Abstract
Human rotavirus is the most important cause of severe diarrhoea in infants and young children worldwide. We describe the aetiology of viral diarrhoea and the characteristics of rotavirus infection in Shahrekord, Iran. Two hundred and fifty nine children <5 years old admitted to Hajar Hospital, 245 children with acute diarrhoea attending primary health centres in Shahrekord, and 114 children hospitalised for elective surgery were selected from October 2001 to August 2002. Stool samples were screened for enteric viruses using EM. Rotaviruses were characterised using ELISA, reverse transcription‐polymerase chain reaction (RT‐PCR), and electropherotyping. One hundred and eighty six viruses were identified, of which 146 (78%) were rotavirus. The second most frequent virus was coronavirus, followed by calicivirus. Rotaviruses exhibited a marked seasonal variation, being most frequently isolated from November to February (50% of rotavirus recovered) and affected mostly children <2 years old. The RT‐PCR successfully typed 139 of the 146 (95%) rotavirus G types and 124 (85%) P types. The most frequent P type was, P[8] in 108 (74%), P[4] in 16 (11%), and was P non‐typeable in 22 (15%). Among the G types, G1 was identified in 120 (82%), G2 in 19 (13%), and was G‐non‐typeable in 7 (5%). Our results are the first report of rotavirus genotypes affecting Iranian children. The most frequent G and P types (G1, G2, P[8], and P[4]) are similar to those reported from around the world and will be covered by existing rotavirus vaccines targeting G types G1–G4. J. Med. Virol. 73:309–312, 2004. © 2004 Wiley‐Liss, Inc.
Keywords: rotavirus, epidemiology, diarrhoea, children, Iran
REFERENCES
- Amini S, Solati AA, Fayaz A, Mahmoodi M. 1990. Rotavirus infection in children with acute diarrhea in Tehran. Med J Islam Repub Iran 4: 25–28. [PubMed] [Google Scholar]
- Carroll KC, Reimer L. 2000. Infectious diarrhea: Pathogens and treatment. J Med Liban 48: 270–277. [PubMed] [Google Scholar]
- Cunliffe NA, Gondwe JS, Graham SM, Thindwa BD, Dove W, Broadhead RL, Molyneux ME, Hart CA. 2001a. Rotavirus strain diversity in Blantyre, Malawi, from 1997 to 1999. J Clin Microbiol 39: 836–843. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cunliffe NA, Dove W, Bunn JE, Ben Ramadam M, Nyangao JW, Riveron RL, Cuevas LE, Hart CA. 2001b. Expanding global distribution of rotavirus serotype G9: Detection in Libya, Kenya, and Cuba. Emerg Infect Dis 7: 890–892. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cunliffe NA, Bresee JS, Gentsch JR, Glass RI, Hart CA. 2002a. The expanding diversity of rotaviruses. Lancet 359: 640–642. [DOI] [PubMed] [Google Scholar]
- Cunliffe NA, Rogerson S, Dove W, Thindwa BD, Greensill J, Kirkwood CD, Broadhead RL, Hart CA. 2002b. Detection and characterization of rotaviruses in hospitalized neonates in Blantyre, Malawi. J Clin Microbiol 40: 1534–1537. [DOI] [PMC free article] [PubMed] [Google Scholar]
- el‐Sheikh SM, el‐Assouli SM, Mohammed KA, Albar M. 2001. Prevalence of viral, bacterial, and parasitic enteropathogens among young children with acute diarrhoea in Jeddah, Saudi Arabia. Bacteria and viruses that cause respiratory tract infections during the pilgrimage (Haj) season in Makkah, Saudi Arabia. J Health Popul Nutr 19: 25–30. [PubMed] [Google Scholar]
- Gentsch JR, Glass RI, Woods P, Gouvea V, Gorziglia M, Flores J, Das BK, Bhan MK. 1992. Identification of group A rotavirus gene 4 types by polymerase chain reaction. J Clin Microbiol 30: 1365–1373. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gouvea V, Glass RI, Woods P, Taniguchi K, Clark HF, Forrester B, Fang ZY. 1990. Polymerase chain reaction amplification and typing of rotavirus nucleic acid from stool specimens. J Clin Microbiol 28: 276–282. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gouvea V, de Castro L, Timenetsky Mdo C, Greenberg H, Santos N. 1994. Rotavirus serotype G5 associated with diarrhea in Brazilian children. J Clin Microbiol 32: 1408–1409. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hart CAaCNA. 2003. Rotavirus In: S A, Raig A, editors. Antigenic variation. London: Academic Press; pp 84–101. [Google Scholar]
- Herring AJ, Inglis NF, Ojeh CK, Snodgrass DR, Menzies JD. 1982. Rapid diagnosis of rotavirus infection by direct detection of viral nucleic acid in silver‐stained polyacrylamide gels. J Clin Microbiol 16: 473–477. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hoshino Y, Kapikian AZ. 2000. Rotavirus serotypes: Classification and importance in epidemiology, immunity, and vaccine development. J Health Popul Nutr 18: 5–14. [PubMed] [Google Scholar]
- Kelkar SD, Purohit SG, Simha KV. 1999. Prevalence of rotavirus diarrhoea among hospitalized children in Pune, India. Indian J Med Res 109: 131–135. [PubMed] [Google Scholar]
- Kirkwood CD, Bishop RF. 2001. Molecular detection of human calicivirus in young children hospitalized with acute gastroenteritis in Melbourne, Australia, during 1999. J Clin Microbiol 39: 2722–2724. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Madeley CR. 1997. Origins of electron microscopy and viral diagnosis. J Clin Pathol 50: 454–456. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moddares . 1995. Rotavirus infection in infants and young children Iran. Eastern Mediteranean Health J 1: 210–214. [Google Scholar]
- Ramachandran M, Kirkwood CD, Unicomb L, Cunliffe NA, Ward RL, Bhan MK, Clark HF, Glass RI, Gentsch JR. 2000. Molecular characterization of serotype G9 rotavirus strains from a global collection. Virology 278: 436–44. [DOI] [PubMed] [Google Scholar]
- Sethi SK, Khuffash FA, al‐Nakib W. 1989. Microbial etiology of acute gastroenteritis in hospitalized children in Kuwait. Pediatr Infect Dis J 8: 593–597. [DOI] [PubMed] [Google Scholar]
- Zhang XM, Herbst W, Kousoulas KG, Storz J. 1994. Biological and genetic characterization of a hemagglutinating coronavirus isolated from a diarrhoeic child. J Med Virol 44: 152–161. [DOI] [PMC free article] [PubMed] [Google Scholar]