Abstract
During a 15-month period of surveillance, diarrhea developed in 257 of 913 babies (28%) admitted within 2 hours of birth to a special care nursery in Melbourne, Australia. Diarrhea was seasonal, affecting a maximum of 43% of babies admitted during one winter month (July) and a minimum of 13% of babies admitted during one summer month (December). Diarrhea was no more frequent nor more severe in babies of very low birth weight or of very early gestational age. Two noncultivable viruses were located by electron microscopy in feces from babies with or without diarrhea. Excretion of a reovirus-like particle (rotavirus, duovirus, human reovirus-like agent, infantile gastroenteritis virus) was temporally related to diarrheal symptoms. Asymptomatic infection with this virus also occurred. A 28-nm virus-like particle was excreted by some babies, but it could not be implicated on epidemiological grounds in the etiology of the diarrhea. Rotavirus infection may be an important cause of endemic diarrhea in nurseries for the newborn. Infection may be difficult to control or eradicate, since it is often asymptomatic and may be influenced by infection in the community at large.
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- Appleton H., Higgins P. G. Letter: Viruses and gastroenteritis in infants. Lancet. 1975 Jun 7;1(7919):1297–1297. doi: 10.1016/s0140-6736(75)92581-7. [DOI] [PubMed] [Google Scholar]
- Bishop R. F., Cameron D. J., Barnes G. L., Holmes I. H., Ruck B. J. The aetiology of diarrhoea in newborn infants. Ciba Found Symp. 1976;(42):223–236. doi: 10.1002/9780470720240.ch13. [DOI] [PubMed] [Google Scholar]
- Cameron D. J., Bishop R. F., Davidson G. P., Townley R. R., Holmes I. H., Ruck B. J. Letter: Rotavirus infections in obstetric hospitals. Lancet. 1975 Jul 19;2(7925):124–125. doi: 10.1016/s0140-6736(75)90021-5. [DOI] [PubMed] [Google Scholar]
- Cameron D. J., Bishop R. F., Davidson G. P., Townley R. R. New virus associated with diarrhoea in neonates. Med J Aust. 1976 Jan 24;1(4):85–86. [PubMed] [Google Scholar]
- Cameron D. J., Bishop R. F., Veenstra A. A., Barnes G. L., Holmes I. H., Ruck B. J. Pattern of shedding of two noncultivable viruses in stools of newborn babies. J Med Virol. 1978;2(1):7–13. doi: 10.1002/jmv.1890020103. [DOI] [PubMed] [Google Scholar]
- Chrystie I. L., Totterdell B., Baker M. J., Scopes J. W., Banatvala J. E. Letter: Rotavirus infections in a maternity unit. Lancet. 1975 Jul 12;2(7924):79–79. doi: 10.1016/s0140-6736(75)90525-5. [DOI] [PubMed] [Google Scholar]
- Davidson G. P., Bishop R. F., Townley R. R., Holmes I. H. Importance of a new virus in acute sporadic enteritis in children. Lancet. 1975 Feb 1;1(7901):242–246. doi: 10.1016/s0140-6736(75)91140-x. [DOI] [PubMed] [Google Scholar]
- Eichenwald H. F., McCraken G. H., Jr, Kindberg S. J. Virus infections of the newborn. Prog Med Virol. 1967;9:35–104. [PubMed] [Google Scholar]
- Goldmann D. A. Editorial: Nosocomial infection--a hazard of newborn intensive care. N Engl J Med. 1976 Jun 10;294(24):1342–1343. doi: 10.1056/NEJM197606102942411. [DOI] [PubMed] [Google Scholar]
- Grand R. J., Watkins J. B., Torti F. M. Development of the human gastrointestinal tract. A review. Gastroenterology. 1976 May;70(5 PT1):790–810. [PubMed] [Google Scholar]
- Hemming V. G., Overall J. C., Jr, Britt M. R. Nosocomial infections in a newborn intensive-care unit. Results of forty-one months of surveillance. N Engl J Med. 1976 Jun 10;294(24):1310–1316. doi: 10.1056/NEJM197606102942403. [DOI] [PubMed] [Google Scholar]
- Kapikian A. Z., Kim H. W., Wyatt R. G., Cline W. L., Arrobio J. O., Brandt C. D., Rodriguez W. J., Sack D. A., Chanock R. M., Parrott R. H. Human reovirus-like agent as the major pathogen associated with "winter" gastroenteritis in hospitalized infants and young children. N Engl J Med. 1976 Apr 29;294(18):965–972. doi: 10.1056/NEJM197604292941801. [DOI] [PubMed] [Google Scholar]
- Kapikian A. Z., Wyatt R. G., Dolin R., Thornhill T. S., Kalica A. R., Chanock R. M. Visualization by immune electron microscopy of a 27-nm particle associated with acute infectious nonbacterial gastroenteritis. J Virol. 1972 Nov;10(5):1075–1081. doi: 10.1128/jvi.10.5.1075-1081.1972. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Madeley C. R., Cosgrove B. P. Letter: 28 nm particles in faeces in infantile gastroenteritis. Lancet. 1975 Sep 6;2(7932):451–452. doi: 10.1016/s0140-6736(75)90858-2. [DOI] [PubMed] [Google Scholar]
- Madeley C. R., Cosgrove B. P. Letter: Viruses in infantile gastroenteritis. Lancet. 1975 Jul 19;2(7925):124–124. doi: 10.1016/s0140-6736(75)90020-3. [DOI] [PubMed] [Google Scholar]
- Murphy A. M., Albrey M. B., Crewe E. B. Rotavirus infections of neonates. Lancet. 1977 Dec 3;2(8049):1149–1150. doi: 10.1016/S0140-6736(77)91538-0. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Murphy A. M., Albrey M. B., Hay P. J. Letter: Rotavirus infections in neonates. Lancet. 1975 Sep 6;2(7932):452–453. doi: 10.1016/s0140-6736(75)90859-4. [DOI] [PubMed] [Google Scholar]
- Taylor J. Infectious infantile enteritis, yesterday and today. Proc R Soc Med. 1970 Dec;63(12):1297–1301. [PMC free article] [PubMed] [Google Scholar]
- Totterdell B. M., Chrystie I. L., Banatvala J. E. Rotavirus infections in a maternity unit. Arch Dis Child. 1976 Dec;51(12):924–928. doi: 10.1136/adc.51.12.924. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Woode G. N. Pathogenic rotaviruses isolated from pigs and calves. Ciba Found Symp. 1976;(42):251–271. doi: 10.1002/9780470720240.ch15. [DOI] [PubMed] [Google Scholar]