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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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. |
doi_str_mv | 10.1007/s13337-023-00821-2 |
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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 < 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%). 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 > 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.</description><subject>Adenoviruses</subject><subject>Age</subject><subject>Analysis</subject><subject>Biochemistry</subject><subject>Biomedical and Life Sciences</subject><subject>Cell Biology</subject><subject>Diarrhea</subject><subject>Drinking water</subject><subject>Epidemiology</subject><subject>Etiology</subject><subject>Gastroenteritis</subject><subject>gender</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health facilities</subject><subject>Hospitals</subject><subject>humans</subject><subject>Immunization</subject><subject>immunoaffinity chromatography</subject><subject>Infants</subject><subject>Infection</subject><subject>Life Sciences</subject><subject>Microbiology</subject><subject>mixed infection</subject><subject>Nigeria</subject><subject>Norovirus</subject><subject>Nosocomial infections</subject><subject>Original Article</subject><subject>Outbreaks</subject><subject>Pediatrics</subject><subject>Protein Structure</subject><subject>Public health</subject><subject>risk</subject><subject>Risk factors</subject><subject>Rotavirus</subject><subject>Seasonal variations</subject><subject>Viral infections</subject><subject>Viruses</subject><issn>2347-3584</issn><issn>2347-3517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFks1u1DAQxyMEolXpC3BAlrhwaIrtsePkuKrKh1SVC5wtrzNZ0s3ai-1U6jvxkMxuSpE4gGxprJnfzNjjf1W9FvxScG7eZwEApuYSas5bKWr5rDqVoEwNWpjnT-dWnVTnOd9xzoUwSjXdy-oEjOKtVua0-rnKGXPeYSgsDqx8R-awjHGKm4eDw_m5INu4XFIkBtNYxsziXNYJ3TazMdAeXCiZJbxHN5GNxd2Pac4XLMQUj0fMzIWeuR7D4mB7wt2EweMxQk43MR-pGHrqH46lb_O83boLdjtuqLN7Vb0YqAOeP9qz6tuH669Xn-qbLx8_X61uag8dl7VuwBsBqHTTCxBD37W6b1sBfQ_C8IF34JVWHo0C10ghtO7lYMwajTZo1nBWvVvq7lP8MWMudjdmj9PkAsY5WxAajBCSq_-isgXouqaBhtC3f6F3cU6BHmJlJ7mgT4SOqMuF2tB0LI0jluQ8rR53o48Bh5H8K6O1MaIBSQlySfAp5pxwsPs07lx6sILbg1TsIhVLUrFHqdhD0pvHu8zrHfZPKb-FQQAsQKZQoOn_uew_yv4CvlvLCQ</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Chigor, Vincent N.</creator><creator>Chidebelu, Paul E.</creator><creator>Digwo, Daniel C.</creator><creator>Chigor, Chinyere B.</creator><creator>Nwagwu, Aja U.</creator><creator>Udeh, Okwundu S.</creator><creator>Oguonu, Chukwunonso I.</creator><creator>Dibua, Marie-Esther U.</creator><creator>Farkas, Kata</creator><general>Springer India</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><orcidid>https://orcid.org/0000-0002-0811-4526</orcidid></search><sort><creationdate>20230601</creationdate><title>Assessment of the aetiology of acute gastroenteritis outbreaks in infants reveals rotavirus, noroviruses and adenovirus prevalence and viral coinfections in Nsukka, Nigeria</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3902-563c713e456d131fd985d8813dd3170f093c454ce743a621155d2f77be757e7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adenoviruses</topic><topic>Age</topic><topic>Analysis</topic><topic>Biochemistry</topic><topic>Biomedical and Life Sciences</topic><topic>Cell Biology</topic><topic>Diarrhea</topic><topic>Drinking water</topic><topic>Epidemiology</topic><topic>Etiology</topic><topic>Gastroenteritis</topic><topic>gender</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health facilities</topic><topic>Hospitals</topic><topic>humans</topic><topic>Immunization</topic><topic>immunoaffinity chromatography</topic><topic>Infants</topic><topic>Infection</topic><topic>Life Sciences</topic><topic>Microbiology</topic><topic>mixed infection</topic><topic>Nigeria</topic><topic>Norovirus</topic><topic>Nosocomial infections</topic><topic>Original Article</topic><topic>Outbreaks</topic><topic>Pediatrics</topic><topic>Protein Structure</topic><topic>Public health</topic><topic>risk</topic><topic>Risk factors</topic><topic>Rotavirus</topic><topic>Seasonal variations</topic><topic>Viral infections</topic><topic>Viruses</topic><toplevel>online_resources</toplevel><creatorcontrib>Chigor, Vincent N.</creatorcontrib><creatorcontrib>Chidebelu, Paul E.</creatorcontrib><creatorcontrib>Digwo, Daniel C.</creatorcontrib><creatorcontrib>Chigor, Chinyere B.</creatorcontrib><creatorcontrib>Nwagwu, Aja U.</creatorcontrib><creatorcontrib>Udeh, Okwundu S.</creatorcontrib><creatorcontrib>Oguonu, Chukwunonso I.</creatorcontrib><creatorcontrib>Dibua, Marie-Esther U.</creatorcontrib><creatorcontrib>Farkas, Kata</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><jtitle>VirusDisease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chigor, Vincent N.</au><au>Chidebelu, Paul E.</au><au>Digwo, Daniel C.</au><au>Chigor, Chinyere B.</au><au>Nwagwu, Aja U.</au><au>Udeh, Okwundu S.</au><au>Oguonu, Chukwunonso I.</au><au>Dibua, Marie-Esther U.</au><au>Farkas, Kata</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of the aetiology of acute gastroenteritis outbreaks in infants reveals rotavirus, noroviruses and adenovirus prevalence and viral coinfections in Nsukka, Nigeria</atitle><jtitle>VirusDisease</jtitle><stitle>VirusDis</stitle><addtitle>Virusdisease</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>34</volume><issue>2</issue><spage>297</spage><epage>306</epage><pages>297-306</pages><issn>2347-3584</issn><eissn>2347-3517</eissn><abstract>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 < 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%). 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 > 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.</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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