Global distribution of sporadic sapovirus infections: A systematic review and meta-analysis.

Acute gastroenteritis (AGE), characterized by diarrhea and vomiting, is an important cause of global mortality, accounting for 9% of all deaths in children under five years of age. Since the reduction of rotavirus in countries that have included rotavirus vaccines in their national immunization prog...

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Main Authors: Marta Diez Valcarce, Anita K Kambhampati, Laura E Calderwood, Aron J Hall, Sara A Mirza, Jan Vinjé
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0255436&type=printable
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author Marta Diez Valcarce
Anita K Kambhampati
Laura E Calderwood
Aron J Hall
Sara A Mirza
Jan Vinjé
author_facet Marta Diez Valcarce
Anita K Kambhampati
Laura E Calderwood
Aron J Hall
Sara A Mirza
Jan Vinjé
author_sort Marta Diez Valcarce
collection DOAJ
description Acute gastroenteritis (AGE), characterized by diarrhea and vomiting, is an important cause of global mortality, accounting for 9% of all deaths in children under five years of age. Since the reduction of rotavirus in countries that have included rotavirus vaccines in their national immunization programs, other viruses such as norovirus and sapovirus have emerged as more common causes of AGE. Due to widespread use of real-time RT-PCR testing, sapovirus has been increasingly reported as the etiologic agent in both AGE outbreaks and sporadic AGE cases. We aimed to assess the role of sapovirus as a cause of endemic AGE worldwide by conducting a systematic review of published studies that used molecular diagnostics to assess the prevalence of sapovirus among individuals with AGE symptoms. Of 106 articles included, the pooled sapovirus prevalence was 3.4%, with highest prevalence among children <5 years of age (4.4%) and among individuals in community settings (7.1%). Compared to studies that used conventional RT-PCR, RT-qPCR assays had a higher pooled prevalence (5.6%). Among individuals without AGE symptoms, the pooled sapovirus prevalence was 2.7%. These results highlight the relative contribution of sapovirus to cases of AGE, especially in community settings and among children <5 years of age.
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institution Kabale University
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spelling doaj-art-71248a11c8aa4a6993021916a11e49af2025-01-24T05:31:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01168e025543610.1371/journal.pone.0255436Global distribution of sporadic sapovirus infections: A systematic review and meta-analysis.Marta Diez ValcarceAnita K KambhampatiLaura E CalderwoodAron J HallSara A MirzaJan VinjéAcute gastroenteritis (AGE), characterized by diarrhea and vomiting, is an important cause of global mortality, accounting for 9% of all deaths in children under five years of age. Since the reduction of rotavirus in countries that have included rotavirus vaccines in their national immunization programs, other viruses such as norovirus and sapovirus have emerged as more common causes of AGE. Due to widespread use of real-time RT-PCR testing, sapovirus has been increasingly reported as the etiologic agent in both AGE outbreaks and sporadic AGE cases. We aimed to assess the role of sapovirus as a cause of endemic AGE worldwide by conducting a systematic review of published studies that used molecular diagnostics to assess the prevalence of sapovirus among individuals with AGE symptoms. Of 106 articles included, the pooled sapovirus prevalence was 3.4%, with highest prevalence among children <5 years of age (4.4%) and among individuals in community settings (7.1%). Compared to studies that used conventional RT-PCR, RT-qPCR assays had a higher pooled prevalence (5.6%). Among individuals without AGE symptoms, the pooled sapovirus prevalence was 2.7%. These results highlight the relative contribution of sapovirus to cases of AGE, especially in community settings and among children <5 years of age.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0255436&type=printable
spellingShingle Marta Diez Valcarce
Anita K Kambhampati
Laura E Calderwood
Aron J Hall
Sara A Mirza
Jan Vinjé
Global distribution of sporadic sapovirus infections: A systematic review and meta-analysis.
PLoS ONE
title Global distribution of sporadic sapovirus infections: A systematic review and meta-analysis.
title_full Global distribution of sporadic sapovirus infections: A systematic review and meta-analysis.
title_fullStr Global distribution of sporadic sapovirus infections: A systematic review and meta-analysis.
title_full_unstemmed Global distribution of sporadic sapovirus infections: A systematic review and meta-analysis.
title_short Global distribution of sporadic sapovirus infections: A systematic review and meta-analysis.
title_sort global distribution of sporadic sapovirus infections a systematic review and meta analysis
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0255436&type=printable
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