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Human adenoviruses in children with gastroenteritis: a systematic review and meta-analysis
Pegah Khales1, Mohammad Hossein Razizadeh2,3, Saied Ghorbani1
1Department of Bacteriology and Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Insights
Human adenoviruses (HAdVs) cause 10% of childhood gastroenteritis globally, particularly in younger and hospitalized children. Species F, including types 40/41, 38, and 2, are most common, highlighting the need for preventive strategies.
Area of Science:
- Virology
- Pediatrics
- Epidemiology
Background:
- Human adenoviruses (HAdVs) are implicated in pediatric gastroenteritis.
- A comprehensive global epidemiological report on HAdVs in children was lacking.
Approach:
- Systematic literature search (2003-2023) across PubMed, Scopus, and Web of Science.
- Pooled prevalence and meta-analysis of case-control studies were performed.
Key Points:
- Global pooled prevalence of HAdV in pediatric gastroenteritis is 10%, with a rising trend post-2010.
- Africa shows the highest prevalence (20%). Higher rates observed in inpatients and children ≤5 years old.
- HAdV species F (types 40/41, 38, 2) are most prevalent; HAdV infection is associated with increased gastroenteritis risk (OR 2.28).
Conclusions:
- HAdVs are significant contributors to pediatric gastroenteritis, especially in vulnerable groups.
- Findings underscore the importance of HAdVs in disease burden and inform future vaccine development and public health interventions.
Purpose:
Human adenoviruses (HAdVs) have always been suggested as one of the main causes of gastroenteritis in children. However, no comprehensive report on the global epidemiology of these viruses in pediatric gastroenteritis is available.
Methods:
A systematic search was conducted to obtain published papers from 2003 to 2023 in three main databases PubMed, Scopus, and Web of Science.
Results:
The estimated global pooled prevalence of HAdV infection in children with gastroenteritis was 10% (95% CI: 9-11%), with a growing trend after 2010. The highest prevalence was observed in Africa (20%, 95% CI: 14-26%). The prevalence was higher in inpatients (11%; 95% CI: 8-13%) and patients aged 5 years old and younger (9%; 95% CI: 7-10%). However, no significant difference was observed between male and female patients (P = 0.63). The most prevalent species was found to be the species F (57%; 95% CI: 41-72%). The most common HAdVs observed in children with gastroenteritis were types 40/41, 38, and 2. Analysis of case-control studies showed an association between HAdV and gastroenteritis in children (OR: 2.28, 95% CI; 1.51-3.44).
Conclusion:
This study provided valuable insights into the importance of HAdVs in children with gastroenteritis, especially in hospitalized and younger children. The results can be used in future preventive measurements and the development of effective vaccines.
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