Genotype Distribution of Rotavirus Strains and Its Association with Severity of Diarrhea Among Children Under Five Hospitalized with Acute Gastroenteritis in Odisha, India
摘要
Globally, diarrheal diseases are a leading cause of infectious disease morbidity and mortality among children aged under 5 y. Rotavirus is a primary cause of severe diarrhea in children, and India accounts for 22% of rotavirus deaths worldwide. This study aimed to determine the prevalence and distribution of circulating rotavirus genotypes among hospitalized children aged under 5 y in Odisha, India.
MethodsThis prospective hospital-based study was conducted between January and December 2023 at four tertiary care hospitals in Odisha. Stool samples were collected from enrolled children aged under 5 y admitted with acute gastroenteritis and tested for rotavirus antigen at a central laboratory using an enzyme-linked immunosorbent assay (ELISA). The ELISA-positive samples were genotyped using heminested reverse-transcription polymerase chain reaction.
ResultsOf the 365 children enrolled, 288 had their stool samples tested for rotavirus. Rotavirus was confirmed in 67 (23.3%) children, and 66 samples were genotyped. The most prevalent genotypes were G2P[4] (n = 27, 40.9%) and G3P[8] (n = 22, 33.3%).
ConclusionsThese findings highlight the importance of ongoing molecular surveillance to monitor the circulating rotavirus strains to inform public health strategies and future research aimed at optimizing rotavirus vaccination programs.