Astrovirus infection in South Africa: a pilot study

A D Steele1, H R Basetse, N R Blacklow

  • 1MRC/MEDUNSA Diarrhoeal Pathogens Research Unit, Medical University of Southern Africa, South Africa.

Insights

This study found rotaviruses were the most common cause of gastroenteritis in young South African children, followed by astroviruses. These viral infections peaked in autumn and early winter, primarily affecting infants aged 3-22 months.

Area of Science:

  • Virology
  • Pediatrics
  • Public Health

Background:

  • Gastroenteritis in children is a significant public health concern.
  • Astroviruses, rotaviruses, and enteric adenoviruses are known causes of pediatric gastroenteritis.
  • Limited comparative studies exist for South Africa regarding these viral agents.

Purpose of the Study:

  • To compare the prevalence of astroviruses, rotaviruses, and enteric adenoviruses in young children with acute gastroenteritis in South Africa.
  • To establish the relative etiological roles of these viruses in pediatric gastroenteritis within the study population.

Main Methods:

  • Stool specimens were collected from 225 children with acute gastroenteritis (1991-1993).
  • Astroviruses detected using monoclonal antibody-based ELISA.
  • Rotaviruses and enteric adenoviruses detected using commercial kits.
  • A control group of 56 asymptomatic children was included.

Main Results:

  • Astroviruses detected in 7% of cases, rotaviruses in 20%, and enteric adenoviruses in 3%.
  • Astrovirus and rotavirus infections were seasonal, peaking in autumn and early winter.
  • Infections were most common in children aged 3-22 months.
  • Low prevalence of these viruses was observed in the control group.

Conclusions:

  • Rotavirus is a more frequent cause of gastroenteritis than astrovirus or adenovirus in young South African children.
  • Astrovirus prevalence aligns with findings in other developing regions.
  • Seasonal patterns and age predilection for rotavirus and astrovirus infections were identified.

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