Epidemiology of Acute Gastroenteritis Caused by Rotavirus among Children Less than Five Years Old Admitted in Hospital, in North India

Springer Science and Business Media LLC - Tập 88 - Trang 22-27 - 2021
Madhu Gupta1, Arun Bansal2, Adarsh Bansal1, Shivani Aloona1, Monica Rana1, Jayashree Muralidharan2, Ravi P. Kanojia3, Kushaljit Singh Sodhi4, Akshaya Saxena4, Mini P. Singh5, Bhavneet Bharti2, Nayana P. Nair6, Varunkumar Thiyagarajan6
1Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
3Department of Pediatric Surgery, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
4Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
5Department of Virology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
6The Wellcome Trust Research Laboratory, Christian Medical College, Vellore, India

Tóm tắt

To report the data of burden of rotaviral acute gastroenteritis in under-five children from two states post-introduction of the vaccine. Children under 5 y of age hospitalized with diarrhea from the states of Haryana and Himachal Pradesh in north India were recruited in the study. Commercially available ELISA kits were used for testing rotavirus in the collected stool samples. Genotyping of the positive samples was done by reverse-transcription polymerase chain reaction. Out of 345 samples collected, 69 (20%) were found to be positive for rotavirus by ELISA. Genotyping was done and G3P[8] (31.3%), G1P[8] (13.4%), G2P[4] (13.4%) were found to be prevalent strains. Mixed strains were also found in 19.4% stool samples. The study highlighted the high burden of rotavirus associated diarrhea in north Indian states. The data is helpful for evaluating the impact of vaccine on the severity of acute gastroenteritis and the changing strains after the introduction of rotavirus vaccine in the Universal Immunization Program.

Tài liệu tham khảo

Troeger C, Forouzanfar M, Rao PC, et al. Estimates of global, regional, and national morbidity, mortality, and aetiologies of diarrhoeal diseases: a systematic analysis for the global burden of disease study 2015. Lancet Infect Dis. 2017;17(9):909–48. Wang H, Naghavi M, Allen C, et al. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1459–544. Million Death Study Collaborators. Causes of neonatal and child mortality in India: a nationally representative mortality survey. Lancet. 2010;376(9755):1853–60. Jain VDB, Bhan MK, Glass RI, Gentsch JR, Indian Strain Surveillance Collaborating Laboratories. Great diversity of group A rotavirus strains and high prevalence of mixed rotavirus infections in India. J Clin Microbiol. 2001;39(10):3524–9. Kang G, Desai R, Arora R, et al. Diversity of circulating rotavirus strains in children hospitalized with diarrhoea in India, 2005–2009. Vaccine. 2013;31(27):2879–83. Rotavirus vaccines: an update. Wkly Epidemiol Rec. 2009;84:533–40. ROTA Council. National and regional rotavirus vaccine introductions. 2018. Available at: https://preventrotavirus.org/vaccine-introduction/global-introduction-status/. Accessed 23 Oct 2018. Gupta M, Singh M, Guglani V, Mahajan K, Pandit S. Hospital-based surveillance of rotavirus diarrhoea among under-five children in Chandigarh. Indian Pediatr. 2016;53(7):651–2. Ruuska T, Vesikari T. A prospective study of acute diarrhoea in Finnish children from birth to 2 1/2 years of age. Acta Paediatr Scand. 1991;80:500–7. Saluja T, Sharma SD, Gupta M, et al. A multicenter prospective hospital based surveillance to estimate the burden of rotavirus gastroenteritis in children less than five years of age in India. Vaccine. 2014;32(1):A13–9. Jain S, Thakur N, Vashistt J, Grover N, Krishnan T, Changotra H. Predominance of unusual rotavirus G1P[6] strain in North India: an evidence from hospitalized children and adult diarrheal patients. Infect Genet Evol. 2016;46:65–70. Ilter AA, Gupta S, Khan N, Upadhayay A, Roy P. Epidemiology and clinical features of rotavirus, adenovirus and astrovirus infections and co-infections in children with acute gastroenteritis prior to rotavirus vaccine introduction in Meerut, North India. J Med Virol. 2019;92(8):1102–9. Kumar A, Basu S, Vashishtha V, Choudhury P. Burden of rotavirus diarrhoea in under five Indian children. Indian Pediatr. 2016;53(7):607–17. Giri S, Nair NP, Mathew A, et al. Rotavirus gastroenteritis in Indian children < 5 years hospitalized for diarrhoea, 2012 to 2016. BMC Public Health. 2019;19(1):69. Gupta S, Chaudhary S, Bubber P, Ray P. Epidemiology and genetic diversity of group A rotavirus in acute diarrhea patients in pre-vaccination era in Himachal Pradesh, India. Vaccine. 2019;37(36):5350–6. Islamuddin M, Khan WH, Gupta S, et al. Surveillance and genetic characterization of rotavirus strains circulating in four states of North Indian children. Infect Genet Evol. 2018;62:253–61.