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轮状病毒基因型与5岁以下儿童腹泻的临床严重程度

Rota virus genotypes and the clinical severity of Diarrhoea among children under 5 years of age.

作者信息

Uzoma Ezeonwu Bertilla, Chukwubuikem Chinedu, Omoyibo Efe, Tagbo Oguonu

机构信息

From the Department of Paediatrics, Federal Medical Centre, Asaba, Delta State, Nigeria.

出版信息

Niger Postgrad Med J. 2016 Jan-Mar;23(1):1-5. doi: 10.4103/1117-1936.180108.

DOI:10.4103/1117-1936.180108
PMID:27098941
Abstract

BACKGROUND

Diarrhoeal disease still remains one of the common causes of morbidity and mortality in children under 5 years of age. It is caused notably by the different serotypes of rotavirus.

OBJECTIVES

To ascertain the prevalence and risk factors for rotavirus diarrhoea in children under 5 years of age seen at Federal Medical Centre, Asaba, and to determine the different serotypes and their relationship with diarrhoea severity.

SUBJECTS AND METHODS

A hospital-based cross-sectional study in which all children under 5 years of age, with diarrhoea had their stool samples tested for rotavirus antigen with enzyme immunoassay. Significant values of variables were determined using t-tests and Chi-square tests as appropriate.

RESULTS

One hundred and thirty-two children were studied: 52.3% were males and 46.7% were females. Children 1-11 months of age constitute 49.2%, whereas those 12-59 months were 50.8%. Only 49 (37.1%) children were ELISA positive for rotavirus and of this number, 31 (63.3%) were within 1-11 months of age, P = 0.013. The three most common rotavirus genotypes were G3P[6] in 24.5%, G1P[6] in 12.2% and G12P[8] in 10.2% of the samples, respectively. Duration of vomiting was more prolonged with G3P[6] infection, P = 0.029, whereas dehydration and the overall severity of the diarrhoea were more with G12P[8] infection, P = 0.026 and 0.010, respectively.

CONCLUSION

The emerging G12 rotavirus genotype was isolated in Asaba.

摘要

背景

腹泻病仍是5岁以下儿童发病和死亡的常见原因之一。它主要由不同血清型的轮状病毒引起。

目的

确定在阿萨巴联邦医疗中心就诊的5岁以下儿童轮状病毒腹泻的患病率和危险因素,并确定不同血清型及其与腹泻严重程度的关系。

研究对象与方法

一项基于医院的横断面研究,对所有5岁以下腹泻儿童的粪便样本进行酶免疫测定以检测轮状病毒抗原。根据情况使用t检验和卡方检验确定变量的显著值。

结果

共研究了132名儿童:52.3%为男性,46.7%为女性。1至11个月大的儿童占49.2%,而12至59个月大的儿童占50.8%。只有49名(37.1%)儿童轮状病毒ELISA检测呈阳性,其中31名(63.3%)年龄在1至11个月之间,P = 0.013。三种最常见的轮状病毒基因型分别为G3P[6](占样本的24.5%)、G1P[6](占12.2%)和G12P[8](占10.2%)。G3P[6]感染时呕吐持续时间更长,P = 0.029,而G12P[8]感染时脱水和腹泻总体严重程度更高,P分别为0.026和0.010。

结论

在阿萨巴分离出了新出现的G12轮状病毒基因型。

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