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2018, Cilt 48, Sayı 4, Sayfa(lar) 264-272
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Incidence of Rotavirus Enteric Adenovirus and Norovirus in Children Under Five Years of Age with Acute Gastroenteritis
Gülçin ALP AVCI1, Muhsin AKBABA2
1Hitit Üniversitesi Fen Edebiyat Fakültesi Moleküler Biyoloji ve Genetik Bölümü, Çorum
2Çukurova Üniversitesi Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Adana
Keywords: Acute gastroenteritis, rotavirus, enteric adenoviruses, norovirus

Objective: Enteric viruses are a common cause of acute gastroenteritis with high mortality and morbidity frequently encountered in children under five-years in developed and developing countries. In our study, we aimed to investigate the incidence of rotavirus, enteric adenovirus and norovirus in children younger than 5-years with complaints of acute gastroenteritis.

Material and Methods: We investigated rotavirus, enteric adenovirus and norovirus GI/GII antigen positivity in stoolspecimens of 982 children who applied to children’s polyclinic for acute gastroenteritis between 2012 and 2014 by ELISA method.

Results: In the samples, viral antigen positivity was determined as 38.0% (n=373) in a total of 982 samples. Rotavirus, adenovirus and norovirus positivities were detected in 51.7% (n=193), 22.5% (n=84) and 19.3% (n=72) of the samples, respectively. Rotavirus-adenovirus, rotavirus-norovirus and adenovirus-norovirus co-positivity were found in 12 (3.2%), 9 (2.4%) and 3 (0.8%) of the samples, respectively. Although it has been observed that hospital admission is high due to acute gastroenteritis in children between 6-36 months, viral incidence is especially higher in children between 6-24 months. The incidence of norovirus and enteric adenovirus were higher between 6-36 months, while the incidence of rotavirus was higher between 6-47 months. In terms of seasonal distribution, rotavirus infections were highly prevalent in winter/spring, while adenovirus and norovirus infections were more frequent in winter and show epidemics throughout the year.

Conclusion: In conclusion, in the globalized world, the incidence of infections due to enteric adenovirus and norovirus as well as rotavirus is increasing steadily. In our country, there is a need to work on viral agents more in order to prevent unnecessary antibiotic use and to increase epidemiological data.


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