Enteric viruses other than rotavirus and norovirus in children under 5 years of age with gastroenteritis in Argentina, 2010-2021. A descriptive study.

Pub Date : 2024-08-01 Epub Date: 2024-03-14 DOI:10.5546/aap.2023-10148.eng
Juan I Degiuseppe, María T Soto, Christian Barrios Mathieur, Karina A Gomes, Juan A Stupka
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Abstract

Introduction. Data on the frequency of enteric adenoviruses, sapoviruses, and astroviruses in cases of sporadic acute gastroenteritis in Argentina are scarce. Methods. Descriptive design of a selection of fecal samples of children with diarrhea younger than 5 years referred between 2010 and 2021, with a previous negative result for rotavirus and norovirus. The presence of enteric adenovirus, sapovirus, and astrovirus was tested by molecular methods, with subsequent genotyping of positive samples. Results. At least 1 of the tested viruses was detected in 226 (39.4%) of the 574 selected samples. Specifically, adenovirus, sapovirus, and astrovirus were detected in 30.7%, 5.6%, and 3.1% of the samples, respectively. The most frequent viruses detected were adenovirus 41, sapoviruses GI.1 and GI.2, and astrovirus 1. Non-classic astroviruses were detected in 2 samples. Conclusions. Despite being less frequent, these enteropathogens are responsible for a large number of sporadic diarrhea events. Therefore, their study and surveillance contribute significantly to reduce the gap of undiagnosed cases.

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2010-2021 年阿根廷 5 岁以下儿童肠胃炎患者中轮状病毒和诺如病毒以外的肠道病毒。描述性研究。
导言。有关阿根廷零星急性肠胃炎病例中肠道腺病毒、沙波病毒和星状病毒发生频率的数据很少。研究方法。对 2010 年至 2021 年期间转诊的 5 岁以下腹泻患儿的粪便样本进行描述性设计,这些样本之前的轮状病毒和诺如病毒检测结果均为阴性。通过分子方法检测是否存在肠道腺病毒、沙波病毒和星状病毒,随后对阳性样本进行基因分型。结果。在所选的 574 份样本中,有 226 份(39.4%)至少检测到一种病毒。具体来说,在 30.7%、5.6% 和 3.1% 的样本中分别检测到了腺病毒、沙波病毒和星状病毒。最常检测到的病毒是腺病毒 41、沙弗病毒 GI.1 和 GI.2 以及天体病毒 1。在 2 个样本中检测到了非经典星状病毒。结论。尽管这些肠道病原体的发病率较低,但它们是大量零星腹泻事件的罪魁祸首。因此,对这些病原体的研究和监测将大大有助于减少未确诊病例的缺口。
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