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Updated: May 12, 2025

Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Rotavirus prevalence and genotypes in the Central African Republic, 2011-2021
Joël W Dote1, Virginie Banga Mingo2, Jean Fandema2
1Institut Pasteur de Bangui, BP 923, Bangui, Central African Republic. joel.dote@pasteur-bangui.cf.
Insights
Rotavirus gastroenteritis is a major infant killer in sub-Saharan Africa. This study identified common rotavirus strains (G1P[8] and G1P[6]) in the Central African Republic from 2011-2021, providing crucial pre-vaccine data.
Area of Science:
- Virology
- Public Health
- Epidemiology
Background:
- Rotavirus gastroenteritis poses a significant threat to infant mortality, especially in sub-Saharan Africa.
- Sentinel surveillance for rotavirus gastroenteritis in the Central African Republic (CAR) began in 2011.
- This study aimed to determine the burden and circulating rotavirus strains in CAR between 2011 and 2021.
Purpose of the Study:
- To assess the prevalence of rotavirus gastroenteritis in young children in CAR.
- To identify the specific rotavirus genotypes circulating in CAR over a ten-year period.
- To establish baseline rotavirus genotype data prior to potential vaccine introduction.
Main Methods:
- Stool samples were collected from children under five with diarrhea at a sentinel site in Bangui, CAR.
- Samples were tested for rotavirus group A antigen using enzyme immunoassay (EIA).
- RNA from positive samples underwent semi-nested RT-PCR for VP7 and VP4 gene genotyping.
Main Results:
- Over 1800 stool samples were collected, with a 46% rotavirus positivity rate.
- The most common VP7 genotypes were G1 (35.4%) and G2 (26.6%).
- The predominant VP4 genotypes were P[6] (42.7%) and P[8] (35.6%), with G1P[8] and G1P[6] being the most frequent combinations.
Conclusions:
- This research provides a decade-long overview of rotavirus genotype prevalence in CAR.
- The findings offer essential pre-vaccine baseline data for rotavirus gastroenteritis surveillance.
- Understanding circulating strains is vital for informing public health strategies and vaccine efficacy in the region.
Background:
Rotavirus gastroenteritis is one of major causes of death in infants, particularly in sub-Saharan Africa. In the Central African Republic (CAR), sentinel surveillance of rotavirus gastroenteritis was established in 2011. In this study, we assessed the burden of rotavirus gastroenteritis and identified rotavirus strains circulating in CAR during 2011-2021.
Methods:
Stool samples were collected from < 5-year-old children with diarrhoea according to WHO criteria, at the sentinel site in Bangui, CAR. Samples were screened for group A rotavirus antigen by EIA. RNA was extracted from all EIA-positive samples which were subjected to genotyping using a semi nested RT-PCR assay.
Results:
From 2011 to 2021, 1855 stool samples were collected and 854 (46.0%) were positive for rotavirus by EIA. Genotypes were obtained from 77.3% (660/854) EIA positive samples. Of these 660 samples, genotypes funds were: G1 (35.4%) and G2 (26.6%) for VP7, and P[6] (42.7%) and P[8] (35.6%) for the VP4 gene. The most frequent genotype combinations were G1P[8], 19.3% and G1P[6], 15.0%.
Conclusion:
This study reports the prevalence of rotavirus genotypes that circulated for ten years, providing a pre-vaccine baseline data genotype estimate for rotavirus gastroenteritis sentinel surveillance in the Central African Republic.
Clinical Trial Number:
Not applicable.
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