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美国罗德岛儿童中C组轮状病毒的流行情况。

Prevalence of group C rotavirus among children in Rhode Island, United States.

作者信息

Esona Mathew D, Humphrey Charles D, Dennehy Penelope H, Jiang Baoming

机构信息

Division of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

J Clin Virol. 2008 Jun;42(2):221-4. doi: 10.1016/j.jcv.2008.02.002. Epub 2008 Apr 18.

Abstract

BACKGROUND

Group C rotavirus causes sporadic cases and outbreaks of acute diarrhea in humans but its burden as a cause of severe gastroenteritis in children remains unclear.

OBJECTIVES

To investigate the epidemiology and burden of group C rotavirus gastroenteritis among children in Rhode Island, United States.

STUDY DESIGN

Diarrhea stool specimens from 124 children < or =10 years of age were collected, screened for group C and A rotavirus by EIA specific for each group, and further examined by nested PCR and Southern hybridization using primers and probes specific to the VP7 gene of human group C rotavirus. Group C rotavirus-positive fecal specimens were also examined by EM.

RESULTS

Rotavirus was detected in 73 (59.0%) of 124 fecal samples. These included 53 (42.7%) positive for group A, 5 (4.0%) for group C and 15 (12.1%) for both group A and C rotaviruses. Examination of group C-positive samples by EM revealed the presence of largely empty or damaged rotavirus-like particles.

CONCLUSION

These findings indicate that group C rotavirus is an important cause or a contributing cause of diarrhea among infants and older children in Rhode Island, United States.

摘要

背景

C组轮状病毒可导致人类散发性病例及急性腹泻暴发,但作为儿童严重胃肠炎病因的负担仍不明确。

目的

调查美国罗德岛儿童中C组轮状病毒胃肠炎的流行病学及负担情况。

研究设计

收集124名年龄≤10岁儿童的腹泻粪便标本,通过针对每组的酶免疫分析法筛查C组和A组轮状病毒,并使用针对人类C组轮状病毒VP7基因的引物和探针,通过巢式聚合酶链反应和Southern杂交进一步检测。C组轮状病毒阳性粪便标本也通过电子显微镜检查。

结果

在124份粪便样本中的73份(59.0%)检测到轮状病毒。其中A组阳性53份(42.7%),C组阳性5份(4.0%),A组和C组轮状病毒均阳性15份(12.1%)。对C组阳性样本进行电子显微镜检查发现,主要存在大量空的或受损的轮状病毒样颗粒。

结论

这些发现表明,C组轮状病毒是美国罗德岛婴幼儿及大龄儿童腹泻的重要病因或促成病因。

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