Small round virus excretion in long-stay geriatric patients

The role of small round viruses (SRVs) in gastroenteritis has not been evaluated. We undertook a study to evaluate SRV excretion in 40 elderly patients over 12 months in long-stay, geriatric wards. The 40 patients (11 male, 29 female) had an age range of 73-99 years. Samples were received monthly as long as the patients were alive. Samples were available from 30 patients (75%) for 6 months or more, and 20 (50%) patients completed the study. Ten grams of faeces were collected and prepared as 10-20% suspensions, and then concentrated and examined by electron microscopy. Of 348 samples examined, 116 (33%) contained SRVs. Only 5 of 40 patients did not excrete virus. However, in 103/116 (89%) positive samples, virus was present in small amounts. These results show that excretion of SRVs in asymptomatic patients was very common. Therefore, the detection of SRVs in small amounts during an outbreak of gastroenteritis suggest that they do not have a causal role.