Assessment of the aetiology of acute gastroenteritis outbreaks in infants reveals rotavirus, noroviruses and adenovirus prevalence and viral coinfections in Nsukka, Nigeria

A better understanding of the aetiology of acute gastroenteritis (AGE) outbreaks in Southeast Nigeria would help safeguarding public health. This study screened stool samples collected from infants (children  2 years (3.92%) in age. Gender and age were not associated with the cases of co-infections...

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Veröffentlicht in:VirusDisease 2023-06, Vol.34 (2), p.297-306
Hauptverfasser: Chigor, Vincent N., Chidebelu, Paul E., Digwo, Daniel C., Chigor, Chinyere B., Nwagwu, Aja U., Udeh, Okwundu S., Oguonu, Chukwunonso I., Dibua, Marie-Esther U., Farkas, Kata
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container_title VirusDisease
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creator Chigor, Vincent N.
Chidebelu, Paul E.
Digwo, Daniel C.
Chigor, Chinyere B.
Nwagwu, Aja U.
Udeh, Okwundu S.
Oguonu, Chukwunonso I.
Dibua, Marie-Esther U.
Farkas, Kata
description A better understanding of the aetiology of acute gastroenteritis (AGE) outbreaks in Southeast Nigeria would help safeguarding public health. This study screened stool samples collected from infants (children  2 years (3.92%) in age. Gender and age were not associated with the cases of co-infections ( p ˂0.05). The seasonality data indicated one peak of the infection occurring in January 2017 which has decreased consecutively in the subsequent two years. These results demonstrate the prevalence and co-occurrence of enteric viruses in cases of infantile diarrhoea in Nsukka. Further molecular characterization of enteric virus strains, especially noroviruses, in this region would contribute significantly to global epidemiological data.
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Both mono- and mixed infections were observed for RoV, AdV and NoVII, whereas NoVI was detected only in co-infection cases. Analysis of risk factors showed that acute gastroenteritis was detected more often in infants of age ˂1 year (73.53%) than in those 1 ≤ 2 years (22.55%) or &gt; 2 years (3.92%) in age. Gender and age were not associated with the cases of co-infections ( p ˂0.05). The seasonality data indicated one peak of the infection occurring in January 2017 which has decreased consecutively in the subsequent two years. These results demonstrate the prevalence and co-occurrence of enteric viruses in cases of infantile diarrhoea in Nsukka. 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This study screened stool samples collected from infants (children &lt; 5 years of age) attending selected hospitals in Nsukka for human enteric viruses and evaluated the seasonality of AGE based on three-year records available at selected hospitals. A total of 120 stool samples (109 from diarrhoeal-patients and 11 from non-diarrhoeal patients, as control) collected during the AGE outbreaks of January – March 2019 and January–February 2020. The samples were analysed using an immunochromatographic lateral flow assay for differential qualitative detection of rotavirus (RoV), adenovirus (AdV), and norovirus genogroups I and II (NoVI, NoVII). Three-year (2017–2019) retrospective data on the cases of AGE reported at the hospitals were also collected and analysed. The overall prevalence of acute gastroenteritis was high (75.83%), with 13.19%representing viral co-infections. Rotavirus detection rate (69.17%) was higher than that for other viral agents (15.83%). 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Further molecular characterization of enteric virus strains, especially noroviruses, in this region would contribute significantly to global epidemiological data.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>37408547</pmid><doi>10.1007/s13337-023-00821-2</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-0811-4526</orcidid></addata></record>
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subjects Adenoviruses
Age
Analysis
Biochemistry
Biomedical and Life Sciences
Cell Biology
Diarrhea
Drinking water
Epidemiology
Etiology
Gastroenteritis
gender
Health aspects
Health care
Health facilities
Hospitals
humans
Immunization
immunoaffinity chromatography
Infants
Infection
Life Sciences
Microbiology
mixed infection
Nigeria
Norovirus
Nosocomial infections
Original Article
Outbreaks
Pediatrics
Protein Structure
Public health
risk
Risk factors
Rotavirus
Seasonal variations
Viral infections
Viruses
title Assessment of the aetiology of acute gastroenteritis outbreaks in infants reveals rotavirus, noroviruses and adenovirus prevalence and viral coinfections in Nsukka, Nigeria
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