Table 1.
Epidemiologic patterns of viruses causing acute gastroenteritis
| Endemic childhood disease | Outbreaks in closed communities | Other outbreaks | Immunocompromised patients | |
|---|---|---|---|---|
| Viruses | Rotavirus (group A) | Caliciviruses | Caliciviruses | Cytomegalovirus |
| Caliciviruses | Rotavirus (group A) | Rotavirus (group B) | Epstein–Barr virus | |
| Enteric adenoviruses | Astrovirus | Other rotaviruses | Astrovirus, adenovirus | |
| Astroviruses | Enteric adenoviruses | Astrovirus | Torovirus | |
| Transmission | Unknown; contact?; fomites, droplets, aerosols or person–person | Food, water, contact?, droplets, aerosols | Food, water, ? | Reactivation, contact, food, water |
| Reservoir | Humans | Humans | Humans, reassortment with animal strains? | Unknown |
| Antibody | High prevalence by 5 years of age | Seroconversion in epidemic | Seroconversion in epidemic | Not examined |
| Immunity | Good | Short-term (calicivirus) | Short-term (calicivirus) | Not examined |
| Virus variation | Many reassortants, geographic limitation of genotypes/strains | Many antigenic variants of caliciviruses | Many antigenic variants of caliciviruses, new strains appear and spread globally | Wide range of agents |
| Control measures | Vaccine-RVa (group A), decrease contact with affected persons | Outbreak control; improved food safety and handling | Outbreak control, safe handling of food and water | Infection control |
RV-rotavirus.