Motamedifar Mohammad, Amini Elham, Talezadeh Shirazi Pedram
Shiraz HIV/Aids Research Center (SHARC), Medical Faculty, Shiraz University of Medical Sciences, Shiraz, IR Iran ; Department of Bacteriology and Virology, Medical Faculty, Shiraz University of Medical Sciences, Shiraz, IR Iran.
Department of Bacteriology and Virology, Medical Faculty, Shiraz University of Medical Sciences, Shiraz, IR Iran.
Iran Red Crescent Med J. 2013 Aug;15(8):729-33. doi: 10.5812/ircmj.4415. Epub 2013 Aug 5.
Viral pathogens are the main cause of acute gastroenteritis in developed and developing countries. Rotavirus and adenovirus are the two important agents associated with hospitalization for diarrhea especially in children. Limitation and control of diarrhea as a costly disease must be considered in national health programs.
Epidemiological studies on viral diarrhea and collecting data for rotavirus and adenovirus prevalence, as two important viral agents of gastroenteritis, are valuable for planning of a prospective program.
827 stool samples of pediatrics patients with gastroenteritis who were admitted to Dastgheib Hospital, Shiraz, Iran, from September 2008 to February 2010 were tested for presence of rotavirus and adenovirus using the EIA method. A demographic and clinical study was performed to determine the relationship between viral infection and clinical outcomes of patients.
Rotavirus was identified in 347 patients out of 827 (42%), adenovirus was detected in 76 (9%) of samples and 34 (4%) of patients had rotavirus-adenovirus co-infection. Diarrhea was the most common symptom in viral infected patients.
Given the non-specific symptoms of these viruses and the high prevalence of viral diarrhea in our region, more laboratories should be equipped for virus detection and vaccination might be considered as a prevention strategy.
病毒病原体是发达国家和发展中国家急性胃肠炎的主要病因。轮状病毒和腺病毒是与腹泻住院相关的两种重要病原体,尤其是在儿童中。腹泻作为一种代价高昂的疾病,在国家卫生计划中必须考虑对其进行限制和控制。
对病毒性腹泻进行流行病学研究,并收集轮状病毒和腺病毒流行情况的数据,这两种重要的胃肠炎病毒病原体,对于前瞻性计划的制定具有重要价值。
2008年9月至2010年2月期间,对伊朗设拉子达斯特盖布医院收治的827例患胃肠炎的儿科患者的粪便样本,采用酶免疫分析法检测轮状病毒和腺病毒的存在情况。进行了一项人口统计学和临床研究,以确定病毒感染与患者临床结局之间的关系。
827例患者中有347例(42%)检测出轮状病毒,76例(9%)样本检测出腺病毒,34例(4%)患者同时感染轮状病毒和腺病毒。腹泻是病毒感染患者最常见的症状。
鉴于这些病毒的非特异性症状以及我们地区病毒性腹泻的高流行率,应配备更多实验室进行病毒检测,并且可以考虑将疫苗接种作为一种预防策略。