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A large infantile gastroenteritis outbreak in Albania caused by multiple emerging rotavirus genotypes

Published online by Cambridge University Press:  23 December 2003

C. VILLENA ,
R. GABRIELI ,
R. M. PINTÓ ,
S. GUIX ,
D. DONIA ,
E. BUONOMO ,
L. PALOMBI ,
F. CENKO ,
S. BINO  and
A. BOSCH
...Show all authors
C. VILLENA
Affiliation:
Virus Enteric Group, Department of Microbiology, University of Barcelona, Barcelona, Spain
R. GABRIELI
Affiliation:
Department of Public Health, Faculty of Medicine, Tor Vergata University, Rome, Italy
R. M. PINTÓ
Affiliation:
Virus Enteric Group, Department of Microbiology, University of Barcelona, Barcelona, Spain
S. GUIX
Affiliation:
Virus Enteric Group, Department of Microbiology, University of Barcelona, Barcelona, Spain
D. DONIA
Affiliation:
Department of Public Health, Faculty of Medicine, Tor Vergata University, Rome, Italy
E. BUONOMO
Affiliation:
Department of Public Health, Faculty of Medicine, Tor Vergata University, Rome, Italy
L. PALOMBI
Affiliation:
Department of Public Health, Faculty of Medicine, Tor Vergata University, Rome, Italy
F. CENKO
Affiliation:
Public Health Institute, Tirane, Albania
S. BINO
Affiliation:
Public Health Institute, Tirane, Albania
A. BOSCH
Affiliation:
Virus Enteric Group, Department of Microbiology, University of Barcelona, Barcelona, Spain
M. DIVIZIA
Affiliation:
Department of Public Health, Faculty of Medicine, Tor Vergata University, Rome, Italy
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Abstract

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By the end of December 2000, the epidemiological system ‘Alert’ of the Public Health Institute in Tirane reported an outbreak of acute gastroenteritis. The outbreak involved children in Tirane and in the rural area. In total, 2722 children were seen in Tirane Hospital and 982 (56·4%) were treated for acute gastroenteritis. The age group with the highest morbidity was 0–5 years (89·7%), followed by the 6–9 (6·2%) and 10–15 years age groups (4·1%). The distribution of acute gastroenteritis cases, which occurred along the same water distribution system, suggests a waterborne origin. The nucleic acid amplification confirmed the co-circulation of different genotypes of rotavirus, mainly P[8]G9 and P[8]G3, responsible for the outbreak. Other enteric viruses such as astrovirus serotype 1, adenovirus and Norovirus, genogroups I and II were detected. Co-infections with different rotavirus genotypes and even with different enteric viruses were detected in several samples.

Type
Research Article
Information
Epidemiology & Infection , Volume 131 , Issue 3 , December 2003 , pp. 1105 - 1110
Copyright
2003 Cambridge University Press