Molecular epidemiology of rotavirus infection in Gauteng and the surrounding areas during the 2010 and 2011 seasons

Abstract

Rotavirus infection causes acute gastroenteritis in children younger than five years of age, and commonly occurring human rotavirus strains include G1 - G4 and G9 associated with P[4], P[6] and P[8]. In this study, of 6050 stool samples collected from a Private Pathology Practice in Pretoria, March 2010 - August 2011, 664 tested positive using Coris test-strips. Of these samples, 752 were retested using EIA and, results showed: Coris sensitivity was 93,7% and specificity 99,8%; the winter epidemic peaked in July of both years; more males and children under 30 months of age were particularly vulnerable to infections. Rotavirus-positive samples from Trichardt, Rustenburg and Middelburg were analysed by PAGE and RT-PCR showing circulating strains as mainly G8P[4] (60%) with short electropherotypes, G12P[8] (66%) with long electropherotypes, and G1P[8] at low incidence in the 2010/2011 seasons. These results suggest additional research to monitor the impacts of recently introduced rotavirus vaccines on changing strain profiles in South African communities