Acute viral gastroenteritis is one of the most common infectious diseases in infants and young children. Rotavirus is mainly important in childhood. The present study determined the detection rate, seasonality and G and P genotypes of rotaviruses in children hospitalized for acute gastroenteritis in Seoul, Korea in 2009. A total of 1,423 stool specimens were screened by ELISA for the presence of rotavirus antigens and the rotavirus-positive stools genotyped by RT-PCR. The G genotype was determined for 90% of samples (242/269) and the P genotype for 93.3% (251/269). During the study, 25 G-P combinations were detected with G1P[8] in 38.3% (n = 103) and G4P[6] in 5.9% (n = 16) cases. These data provided information on rotavirus in patients with acute gastroenteritis in Seoul, Korea and provided baseline data to motivate for the implementation of control measures for rotavirus disease.
Key words gastroenteritis, G and P types, rotavirus.Rotaviruses are recognized as the major etiological agents among infants and young children, and are the leading cause of life-threatening diarrhoeal disease in many countries (1,2,3). The virus is a member of the family Reoviridae and its genome is composed of 11 segments of double-stranded RNA that encode for the six structural proteins that make up the virus particles (viral proteins [VPs]) and six nonstructural proteins (NSPs) (3). The outer capsid is composed of two proteins, glycoprotein VP7 and protease-sensitive VP4 that confer protective immunity (4). Thus, VP7 and VP4 are used to classify RoVs (3). Semi-nested PCR, based on type-specific primers, is used to determine G and P genotypes. As VP7 and VP4 genes can and do segregate independently, a dual typing system is necessary in order to characterize the strains of RoVs co-circulating during different seasons in different locations (4). It is generally accepted that at least 23 G types [4] and 32 P types (5) are known. Among them, G1-4 are common human genotypes, though increase in prevalence of G12 and G9 strains have been reported worldwide (6). Epidemiological studies have shown that four G (G1-G4) and three P (P[4], P [6], and P[8]) are the most frequent VP7 and VP4 types (7). The distribution of different G and P genotypes and RoV strains varies from country and area to area and, therefore, knowledge of the molecular epidemiology of RoVs in circulation is important in the effort to develop a suitable and efficacious vaccine (7). The aims of this study were to investigate the detection rate of RoV infections and the prevalence of the G and P genotypes of RoV strains detected in children hospitalized with acute gastroenteritis in Seoul, Korea in 2009.