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Citation: Shuangshuang WANG, Liqin CHEN, Yaling LI, Weijie LI, Jiayi YANG. Analysis of Epidemiological Characteristics of Neonatal Rotavirus Infection from 2020 to 2022[J]. Journal of Kunming Medical University, 2023, 44(5): 26-31. doi: 10.12259/j.issn.2095-610X.S20230509

Analysis of Epidemiological Characteristics of Neonatal Rotavirus Infection from 2020 to 2022

doi: 10.12259/j.issn.2095-610X.S20230509
  • Received Date: 2023-01-16
    Available Online: 2023-05-12
  • Publish Date: 2023-05-25
  •   Objective  To study the epidemiological characteristics of neonatal rotavirus (RV) infection, and to provide the guidance for the treatment and prevention of clinical diseases and the formulation of prevention and treatment strategies for RV infection in hospitals.   Methods  The clinical data of newborns admitted to a 3A children’s hospital in Yunnan Province were retrospectively collected from January 2020 to December 2022. The RV antigen in feces was detected by group A rotavirus detection reagent (colloidal gold method), and the clinical and epidemiological data of neonatal RV infection were compared and analyzed by SPSS 26.0.   Results  There were 261 cases of RV infection in 16761 newborn patients, and the infection rate was 1.56%, of which the infection rates in 2020-2022 were 1.97% (124/6298), 1.01% (57/5660) and 1.67% (80/4803) respectively. The RV infection rate of male children was 1.39%, while that of female children was 1.79%, and the difference between them was statistically significant (P < 0.05). The infection rate of rotavirus in newborns aged ≤7 days was significantly lower than that in newborns aged 8~28 days, and the difference was statistically significant (P < 0.05). From 2020 to 2022, the neonatal RV infection rates in spring, summer, autumn and winter were 2.64% (102/3866), 1.58% (71/4502), 0.63% (28/4450) and 1.52% (60/3943) respectively, and the difference was statistically significant (P < 0.05).The top four states (cities) of neonatal RV infection rates in different origin areas were 7.14% (3/42) in Diqing, 2.82% (2/71) in Pu’er, 2.31% (8/346) in Honghe and 2.19% (3/137) in Wenshan. Community infection accounted for 62.07% (162/261) and hospital infection accounted for 37.93% (99/261). There were 22.22% (58/261) children with asymptomatic infection, and 77.78% (203/261) children with RV infection-related clinical symptoms such as diarrhea, fever and vomiting. There are differences between the different nationalities (χ2 = 7.945, P < 0.05) and different RV antigen test results (χ2 = 5.007, P < 0.05) in the presence or absence of symptoms of RV infection in newborns.   Conclusion  RV infection rate of hospitalized newborns is generally low, especially in late newborns, and the infection rate is higher in areas with relatively backward economic level. It is suggested that more attention should be paid to RV infection in newborns, health education for caregivers should be strengthened and comprehensive prevention measures should be formulated to control the neonatal rotavirus infection from the source.
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