TY - JOUR
T1 - Laboratory-confirmed cholera and rotavirus among patients with acute diarrhea in four hospitals in Haiti, 2012-2013
AU - Steenland, Maria W.
AU - Joseph, Gerard A.
AU - Lucien, Mentor Ali Ber
AU - Freeman, Nicole
AU - Hast, Marisa
AU - Nygren, Benjamin L.
AU - Leshem, Eyal
AU - Juin, Stanley
AU - Parsons, Michele B.
AU - Talkington, Deborah F.
AU - Mintz, Eric D.
AU - Vertefeuille, John
AU - Balajee, S. Arunmozhi
AU - Boncy, Jacques
AU - Katz, Mark A.
PY - 2013/10
Y1 - 2013/10
N2 - An outbreak of cholera began in Haiti inOctober of 2010. To understand the progression of epidemic cholera in Haiti, in April of 2012, we initiated laboratory-enhanced surveillance for diarrheal disease in four Haitian hospitals in three departments.At each site, we sampled up to 10 hospitalized patients each week with acute watery diarrhea.We tested 1,616 specimens collected from April 2, 2012 to March 28, 2013; 1,030 (63.7%) specimens yielded Vibrio cholerae, 13 (0.8%) specimens yielded Shigella, 6 (0.4%) specimens yielded Salmonella, and 63 (3.9%) specimens tested positive for rotavirus. Additionally, 13.5% of children > 5 years old tested positive for rotavirus. Of 1,030 V. cholerae isolates, 1,020 (99.0%) isolates were serotype Ogawa, 9 (0.9%) isolates were serotype Inaba, and 1 isolate was non-toxigenic V. cholerae O139. During 1 year of surveillance, toxigenic cholera continued to be the main cause of acute diarrhea in hospitalized patients, and rotavirus was an important cause of diarrhea-related hospitalizations in children.
AB - An outbreak of cholera began in Haiti inOctober of 2010. To understand the progression of epidemic cholera in Haiti, in April of 2012, we initiated laboratory-enhanced surveillance for diarrheal disease in four Haitian hospitals in three departments.At each site, we sampled up to 10 hospitalized patients each week with acute watery diarrhea.We tested 1,616 specimens collected from April 2, 2012 to March 28, 2013; 1,030 (63.7%) specimens yielded Vibrio cholerae, 13 (0.8%) specimens yielded Shigella, 6 (0.4%) specimens yielded Salmonella, and 63 (3.9%) specimens tested positive for rotavirus. Additionally, 13.5% of children > 5 years old tested positive for rotavirus. Of 1,030 V. cholerae isolates, 1,020 (99.0%) isolates were serotype Ogawa, 9 (0.9%) isolates were serotype Inaba, and 1 isolate was non-toxigenic V. cholerae O139. During 1 year of surveillance, toxigenic cholera continued to be the main cause of acute diarrhea in hospitalized patients, and rotavirus was an important cause of diarrhea-related hospitalizations in children.
UR - http://www.scopus.com/inward/record.url?scp=84886062462&partnerID=8YFLogxK
U2 - 10.4269/ajtmh.13-0307
DO - 10.4269/ajtmh.13-0307
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C2 - 24106190
AN - SCOPUS:84886062462
SN - 0002-9637
VL - 89
SP - 641
EP - 646
JO - American Journal of Tropical Medicine and Hygiene
JF - American Journal of Tropical Medicine and Hygiene
IS - 4
ER -