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Rotavirus infection among children in Bombay

H S Desai1, D D Banker

  • 1Sir Hurkisondas Nurrotumdas Medical Research Society, Bombay.

Insights

Rotavirus is a significant cause of acute infantile diarrhea in Bombay, particularly in children aged 6-24 months. This study highlights its prevalence and seasonal patterns.

Area of Science:

  • Medical Microbiology
  • Pediatrics
  • Epidemiology

Background:

  • Acute diarrhea remains a major health concern in infants and young children globally.
  • Rotavirus is a well-established viral pathogen responsible for severe gastroenteritis in children.

Purpose of the Study:

  • To investigate the prevalence and etiological role of rotavirus in acute infantile diarrhea in Bombay.
  • To compare the diagnostic efficacy of different detection methods for rotavirus.

Main Methods:

  • Faecal samples were collected from children and adults with acute diarrhea and age-matched controls.
  • Rotavirus detection was performed using electron microscopy (EM), latex slide agglutination (LA), and enzyme-linked immunosorbent assay (ELISA).

Main Results:

  • Rotavirus was detected in 23.0% of children with acute diarrhea, with the highest incidence (25.7%) in the 6-24 month age group.
  • Rotavirus was identified as the sole pathogen in 50 cases, while coinfections with bacterial or protozoal agents occurred in 13 cases.
  • Only 1.1% of control children tested positive for rotavirus, and no adults showed rotavirus presence. Diarrhea was more common in cooler months and crowded housing.

Conclusions:

  • Rotavirus is a significant causative agent of infantile diarrhea in Bombay.
  • ELISA demonstrated higher sensitivity than LA, though LA offered a quicker and more cost-effective alternative.
  • Environmental factors like season and housing conditions may influence rotavirus prevalence.

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