Longitudinal study of rotavirus infection and gastroenteritis in families served by a pediatric medical practice: clinical and epidemiologic observations

Pediatr Infect Dis J. 1987 Feb;6(2):170-6. doi: 10.1097/00006454-198702000-00006.

Abstract

During 29 months of prospective longitudinal study of diarrhea in the home, human rotaviruses (HRVs) infected one or more members in 51% of 65 families, 35 of 126 children (28%) and 16 of 124 adults (13%). Within the 33 affected families, 57% of 62 children and 25% of 65 adults were infected. HRV gastroenteritis peaked at 40/100 person years at ages 12 to 23 months and decreased to 5 episodes/100 person years in adults. Among 25 children 0 through 36 months of age who had HRV infection, 88% were symptomatic. Of the 22 children with symptomatic HRV infection, 1 required hospitalization and 8 were seen by their physician for supportive care. HRVs were found in 12% of 216 stools obtained during gastrointestinal illness, but in only 0.2% of 1238 non-illness stools tested. HRV infections were noted as early as October and as late as April. Of 33 families who were studied for 2 seasons, at least 1 individual in each of 3 families experienced HRV infections in both years, but only one, an adult, shed virus and had symptoms in both seasons.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Enterovirus Infections
  • Enzyme-Linked Immunosorbent Assay
  • Feces / microbiology
  • Female
  • Gastroenteritis / diagnosis
  • Gastroenteritis / epidemiology
  • Gastroenteritis / genetics*
  • Gastroenteritis / therapy
  • Humans
  • Infant
  • Longitudinal Studies
  • Male
  • Microscopy, Electron
  • Prospective Studies
  • Rotavirus / isolation & purification
  • Rotavirus Infections / diagnosis
  • Rotavirus Infections / epidemiology
  • Rotavirus Infections / genetics*
  • Rotavirus Infections / therapy
  • Virginia