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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 childrens 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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