Epidemiology of rotavirus in infants and protection against symptomatic illness afforded by primary infection and vaccination

This study assessed the frequency of symptomatic and asymptomatic primary and secondary infections with rotavirus in children under 24 months and determined protection against symptomatic illness afforded by rhesus and human-rhesus rotavirus reassortant vaccines. Successive cohorts of children ( n=2...

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Veröffentlicht in:Vaccine 1999-02, Vol.17 (7), p.745-753
Hauptverfasser: Mrukowicz, Jacek Z, Thompson, Juliette, Reed, George W, Tollefson, Sharon J, Kobayashi, Masaaki, Araki, Kozuko, Wright, Peter F
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container_end_page 753
container_issue 7
container_start_page 745
container_title Vaccine
container_volume 17
creator Mrukowicz, Jacek Z
Thompson, Juliette
Reed, George W
Tollefson, Sharon J
Kobayashi, Masaaki
Araki, Kozuko
Wright, Peter F
description This study assessed the frequency of symptomatic and asymptomatic primary and secondary infections with rotavirus in children under 24 months and determined protection against symptomatic illness afforded by rhesus and human-rhesus rotavirus reassortant vaccines. Successive cohorts of children ( n=236) were followed through five winter rotavirus seasons with cultures of each reported episode of diarrheal disease and serologic determination of rotavirus exposure on paired sera bracketing the winter. An average of 46% of children experienced rotavirus infection in each season with almost all infected by two years of age. The relative risk of rotavirus associated gastroenteritis in naive children versus naturally immune children was 2.4 (1.1, 5.3). The relative risk of rotavirus associated gastroenteritis in naive children versus vaccinees was 4.1 (1.6, 10.7). In a community with predominantly serotype G1 rotavirus rhesus rotavirus-based vaccines are as protective against rotavirus gastroenteritis as prior natural infection.
doi_str_mv 10.1016/S0264-410X(98)00258-8
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subjects Antibodies, Viral - biosynthesis
Antibodies, Viral - blood
Biological and medical sciences
Epidemiology
Female
Fundamental and applied biological sciences. Psychology
Gastroenteritis - epidemiology
Gastroenteritis - immunology
Gastroenteritis - prevention & control
Humans
Immunity, Innate - immunology
Immunoglobulin G - biosynthesis
Immunoglobulin G - blood
Infant
Male
Microbiology
Prospective Studies
Rotavirus
Rotavirus - immunology
Rotavirus Infections - epidemiology
Rotavirus Infections - immunology
Rotavirus Infections - prevention & control
Vaccines
Viral Vaccines - immunology
Viral Vaccines - therapeutic use
Virology
title Epidemiology of rotavirus in infants and protection against symptomatic illness afforded by primary infection and vaccination
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