000 02494nam a22002897a 4500
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008 200526b ph ||||| |||| 00| 0 eng d
040 _cDOH
245 0 4 _aThe burden of hospitalizations and clinic visits for rotavirus disease in children aged <5 years in the Philippines /
_cCelia C. Carlos [and seven others]
520 3 _aBackground: Recent data on the burden of hospitalization and clinic visits for rotavirus gastroenteritis are needed to support the decision to introduce rotavirus vaccine in the Philippines. Methods: From 2005 through 2006, children aged <5 years with acute diarrhea who attended 1 of 7 clinics and/or hospitals in Muntinlupa City, the Philippines, were enrolled. Clinical and demographic data were collected, and a stool specimen was obtained for rotavirus testing and typing for G and P antigens. The incidences of different clinical outcomes of rotavirus gastroenteritis were determined for 3 townships under surveillance and were extrapolated to the Philippines with use of national data sets. Results: The prevalence of rotavirus was 31% (171/560) among children hospitalized with diarrhea, 30% (155/520) among those who presented to the emergency department, and 15% (56/385) among those who presented to a clinic. The annual estimated incidence (per 100,000 children aged <5 years) of rotavirus gastroenteritis in outpatient, emergency department, and inpatient settings was 755, 451, and 279, respectively. Of 274 strains, 50 (18%) were nontypeable. Of the 128 strains that underwent G and P typing, 98% belong to the globally common strains G3P[P], G2P[4], and G1P[8]. Conclusions: The burden of rotavirus gastroenteritis in the Philippines is high and is predominantly caused by strains against which current vaccines have shown good efficacy, suggesting that routine immunization will have a large impact on rotavirus disease burden.
650 2 _aChild, Preschool
650 2 _aCost of Illness
650 2 _a Gastroenteritis
_xepidemiology
650 2 _aRotavirus
_xclassification
650 2 _aRotavirus Infections
_xvirology
700 1 _aCarlos, Celia C.
700 1 _aInobaya, Marianette T.
700 1 _aBresee, Joseph S.
700 1 _a Lagrada, Marietta L.
700 1 _aOlorosa, Agnettah M.
700 1 _aKirkwood, Carl D.
700 1 _aWiddowson, Marc-Alain
856 _uhttps://academic.oup.com/jid/article/200/Supplement_1/S174/848665
942 _cJA
_2nlm