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1 September 2005 Supplement

Volume 192, Number S1
The Journal of Infectious Diseases 2005;192:S114–S119
0022-1899/2005/19205S1-0018$15.00
DOI: 10.1086/431497
SUPPLEMENT ARTICLE

Incidence of Severe Rotavirus Diarrhea in New Delhi, India, and G and P Types of the Infecting Rotavirus Strains

Rajiv Bahl,1

Pratima Ray,1

Swati Subodh,1

Prashant Shambharkar,1

Manju Saxena,1

Umesh Parashar,2

Jon Gentsch,2

Roger Glass,2 and

M. K. Bhan,1 for the

Delhi Rotavirus Study Groupa

1Center for Diarrheal Disease and Nutrition Research, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India; 2Viral Gastroenteritis Division, Centers for Disease Control and Prevention, Atlanta, Georgia

A total of 62,475 children <5 years old from a defined population of 500,000 children and adults from slums in New Delhi, India, were assessed for 1 year by means of passive surveillance, to identify children who were hospitalized for diarrhea. The incidence of severe rotavirus diarrhea was estimated, and the G and P types of the infecting rotavirus strains were determined and were correlated with the clinical severity of diarrhea. Of 584 children who were hospitalized with diarrhea, 137 (23.5%) had rotavirus detected in stool specimens (incidence of rotavirus diarrhea–associated hospitalizations, 337 hospitalizations/100,000 children <5 years of age). Most cases of diarrhea (98%) occurred during the first 2 years of life, peaking at 9–11 months of age. Rotavirus‐associated diarrhea occurred year‐round but was predominant in winter. Among the strains that could be G‐typed, G1 was the most common serotype, followed by G9 and G2; 10% of cases of diarrhea were due to mixed G‐type infections. Common strains identified in the present surveillance study were P[8]G1, P[4]G2, P[8]G9, P[6]G1, P[6]G9, and P[6]G3. Children infected with G1 strains had a greater risk of developing more‐severe cases of diarrhea than did children infected with other rotavirus strains (odds ratio, 2.95; 95% confidence interval, 1.3–6.67).

Reprints or correspondence: Prof. M. K. Bhan, Dept. of Pediatrics, All India Institute of Medical Sciences, New Delhi 110029, India ().

Cited by

Preeti Chhabra, Ramchandra K. Dhongade, Vijay R. Kalrao, Ashish R. Bavdekar, Shobha D. Chitambar. (2009) Epidemiological, clinical, and molecular features of norovirus infections in western India. Journal of Medical Virology 81:5, 922-932
Online publication date: 1-Jun-2009.
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Shally Awasthi, Girdhar G Agarwal, Vikas Mishra, Vijay Laxmi Nag, Hesham Fathey El Sayed, Antonio Jose Ledo da Cunha, Alvaro Madeiro, Dipty Jain, William M Macharia, James Ndung'u, Saumya Awasthi, Ashish Wakhlu. (2009) Four-country surveillance of intestinal intussusception and diarrhoea in children. Journal of Paediatrics and Child Health 45:3, 82-86
Online publication date: 1-Apr-2009.
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Yu Jin, Xin-Hua Ye, Zhao-Yin Fang, Yu-Ning Li, Xue-Mei Yang, Qiao-Li Dong, Xiang Huang. (2008) Molecular epidemic features and variation of rotavirus among children with diarrhea in Lanzhou, China, 2001–2006. World Journal of Pediatrics 4:3, 197-201
Online publication date: 1-Sep-2008.
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Gulendam Bozdayi, Bora Dogan, Buket Dalgic, Ilknur Bostanci, Sinan Sari, Nergis Oner Battaloglu, Seyyal Rota, Yildiz Dallar, Akira Nishizono, Osamu Nakagomi, Kamruddin Ahmed. (2008) Diversity of human rotavirus G9 among children in Turkey. Journal of Medical Virology 80:4, 733-740
Online publication date: 1-May-2008.
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Evan J. Anderson. (2007) Rotavirus G9 Severity Data Revisited. Clinical Infectious Diseases 44:1, 154-155
Online publication date: 1-Jan-2007.
Pratima Ray, Martijn Fenaux, Sumit Sharma, Jyoti Malik, Swati Subodh, Shinjini Bhatnagar, Harry Greenberg, Roger I. Glass, Jon Gentsch, and M. K. Bhan. (2006) Quantitative Evaluation of Rotaviral Antigenemia in Children with Acute Rotaviral Diarrhea. The Journal of Infectious Diseases 194:5, 588-593
Online publication date: 1-Sep-2006.
Gagandeep Kang. (2006) Editorial Commentary: Rotavirus Genotypes and Severity of Diarrheal Disease. Clinical Infectious Diseases 43:3, 315-316
Online publication date: 1-Aug-2006.
Laura Jean Podewils, Lynn Antil, Erik Hummelman, Joseph Bresee, Umesh D. Parashar, and Richard Rheingans. (2005) Projected Cost‐Effectiveness of Rotavirus Vaccination for Children in Asia. The Journal of Infectious Diseases 192:s1, S133-S145
Online publication date: 1-Sep-2005.
  • Financial support: Department of Vaccines and Biologicals, World Health Organization; Children’s Vaccine Program at the Program for Appropriate Technology in Health.

    Potential conflicts of interest: none reported.

  • Members of the study group are listed at the end of the text.

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