Muchinik G R, Grinstein S, Plaza A
Ann Trop Paediatr. 1981 Sep;1(3):167-73. doi: 10.1080/02724936.1981.11748082.
An epidemiological survey was undertaken to establish the importance of rotavirus as a cause of admission of children to hospital in Buenos Aires, Argentina. Between August 1978 and January 1980 rotavirus infection was detected in 62 (34%) of 180 infants and children admitted to hospital with acute gastro-enteritis. In identification of the virus, electron microscopy (EM) was found to be as sensitive as counterimmunoelectrophoresis (CIE). There was agreement between EM and CIE diagnosis in 90.5% cases. Adenovirus and coronavirus were detected by electron microscopy less often. A serological response to rotavirus was revealed by complement fixation test in 38 (72%) of 53 infected patients. Rotaviruses were detected throughout the year, but peak incidence occurred during the cooler months, May to August. Infection was commoner among children under six months of age. Diarrhoea was generally mild in these children and respiratory illness showed no significant association with rotavirus gastroenteritis. These results indicate that rotaviruses may be a major cause of infantile acute gastroenteritis in Buenos Aires, Argentina especially during the winter.
为确定轮状病毒在阿根廷布宜诺斯艾利斯作为儿童住院病因的重要性,开展了一项流行病学调查。1978年8月至1980年1月期间,在180名因急性胃肠炎住院的婴幼儿中,检测到62例(34%)感染轮状病毒。在病毒鉴定方面,发现电子显微镜检查(EM)与对流免疫电泳(CIE)一样敏感。EM和CIE诊断结果在90.5%的病例中一致。通过电子显微镜检查较少发现腺病毒和冠状病毒。在53例感染患者中,有38例(72%)通过补体结合试验显示出对轮状病毒的血清学反应。全年均检测到轮状病毒,但发病高峰出现在较凉爽的月份,即5月至8月。感染在6个月以下儿童中更为常见。这些儿童的腹泻通常较轻,呼吸道疾病与轮状病毒胃肠炎无明显关联。这些结果表明,轮状病毒可能是阿根廷布宜诺斯艾利斯婴幼儿急性胃肠炎的主要病因,尤其是在冬季。