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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