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Detection and characterisation of human astroviruses in children with acute gastroenteritis in Blantyre,Malawi
Authors:Cunliffe Nigel A  Dove Winifred  Gondwe Jailosi S  Thindwa Benson D M  Greensill Julie  Holmes Jennifer L  Bresee Joseph S  Monroe Stephan S  Glass Roger I  Broadhead Robin L  Molyneux Malcolm E  Hart C Anthony
Institution:Wellcome Trust Research Laboratories, Universities of Malawi and Liverpool, College of Medicine, Blantyre, Malawi. n.a.cunliffe@liv.ac.uk
Abstract:In a 2-year hospital-based study of paediatric gastroenteritis in Blantyre, Malawi, astroviruses were detected by enzyme immunoassay in 15 (1.9%) of 786 inpatients and in 9 (2.3%) of 400 outpatients. Greater disease severity was noted in children coinfected with human immunodeficiency virus (HIV). Six human astrovirus (HAstV) genotypes were identified, including HAstV-1 (25%), HAstV-2 (21%), HAstV-3 (25%), HAstV-4 (13%), HAstV-5 (4%), and HAstV-8 (13%). Although astroviruses are not major causes of gastroenteritis among children admitted to hospital in Blantyre, concomitant HIV infection appears to be a risk factor for increased severity of disease.
Keywords:astrovirus  HIV  Malawi
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