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Abstract: Human astroviruses (HAstVs) cause gastroenteritis. Real-time, reverse-transcription-polymerase chain reaction (RT2-PCR) was developed to quantitate HAstV RNA. An 88bp amplicon from the conserved 3′ genomic region was detected by binding of SYBR Green. RT2-PCR was reproducible, with a correlation coefficient of 0.998–1.00 and PCR efficiency of 94.4–100% (mean 97%). The coefficient of variation was 0.6–2.5%, dynamic range with RNA standard up to 5×108 RNA copies (RNACN) and sensitivity 5 RNACN. Of 54 blinded, archived stool samples from children hospitalized because of gastroenteritis tested by RT-PCR, 49 (91%) agreed by RT2-PCR for HAstV-positivity (Cohen κ =0.81, 95%CI 0.66–0.97). HAstV RNACN in stools ranged from 7.6×101 to 3.6×1014 copies/0.1g. Children coinfected with rotavirus had lower RNACN (mean log 4.22/standard deviation=2.26) than those without coinfection (7.57/3.06; p =.019). Children taking infant formula also had lower RNACN (5.96/2.98) than breast-fed or weaned children (8.73/2.92; p =.027). Higher RNACN tended to occur with longer duration of diarrhea for the episode (r =0.49, p =.064), but was not associated with change in age, gender, illness day, severity or breast-feeding. RT2-PCR quantitated HAstV RNA and RNACN in stool correlates with features of clinical illness. [Copyright &y& Elsevier]

Provides information on a study which detected human astroviruses (HAstVs) from diarrhea episodes among children in a periurban community in Mexico City, Mexico. Information on HAstVs; Methodology; Results; Summary.

Investigates the molecular epidemiology of human astrovirus (HAstV) infection and diarrhea in child care centers. Determination on the types of infecting astrovirus antigenic; Interrelation between astrovirus and diarrhea; Use of reverse transcriptase-polymerase chain reaction in detecting types of astrovirus.

Aim: To determine the severity and clinical characteristics of human astrovirus (HAstV) infections among hospitalized children and compare them with children infected by rotavirus.Methods: Retrospective, case-control study of astrovirus-infected and rotavirus-infected children. Astroviruses were detected in stool samples by enzyme immunoassay and/or reverse transcriptase-polymerase chain reaction. All stool samples were tested for rotavirus and bacterial pathogens, and all negative samples were further tested for human astrovirus. Children with astrovirus-positive stool samples and complete clinical data were included in this study.Results: Astrovirus was detected in 29 (1.8%) children, and 63 rotavirus-infected children were included as controls. Astrovirus-infected children had shorter duration of diarrhea than rotavirus-infected children (median 4 and 6 d, respectively; p<0.05), and 79% of the astrovirus infections were associated with a short duration of vomiting (median 1 and 4 d, respectively; p<0.0001). Rotavirus-infected children had longer hospitalization (p<0.050) than astrovirus-infected children.Conclusion: HAstV-infected children had similar symptoms to those occurring in rotavirus infection. However, astrovirus-infected patients had a significantly shorter duration of diarrhea and vomiting, and they required a shorter hospitalization. On the basis of the clinical data and severity scores, children with rotavirus infection had more severe illness. [ABSTRACT FROM AUTHOR]

Human astroviruses (HAstVs) are major pathogens in viral gastroenteritis worldwide. Twenty-five HAstV strains were detected from stool specimens of children hospitalized for acute gastroenteritis in Budapest, Hungary, between 1995 and 1999. Sequence analysis was performed at the 3′ end of the capsid gene to determine genotypic diversity of HAstVs circulating in Hungary. Five different genotypes of HAstVs were identified: HAstV-1 was predominant, followed by types 5, 8, 3 and 4. Two different subtypes of HAstV-1 were detected, but only one at a time in the community. This is the first report on the genetic diversity of HAstVs in Hungary and Central/Eastern Europe. [Copyright &y& Elsevier]

The article discusses human astroviruses (HAstV) infection associated with intussusception in childhood and presents a case study of 28-month-old infant. Details related to the case study including patient history, diagnosis done and treatment suggested are discussed. The article suggest in favor of specific microbiological laboratory examinations for most cases of intussusception and oral rotavirus vaccine.