Epidemiology of rotavirus infections in The Netherlands

Abstract

This paper reviews published and unpublished data from epidemiological and virological studies or rotavirus in the Netherlands to identify gaps in our knowledg; it includes analysis of surveillance data for seasonality and age groups at risk. Rotavirus was found in approximately 5% of stool specimens from people consulting a physician for gastroenteritis, Of these cases, 38% were under 5y of age. A clear seasonality was observed, with a peak in rotavirus activity in winter and early spring, In one hospital‐based study between 1976 and 1983 rotavirus was found in 30% of children under 3y of age hospitalized for gastroenteritis. In addition, nosocomial infections have been documented. Analysis of monthly data from laboratory surveillance from 1981 to 1996 showed that between 6 and 16% of stool samples tested positive for rotavirus, again with a clear seasonal distribution. A total of 98% of rotavirus strains that were typed were G‐type 1‐4, We conclude that more recent data about hospitalization rates are needed for a well‐founded costbenefit analysis.