotaviruses were detected in 9.6% of fecal samples from children in Sofia and 66.6% in Shumen. Eight rotavirus electropherotypes were identified, confirming winter seasonality of rotavirus gastroenteritis.
Area of Science:
- Virology
- Pediatrics
- Epidemiology
Background:
- Rotavirus is a leading cause of severe diarrheal disease in infants and young children globally.
- Understanding the prevalence and genetic diversity of rotaviruses is crucial for developing effective prevention and control strategies.
Purpose of the Study:
- To determine the prevalence of rotavirus infections in hospitalized children in Bulgaria.
- To characterize the genetic diversity of detected rotaviruses.
- To confirm the seasonal patterns of rotavirus gastroenteritis.
Main Methods:
- Electron microscopy was used to screen 7,530 fecal samples from children in Sofia and 264 samples from Shumen.
- Enzyme-linked immunosorbent assay (ELISA) and polyacrylamide gel electrophoresis (PAGE) were employed for further characterization.
- Rotavirus RNA segment patterns were analyzed to identify electropherotypes.
Main Results:
- Rotaviruses were detected in 9.6% of samples from Sofia and 66.6% from Shumen.
- Eight distinct rotavirus electropherotypes were identified in Bulgaria.
- A seasonal peak of rotavirus gastroenteritis was observed during winter months.
- Rotavirus antibodies were present in 73% of tested children's sera.
Conclusions:
- Rotavirus infections are prevalent in hospitalized children in Bulgaria, with significant regional variations.
- The circulation of multiple rotavirus electropherotypes suggests genetic diversity within the country.
- The findings reinforce the winter seasonality of rotavirus gastroenteritis and high seroprevalence in children.
Abstract:
We tested by electron microscopy 7,530 samples from children admitted to different hospitals in Sofia between February 1981 and February 1986; from these, rotaviruses were found in 725 (9.6%) faecal samples. Electron microscopic analysis of 264 samples from 181 children admitted to the hospital of infectious diseases in Shumen between December 1984 to February 1986 revealed rotaviruses in 120 (66.6%) of the tested children. A part of the samples positive by electron microscopy was tested by ELISA and polyacrylamide gel electrophoresis for rotavirus RNA segment patterns. Rotaviruses with eight different electropherotypes were found in Bulgaria. The seasonal culmination of the rotavirus gastroenteritis in the winter months has been confirmed. Rotavirus antibodies were found in 73% of the sera from 152 children tested.
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