Abstract
Background: Diarrheal disease is a major public health problem for children in developing countries. Knowledge of etiology that causes diarrheal illness is essential to implement public health measures to prevent and control this disease. Adeno Noroviruses (NoVs) are human pathogens associated with acute viral gastroenteritis worldwide and an important cause of childhood morbidity and mortality in developing countries. However, there are still few epidemiological data on the occurrence of these viruses in Sudan.
Methods: A total of 208 stool samples were collected from hospitalized children under five years of age presenting with acute gastroenteritis, in Khartoum State, Sudan, during the period from November 2017 – May 2021, For the detection of norovirus and adenoviruses, DNA from stool samples was extracted using Qiagen DNA kits from all samples, followed by Multiplex nested Polymerase Chain Reaction (PCR)
Results: The study revealed that 9 (4.3%) were positive for Norovirus and 4 (1.9%) with Adenovirus. The study found no significant difference in the positivity of Norovirus and Adenovirus according to the gender (p values 0.35, and 0.341 respectively). Moreover, the study found no significant difference in the positivity of Norovirus and Adenovirus according to the status of the polio-vaccination (p values 0.785, and 0.941 respectively). The study showed that there was the no statistically significant association when compare age with Norovirus and Adenovirus (p values 0.081, and 0.231 respectively), The current study showed that there was no relationship between gastroenteritis diseases and Adeno and norovirus (p. value = 0.8, 0.9).
Conclusions: The present study showed that Norovirus and Adenovirus were not causative agents of gastroenteritis in children less than 5 years.
References
- Ali, M. B., Ghenghesh, K. S., Aissa, R. B., Abuhelfaia, A., and Dufani, M. (2005).
Etiology of childhood diarrhea in Zliten, Libya. Saudi Med. J. 26, 1759–1765.
- Bewley, M.C., Springer, K., Zhang, Y.B., Freimuth, P. and Flanagan, J.M., Structural analysis of the mechanism of adenovirus binding to its human cellular receptor, CAR. Science, 286(5444), pp.1579-1583.
- Burmeister, W.P., Guilligay, D., Cusack, S., Wadell, G. and Arnberg, N.,Crystal structure of species D adenovirus fiber knobs and their sialic acid binding sites. Journal of virology, 78(14), pp.7727-7736..
- Chen, J., Tang, J., Liu, J., Cai, Z., and Bai, X. (2012). Development and evaluation
of a multiplex PCR for simultaneous detection of five foodborne pathogens. J.
Microbiol. 112, 823–830. doi: 10.1111/j.1365-2672.2012.05240.x
- Diaa Elyanaet al., (2014). Non-bacterial etiologies of diarrheal diseases in Afghanistan Transactions Royal Soc Tropical Med &Hyg 108 (8): p 461-465
- Elhag, W. I et al., (2013). Prevalence of rotavirus and adenovirus associated with diarrhea among displaced communities in Khartoum, Sudan. BMC Infectious Diseases, (13): 209.
- Eman M Tatay1, Abdel Rahim M El Hussein2, Mohamed O. Mustafa2, Isam M Elkhidir3et al 2018. Molecular Detection of Norovirus 1, 2 in Children Less than 5Years with Gastroenteritis in Khartoum and Al Jazeera States,
Sudan IJSRSET1 [4 (9): 458-462
- Kapikian, A.Z., Greenberg, H.B., Cline, W.L., Kalica, A.R., Wyatt, R.G., James Jr, H.D., Lloyd, N.L., Chanock, R.M., Ryder, R.W. and Kim, H.W., Prevalence of antibody to the Norwalk agent by a newly developed immune adherence hemagglutination assay Journal of medical virology, 2(4), pp.281-294.
- Kotloff, K. L., Nataro, J. P., Blackwelder, W. C., Nasrin, D., Farag, et al. (2013). Burden and etiology of diarrhoeal disease in infants and young children in developing countries (the Global Enteric Multicenter Study, GEMS): a prospective, case-control study. Lancet 382,209–222. doi: 10.1016/S0140-6736(13) 60844-2
- Mans, J., Armah, G.E., Steele, A.D. and Taylor, M.B.,Norovirus epidemiology in Africa: a review. PLoS One, 11(4), p.e0146280.
- McGrath, W.J., Ding, J., Didwania, A., Sweet, R.M. and Mangel, W.F., Crystallographic structure at 1.6-Å resolution of the human adenovirus proteinase in a covalent complex with its 11-amino-acid peptide cofactor: insights on a new fold. Biochimicaet Biophysica Acta (BBA)-Proteins and Proteomics, 1648(1-2), pp.1-11.
- Mosab A. Adam1,2†, Ji Wang1†, Khalid-A.et al 2018.Molecular Survey of Viral and Bacterial Causes of Childhood Diarrhea in Khartoum State, Sudan Frontiers in Microbiology | Volume 9 | Article 112
- Nataro J. P. &Kaper J. B. (1998). Diarrheagenic Escherichia coli. Clin Microbiol Rev 11, 142-201
- Ngosso, B. E., Nkwengulila, G., and Namkinga, L. A. (2015). Identification
of pathogenic intestinal parasitic protozoa associated with diarrhea among
under-fives children in dares salaam, Tanzania. J. Med. Sci. 2,
49–55.
- Park, S., Jung, J., Oh, S., Jung, H., Oh, Y., Cho, S., Cho, S., Cho, S., Park, H., Jo, N. and Bae, K., Characterization of norovirus infections in Seoul, Korea. Microbiology and immunology, 56(10), pp.700-707.
- Paula, A. et al (2008). Molecular Characterization of polyoma Virus Agents From Children in Northern Region of Ghana J Med Virol 80:1790–1798
- Rux, J.J., Kuser, P.R. and Burnett, R.M., Structural and phylogenetic analysis of adenovirus hexons by use of high-resolution x-ray crystallographic, molecular modeling, and sequence-based methods. Journal of virology, 77(17), pp.9553-9566.
- Silva, P. A., Stark, K., Mockenhaupt, F. P., Reither, K., Weitzel, T., Ignatius, R., et al.(2008). Molecular characterization of enteric viral agents from children in a
northern region of Ghana. Med. Virol. 80, 1790–1798. doi: 10.1002/jmv.21231.
- Stewart SE, Eddy BE, Borgese NG (1958) Neoplasms in mice inoculated with a tumor agent carried in tissue culture. J Natl Cancer Inst 20: 1223–1243.
- Van Raaij, M.J., Mitraki, A., Lavigne, G. and Cusack, S., A triple β-spiral in the adenovirus fibre shaft reveals a new structural motif for a fibrous protein. Nature, 401(6756), pp.935-938.
- Vargas, M., Gascon, J., Casals, C., Schellenberg, D., et al. (2004). Etiology of diarrhea in children less than five years of age in Ifakara,Tanzania. J. Trop. Med. Hyg. 70, 536–539.
- Wang, J., Xu, Z., Niu, P., Zhang, C., Zhang,et al. (2014). A two-tube
multiplex reverse transcription-PCR assay for simultaneous detection of viral
and bacterial pathogens of infectious diarrhea. Biomed Res. Int. 2014:648520.
doi: 10.1155/2014/648520
- You D, WardlawT ,Salama P & Jones G (2010).Levels and trends in under-5 mortality, 1990-2008. Lancet 375, 100-103.
- Zubieta, C., Schoehn, G., Chroboczek, J. and Cusack, S., 2005. The structure of the human adenovirus 2 penton. Molecular cell, 17(1), pp.121-135.
Corresponding Author
Shaza Salih