Genotyping the G types of rotavirus and its clinical presentation in children under five years old with diarrhea in the government clinics in Pekanbaru, Indonesia

ABSTRACT

Aims@# Acute diarrhea is still one of the major causes of death in children under five years old worldwide, including Indonesia. Data from the World Health Organization (WHO) Southeast Asia Region shows that acute diarrhea has caused approximately 10-11% of death in children under five years old and rotavirus (RV) is one of the major causes. This study is conducted to identify the profile and P genotypes of RV among children with acute diarrhea in Pekanbaru.@*Methodology and result@#Descriptive cross sectional study was conducted in children within the range of age 0-60 months with acute diarrhea who admitted to the government clinics and General Hospital of Riau Province from January to July 2015. Immunochrommatography and RT-PCR were used to identify the P genotype of RV from the stool specimens. The profile of patients was investigated including age, sex, hydration and nutritional status, also the exclusive breastfeeding. There were 71 children who suffered from acute diarrhea and 62.0% of stools specimens were positive by RT-PCR for RV infection. The highest rate was in the age group of 6-35 month (70.5%). Most of the patients were female (54.5%), the history of exclusive breastfeeding (54.5%), with moderate dehydration (54.5%) and good nutritional status (97.7%). The RV genotyping results showed the highest proportion was found in the P4 genotype (31.8%), followed by the P8 and P6 genotype, respectively 18.2% and 13.6%, P9 (11.4%), P10 (9.1%), P11 (2.3%) and indeterminate genotype (13.6%).@*Conclusion, significance and impact of study@#Rotavirus was found to be a considerable role as the etiology of diarrhea in children under five years in Pekanbaru and rotavirus P4 genotype was predominant. The result of this study is important for designing antigen-antibody diagnostics against RV.