Evaluating the Impact of Breastfeeding on Rotavirus Antigenemia and Disease Severity in Indian Children

To evaluate the contribution of breastfeeding to Rotavirus (RV)-induced antigenemia and/or RNAemia and disease severity in Indian children (

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Veröffentlicht in:PloS one 2016-02, Vol.11 (2), p.e0146243-e0146243
Hauptverfasser: Das, Sushmita, Sahoo, Ganesh Chandra, Das, Pradeep, Singh, Utpal Kant, Jaiswal, Anil Kumar, Singh, Prachi, Kumar, Ranjeet, Kumar, Rishikesh
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container_issue 2
container_start_page e0146243
container_title PloS one
container_volume 11
creator Das, Sushmita
Sahoo, Ganesh Chandra
Das, Pradeep
Singh, Utpal Kant
Jaiswal, Anil Kumar
Singh, Prachi
Kumar, Ranjeet
Kumar, Rishikesh
description To evaluate the contribution of breastfeeding to Rotavirus (RV)-induced antigenemia and/or RNAemia and disease severity in Indian children (
doi_str_mv 10.1371/journal.pone.0146243
format Article
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Paired stool and serum samples were collected from (a) hospitalized infants with diarrhea (n = 145) and (b) healthy control infants without diarrhea (n = 28). Stool RV-antigen was screened in both groups by commercial rapid-test and enzyme immunoassay. The disease severity was scored and real-time-PCR was used for viral-load estimation. Serum was evaluated for RV-antigenemia by EIA and RV-RNAemia by RT-PCR. Data was stratified by age-group and breastfeeding status and compared. Presence of RV-antigenemia and RV-RNAemia was positively related with presence of RV in stool. Disease severity and stool viral-load was significantly associated with RV-antigenemia [(r = 0.74; CI:0.66 to 0.84; P&lt;0.0001,R2 = 0.59) and (r = -0.55; CI:-0.68 to -0.39; P&lt;0.0001,R2 = 0.31) respectively], but not with RV-RNAemia. There was significant reduction in RV-antigenemiarate in the breast-fed group compared to non-breastfed infants, especially in 0-6 month age group (P&lt;0.001). Non-breastfed infants were at risk for RV-antigenemia with severe disease manifestations in form of high Vesikari scores correlating with high fever, more vomiting episodes and dehydration. RV-antigenemia was common in nonbreastfed children with severe RV-diarrhea and correlated with stool RV-load and disease severity.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0146243</identifier><identifier>PMID: 26828823</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age ; Antigenemia ; Antigens ; Antigens, Viral - blood ; Biology and life sciences ; Breast Feeding ; Breastfeeding &amp; lactation ; Child ; Children ; Children &amp; youth ; Complications and side effects ; Correlation analysis ; Dehydration ; Demographic aspects ; Diarrhea ; Enzyme immunoassay ; Families &amp; family life ; Female ; Fever ; Health aspects ; Health risks ; Hospitalization ; Humans ; Immunoassay ; Immunoglobulins ; India - epidemiology ; Infants ; Infections ; Low income groups ; Medicine and Health Sciences ; People and Places ; Polymerase chain reaction ; RNA, Viral - blood ; Rotavirus ; Rotavirus - immunology ; Rotavirus infections ; Severity of Illness Index ; Vaccines ; Viral Load ; Viremia - blood ; Viremia - epidemiology ; Virology ; Viruses ; Vomiting</subject><ispartof>PloS one, 2016-02, Vol.11 (2), p.e0146243-e0146243</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Das et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Das et al 2016 Das