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Published on: January 28, 2019
Rotavirus Gastroenteritis Hospitalizations Among Under-Five Children in Bhubaneswar, Odisha, India
Prasantajyoti Mohanty1, Dilesh Kumar2, Asit Mansingh1
1Rotavirus Vaccine Impact Assessment Study (RVIS), Jagannath Hospital, Bhubaneswar, Odisha, India.
Insights
Rotavirus gastroenteritis in children under five peaked from November to February in Odisha. The most common strains were G3P[8] and G1P[8], often causing severe dehydration.
Area of Science:
- Pediatrics
- Infectious Diseases
- Vaccinology
Background:
- Rotavirus is a leading cause of severe diarrheal disease in young children globally.
- Understanding local rotavirus epidemiology is crucial for vaccine efficacy assessment and public health strategies.
Observation:
- A study in Bhubaneswar, Odisha, analyzed 1213 stool samples from children under five with acute gastroenteritis (AGE) between 2016 and 2019.
- Rotavirus was detected in 36.9% of samples, predominantly in children aged 6 months to 2 years.
Findings:
- Rotavirus gastroenteritis peaked from November to February.
- Severe or very severe dehydration was observed in 92.6% of rotavirus cases.
- The most prevalent rotavirus genotypes were G3P[8] (46%) and G1P[8] (19%).
Implications:
- This data provides a clinical profile of rotavirus AGE in a vaccine-introduced area of Odisha.
- Findings aid in documenting disease epidemiology and evaluating rotavirus vaccine performance in the region.
Objective:
To report rotavirus-associated AGE (AGE) profile of admitted children among vaccine-introduced areas in Bhubaneswar, Odisha.
Methods:
This study was conducted between 2016 and 2019 at the Capital Hospital, Jagannath hospital and Hi-Tech Medical College and Hospital. All AGE patients below five years old, hospitalized in the study facilities were enrolled. A stool sample was collected and transported to the central laboratory (Christian Medical College, Vellore) for rotavirus antigen detection and genotyping. Clinical and demographic information was collected using a predesigned case report format (CRF).
Results:
Out of the 1213 stool samples, 447 (36.9%) were identified to have rotavirus with 350 (78.3%) of them belonging to 6 mo to 2 y age group. Rotavirus gastroenteritis exhibited a single peak from November to February. A total of 414 (92.6%) of rotavirus gastroenteritis children had severe or very severe dehydration with odds of rotavirus diarrhea leading to severe dehydration being 1.5 (95% CI, 1-2.4) compared to moderate dehydration. The common genotype combination was G3P[8] (46%) followed by G1P[8] (19%), G2P[4] (5%), and G9P[4] (3%).
Conclusion:
Rotavirus gastroenteritis peaked between December to February while the most common genotype combination among the rotavirus GE was G3P[8] and G1P[8]. The present study provides the clinical profile of admitted children in the hospitals with diarrhea and the circulating strains of rotavirus which will help in documenting the epidemiology and the performance of vaccine against the disease in the state.
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