2017
DOI: 10.1080/21645515.2016.1252493
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Options for improving effectiveness of rotavirus vaccines in developing countries

Abstract: Rotavirus gastroenteritis is a leading global cause of mortality and morbidity in young children due to diarrhea and dehydration. Over 85% of deaths occur in developing countries. In industrialised countries, 2 live oral rotavirus vaccines licensed in 2006 quickly demonstrated high effectiveness, dramatically reducing severe rotavirus gastroenteritis admissions in many settings by more than 90%. In contrast, the same vaccines reduced severe rotavirus gastroenteritis by only 30-60% in developing countries, but … Show more

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Cited by 24 publications
(19 citation statements)
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“…Following the introduction of a rotavirus vaccine, strain surveillance is of great importance in detecting the genotypic changes that may arise. At the molecular level, the genetic characteristics of rotaviruses can be followed by noting variation not only in rotavirus genotypes, but also in rotavirus electrophoretic patterns over a period of time ( Tissera et al, 2017 ). The variability in strain prevalence in Nairobi County was assessed through the characterization of electrophoretic profiles and genotype analysis in this study.…”
Section: Discussionmentioning
confidence: 99%
“…Following the introduction of a rotavirus vaccine, strain surveillance is of great importance in detecting the genotypic changes that may arise. At the molecular level, the genetic characteristics of rotaviruses can be followed by noting variation not only in rotavirus genotypes, but also in rotavirus electrophoretic patterns over a period of time ( Tissera et al, 2017 ). The variability in strain prevalence in Nairobi County was assessed through the characterization of electrophoretic profiles and genotype analysis in this study.…”
Section: Discussionmentioning
confidence: 99%
“…58,59 Some researchers speculate that the gut microbiota may influence rotavirus infection and vaccine immunogenicity. 60,61 However, an in-depth analysis of the intestinal microbiome following rotavirus infection in the small intestine has yet to be undertaken. As such, the role of the microbiome in modulating rotavirus infection remains poorly understood.…”
Section: Introductionmentioning
confidence: 99%
“…Furthermore, because real-time PCR-based genotyping methods were proved to be significantly cost-effective, this technique can serve as an alternative tool to the multiplex semi-nested RT-PCR method. Kottaridi et al [ 21 ] was applied the real-time PCR as a diagnostic tool for rotavirus genotyping, but in developing countries, because of genetic diversity and co-infection with other gastrointestinal pathogens, it is required to re-evaluate molecular techniques for the determination of rotavirus genotypes [ 26 , 27 ] . Therefore, these issues highlight the need for the analysis of a method that would allow the cost-effective, rapid and highly sensitive detection of HRV genotypes with a wider dynamic range.…”
Section: Discussionmentioning
confidence: 99%