ArticleIndian journal of pediatrics2025
Epidemiology of Rotavirus Gastroenteritis and Circulating Genotypes Among Hospitalized Children Aged Under 5 Years in Rajkot, Gujarat.
Article in Indian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesIn Gujarat, indigenous oral pentavalent rotavirus vaccine, ROTASIIL was introduced in July 2019; however, post marketing research on this vaccine is currently lacking. This cross-sectional study was conducted among children aged < 5 y hospitalized with acute gastroenteritis in Rajkot, Gujarat with an aim to investigate the epidemiology of rotavirus gastroenteritis following rotavirus vaccine introduction in the Universal Immunization Program (UIP) of Gujarat.
methodsChildren aged < 5 y admitted with acute gastroenteritis between February 2021 and December 2023 were enrolled in the study. Data were collected on sociodemographic and clinical characteristics, and a copy of the child's vaccination card. Stool samples were collected and tested for rotavirus using an enzyme immunoassay. Rotavirus-positive samples were genotyped using reverse-transcription polymerase chain reaction.
resultsOf the 288 stool samples tested, 66 (22.9%) were rotavirus positive. The prevalence of rotavirus positivity was higher in children with five or more diarrheal episodes within 24 h than in those with fewer episodes and higher in vaccinated than in unvaccinated children. The prevalence of rotavirus positivity was lower in those with a length of hospital stay ≥ 5 d than in those with shorter stays, and in infants aged 0-5 mo than in older children. G3P[8] (48.5%) was the most prevalent rotavirus genotype, followed by G2P[4] (37.9%).
conclusionsRotavirus diarrhea remains prevalent among children hospitalized with acute gastroenteritis in Rajkot. G3P[8] and G2P[4] are the predominant circulating rotavirus strains.
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