The initial timing and burden of viral gastrointestinal infections in Australian infants: a birth cohort study
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Grimwood, Keith
Lambert, Stephen Bernard
Ware, Robert Stuart
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Abstract
The timing and nature of initial infections by potentially vaccine-preventable gastrointestinal viruses (group-F adenoviruses, classic human astrovirus, norovirus I/II, and sapovirus I/II/IV/V) was investigated in a community-based birth cohort. Weekly stool samples were collected from 158 children aged <2 years in an Australian subtropical city. Median age at initial infection was lowest for norovirus II (13.8 months) followed by sapovirus (14.3 months) and classic human astrovirus (17.6 months), and was >24 months for the remaining viruses. Norovirus II and sapovirus were most often associated with acute gastroenteritis symptoms (57% and 44%, respectively). Overall, healthcare was sought for 45% of symptomatic initial infections, which varied between 17% for norovirus I to 55% for norovirus II. Age at initial infection was lower when participants were exposed to other children. Norovirus II and sapovirus were the most important pathogens in this cohort, providing further evidence for them being priority targets for vaccine development.
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Journal of Pediatric Gastroenterology and Nutrition
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© 2021 Lippincott Williams & Wilkins. This is a non-final version of an article published in final form in Journal of Pediatric Gastroenterology and Nutrition, 2021. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal link for access to the definitive, published version.
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Gastroenterology and hepatology
Clinical sciences
Paediatrics
Health sciences
Nutrition and dietetics
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Mihala, G; Grimwood, K; Lambert, SB; Ware, RS, The initial timing and burden of viral gastrointestinal infections in Australian infants: a birth cohort study, Journal of Pediatric Gastroenterology and Nutrition, 2021