et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-5293658af5c0cefcd90c8b41f559a864cb8fef1d0cfab8a9437193e82022286b3</citedby><cites>FETCH-LOGICAL-c692t-5293658af5c0cefcd90c8b41f559a864cb8fef1d0cfab8a9437193e82022286b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4734603/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4734603/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26828823$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Jhaveri, Ravi</contributor><creatorcontrib>Das, Sushmita</creatorcontrib><creatorcontrib>Sahoo, Ganesh Chandra</creatorcontrib><creatorcontrib>Das, Pradeep</creatorcontrib><creatorcontrib>Singh, Utpal Kant</creatorcontrib><creatorcontrib>Jaiswal, Anil Kumar</creatorcontrib><creatorcontrib>Singh, Prachi</creatorcontrib><creatorcontrib>Kumar, Ranjeet</creatorcontrib><creatorcontrib>Kumar, Rishikesh</creatorcontrib><title>Evaluating the Impact of Breastfeeding on Rotavirus Antigenemia and Disease Severity in Indian Children</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To evaluate the contribution of breastfeeding to Rotavirus (RV)-induced antigenemia and/or RNAemia and disease severity in Indian children (&lt;2 yrs age). Paired stool and serum samples were collected from (a) hospitalized infants with diarrhea (n = 145) and (b) healthy control infants without diarrhea (n = 28). Stool RV-antigen was screened in both groups by commercial rapid-test and enzyme immunoassay. The disease severity was scored and real-time-PCR was used for viral-load estimation. Serum was evaluated for RV-antigenemia by EIA and RV-RNAemia by RT-PCR. Data was stratified by age-group and breastfeeding status and compared. Presence of RV-antigenemia and RV-RNAemia was positively related with presence of RV in stool. Disease severity and stool viral-load was significantly associated with RV-antigenemia [(r = 0.74; CI:0.66 to 0.84; P&lt;0.0001,R2 = 0.59) and (r = -0.55; CI:-0.68 to -0.39; P&lt;0.0001,R2 = 0.31) respectively], but not with RV-RNAemia. There was significant reduction in RV-antigenemiarate in the breast-fed group compared to non-breastfed infants, especially in 0-6 month age group (P&lt;0.001). Non-breastfed infants were at risk for RV-antigenemia with severe disease manifestations in form of high Vesikari scores correlating with high fever, more vomiting episodes and dehydration. RV-antigenemia was common in nonbreastfed children with severe RV-diarrhea and correlated with stool RV-load and disease severity.</description><subject>Age</subject><subject>Antigenemia</subject><subject>Antigens</subject><subject>Antigens, Viral - blood</subject><subject>Biology and life sciences</subject><subject>Breast Feeding</subject><subject>Breastfeeding &amp; lactation</subject><subject>Child</subject><subject>Children</subject><subject>Children &amp; youth</subject><subject>Complications and side effects</subject><subject>Correlation analysis</subject><subject>Dehydration</subject><subject>Demographic aspects</subject><subject>Diarrhea</subject><subject>Enzyme immunoassay</subject><subject>Families &amp; family life</subject><subject>Female</subject><subject>Fever</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Immunoassay</subject><subject>Immunoglobulins</subject><subject>India - epidemiology</subject><subject>Infants</subject><subject>Infections</subject><subject>Low income groups</subject><subject>Medicine and Health Sciences</subject><subject>People and Places</subject><subject>Polymerase chain reaction</subject><subject>RNA, Viral - blood</subject><subject>Rotavirus</subject><subject>Rotavirus - immunology</subject><subject>Rotavirus infections</subject><subject>Severity of Illness Index</subject><subject>Vaccines</subject><subject>Viral Load</subject><subject>Viremia - blood</subject><subject>Viremia - epidemiology</subject><subject>Virology</subject><subject>Viruses</subject><subject>Vomiting</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk01vEzEQhlcIREvhHyBYCQnBIcFf63gvSCEUiFSpUgtcLa93vHG0sVPbG9F_j9OkVYJ6QD7YmnnmHc_YUxSvMRpjOsGfln4ITvXjtXcwRphxwuiT4hTXlIw4QfTpwfmkeBHjEqGKCs6fFyeECyIEoadFd75R_aCSdV2ZFlDOV2ulU-lN-SWAiskAtFufd-WVT2pjwxDLqUu2Awcrq0rl2vKrjZmF8ho2EGy6La0r5661ypWzhe3bAO5l8cyoPsKr_X5W_Pp2_nP2Y3Rx-X0-m16MNK9JGlWkprwSylQaaTC6rZEWDcOmqmolONONMGBwi7RRjVA1y52oKQiCCCGCN_SseLvTXfc-yn2PosQTjjknNaozMd8RrVdLuQ52pcKt9MrKO4MPnVQhWd2DnCjaAKpyflaz1lSqNprQBmMmasaxyVqf99mGZgWtBpeC6o9Ejz3OLmTnN5JNKOOIZoEPe4HgbwaISa5s1ND3yoEf7u5NMkkrltF3_6CPV7enOpULsM74nFdvReWUMYLQpBJbavwIlVeb31TnD2Vsth8FfDwKyEyCP6lTQ4xyfn31_-zl72P2_QG7ANWnRfT9kKx38RhkO1AHH2MA89BkjOR2Hu67IbfzIPfzkMPeHD7QQ9D9ANC_QqUFKw</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Das, Sushmita</creator><creator>Sahoo, Ganesh Chandra</creator><creator>Das, Pradeep</creator><creator>Singh, Utpal Kant</creator><creator>Jaiswal, Anil Kumar</creator><creator>Singh, Prachi</creator><creator>Kumar, Ranjeet</creator><creator>Kumar, Rishikesh</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20160201</creationdate><title>Evaluating the Impact of Breastfeeding on Rotavirus Antigenemia and Disease Severity in Indian Children</title><author>Das, Sushmita ; 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Paired stool and serum samples were collected from (a) hospitalized infants with diarrhea (n = 145) and (b) healthy control infants without diarrhea (n = 28). Stool RV-antigen was screened in both groups by commercial rapid-test and enzyme immunoassay. The disease severity was scored and real-time-PCR was used for viral-load estimation. Serum was evaluated for RV-antigenemia by EIA and RV-RNAemia by RT-PCR. Data was stratified by age-group and breastfeeding status and compared. Presence of RV-antigenemia and RV-RNAemia was positively related with presence of RV in stool. Disease severity and stool viral-load was significantly associated with RV-antigenemia [(r = 0.74; CI:0.66 to 0.84; P&lt;0.0001,R2 = 0.59) and (r = -0.55; CI:-0.68 to -0.39; P&lt;0.0001,R2 = 0.31) respectively], but not with RV-RNAemia. There was significant reduction in RV-antigenemiarate in the breast-fed group compared to non-breastfed infants, especially in 0-6 month age group (P&lt;0.001). Non-breastfed infants were at risk for RV-antigenemia with severe disease manifestations in form of high Vesikari scores correlating with high fever, more vomiting episodes and dehydration. RV-antigenemia was common in nonbreastfed children with severe RV-diarrhea and correlated with stool RV-load and disease severity.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26828823</pmid><doi>10.1371/journal.pone.0146243</doi><oa>free_for_read</oa></addata></record>
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subjects Age
Antigenemia
Antigens
Antigens, Viral - blood
Biology and life sciences
Breast Feeding
Breastfeeding & lactation
Child
Children
Children & youth
Complications and side effects
Correlation analysis
Dehydration
Demographic aspects
Diarrhea
Enzyme immunoassay
Families & family life
Female
Fever
Health aspects
Health risks
Hospitalization
Humans
Immunoassay
Immunoglobulins
India - epidemiology
Infants
Infections
Low income groups
Medicine and Health Sciences
People and Places
Polymerase chain reaction
RNA, Viral - blood
Rotavirus
Rotavirus - immunology
Rotavirus infections
Severity of Illness Index
Vaccines
Viral Load
Viremia - blood
Viremia - epidemiology
Virology
Viruses
Vomiting
title Evaluating the Impact of Breastfeeding on Rotavirus Antigenemia and Disease Severity in Indian Children
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