Department of Medical Microbiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
J Med Virol. 2022 Aug;94(8):3857-3862. doi: 10.1002/jmv.27834. Epub 2022 May 11.
This study aims to determine retrospectively the prevalence of rotavirus and enteric adenovirus in patients with gastroenteritis symptoms and the distribution of pathogens by gender, age, seasons, and years. The stool samples sent to Pamukkale University Healthcare Research and Practice Hospital's Medical Microbiology laboratory between January 2017 and December 2021 were evaluated for rotavirus/adenovirus antigen positivity. Rotavirus and adenovirus antigens were studied with the Rotavirus-Adenovirus Combo Rapid Cassette Test (Acro Biotech) kit. Rotavirus was detected in 683 (8.2%) of the 8315 stool samples evaluated, and 180 (2.2%) samples were positive for adenovirus. Coinfection was detected in 21 (0.25%) samples. Rotavirus was found at the highest rate in 2019 (p = 0.001). The adenovirus was detected in 2020 at a lower rate than in other years (p = 0.0001). The rotavirus was observed at a higher rate in 0-<3, 3-<6, and 6-<13 age groups and adenovirus was detected at a higher rate in 3-<6 and 6-<13 age groups compared to other age groups (p = 0.001, p = 0.003, respectively). The highest rate of incidence of the rotavirus was found in spring and adenovirus in winter. In the etiology of gastroenteritis, especially in children, adenovirus and rotavirus should not be ignored in winter and spring. The prevalence of rotavirus was observed to have decreased in 2020 and onwards, and the prevalence of adenovirus decreased in 2020.
本研究旨在回顾性分析 2017 年 1 月至 2021 年 12 月期间,因胃肠炎症状就诊于帕穆卡莱大学医疗保健研究与实践医院医学微生物实验室的患者中轮状病毒和肠腺病毒的流行率,并分析其在不同性别、年龄、季节和年份的分布情况。采用 Rotavirus-Adenovirus Combo Rapid Cassette Test(Acro Biotech)试剂盒检测粪便样本中的轮状病毒/腺病毒抗原。共检测了 8315 份粪便标本,其中 683 份(8.2%)标本检测出轮状病毒阳性,180 份(2.2%)标本检测出腺病毒阳性,21 份(0.25%)标本为混合感染。2019 年轮状病毒检出率最高(p=0.001),2020 年腺病毒检出率最低(p=0.0001)。轮状病毒在 0-<3 岁、3-<6 岁和 6-<13 岁年龄组中的检出率较高,腺病毒在 3-<6 岁和 6-<13 岁年龄组中的检出率较高(p=0.001,p=0.003)。轮状病毒的高发季节为春季,腺病毒的高发季节为冬季。在胃肠炎的病因学中,尤其是在儿童中,冬春季节不应忽视腺病毒和轮状病毒的感染。2020 年以来,轮状病毒的流行率呈下降趋势,腺病毒的流行率也呈下降趋势。