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Molecular Detection of Enteric Viruses in Under-Five Children with Diarrhea in Debre Tabor, Northwest Ethiopia
Aschalew Gelaw1,2, Uwe G Liebert2
1Department of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences University of Gondar, Gondar, Ethiopia.
Insights
Viral gastroenteritis is a major health issue for children globally, especially in Sub-Saharan Africa. This study found diverse enteric viruses, including human adenovirus and noroviruses, in children with diarrhea, highlighting the need for further research.
Area of Science:
- Virology
- Public Health
- Pediatrics
Background:
- Viral gastroenteritis poses a significant global public health challenge, particularly impacting infants and children.
- Sub-Saharan Africa experiences the highest burden of morbidity and mortality associated with viral gastroenteritis.
Purpose of the Study:
- To determine the prevalence and genetic diversity of enteric viruses in children suffering from diarrhea.
- To assess the etiological agents contributing to diarrheal diseases in pediatric populations.
Main Methods:
- A cross-sectional study was conducted involving 38 children with diarrhea in Debre Tabor.
- Fecal samples were analyzed using reverse transcription-polymerase chain reaction (RT-PCR) to detect enteric viruses.
- Data analysis involved descriptive statistics using SPSS software.
Main Results:
- Over half (52.6%) of the children tested positive for at least one enteric virus.
- Human adenovirus (HAdV) was the most prevalent (18.4%), followed by noroviruses (NoVs) and enteroviruses (EV) (13.2% each).
- Nineteen distinct enteric virus genotypes were identified, including diverse strains of adenovirus, norovirus, sapovirus, rotavirus A, and enterovirus.
Conclusions:
- The study identified a wide range of enteric viruses in young children experiencing diarrhea.
- The significant genetic diversity observed underscores the need for larger, multicenter studies to fully understand the burden and diversity of enteric viruses.
Background:
Viral gastroenteritis belongs to the major public health problems of infant and children worldwide. The largest proportion of morbidity and mortality occurs in Sub-Saharan Africa.
Purpose:
Aimed to assess the burden and genetic diversity of enteric viruses among children with diarrhea.
Patients And Methods:
A cross-sectional study was undertaken from December 2015 to April 2016 in Debre Tabor. A total of thirty-eight children, who presented with diarrhea at Debre Tabor health centers, were included. Fecal samples were collected and screened for enteric viruses by RT-PCR. Data were analyzed using SPSS software. Descriptive summary techniques were used to display the findings.
Results:
Out of thirty-eight children screened, 52.6% were positive for at least one enteric virus. Six (30.0%) of the children had mixed enteric virus infections. Human adenovirus (HAdV) 7 (18.4%) was predominant followed by noroviruses (NoVs) 5 (13.2%), enterovirus (EV) 5 (13.2%), rotavirus A (RVA) 4 (10.5%), human astrovirus (HAstV) 2 (5.3%), and human parechovirus (HPeV) 1 (2.6%). Overall, nineteen different types of enteric virus genotypes were identified. Diverse adenovirus within species A (HAdV-12,-31), B (HAdV-3), C (HAdV-2), and F (HAdV-4) were detected. Norovirus II (GII.4 and GII.6) and norovirus I (GI.2, GI.3, and GI.5) genotypes were found. Sapovirus genotypes within genogroup II (GII.1, GII.5, and GII.6) were identified. Wild-type rotavirus G9 and P[8] genotypes were detected in one of the rotavirus positive samples. Non-polio enteroviruses within species A (coxsackie A virus (CAV) 5, CAV6, and CAV14) and C (enterovirus (EV-C) 99) were also identified. In two of the fecal samples classic HAstV-2 was detected.
Conclusion:
Diverse enteric viruses were detected in fecal samples from under-five children with diarrhea. The detection of heterogeneous enteric viruses in this small data set highlights the need for extended multicenter studies to describe the burden and genetic diversity of enteric virus.
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