The Epidemic Genotypes of Human Adenovirus in Outpatient Children with Adenoviral Conjunctivitis from 2011 to 2012 in Jiangxi, China

Intervirology. 2019;62(1):30-36. doi: 10.1159/000499963. Epub 2019 May 22.

Abstract

Background: Human adenoviruses (HAdV) are a common cause of viral conjunctivitis, making surveillance of them from sporadic cases of conjunctivitis important.

Methods: To acquire a better understanding of the epidemic genotypes of HAdV in outpatient children with adenoviral conjunctivitis in Jiangxi Province, China (2011-2012), 179 samples from cases with a high suspicion of HAdV were analyzed by PCR. Samples confirmed to be HAdV-positive by PCR were cultured in Hep-2 cells to isolate the viruses, which were then identified through hexon gene sequencing.

Results: The adenoviral conjunctivitis positivity rate was 74.86% (134/179), from which 71.64% (96/134) were infections in boys, and 92.54% (124/134) were infections in children under 5 years of age. Sixty-nine HAdV strains were isolated from the positive samples and 69 sequences were obtained. Phylogenetic analysis indicated that 33 strains (47.82%) clustered with HAdV-B7, 21 (30.43%) with HAdV-B3, 6 (8.70%) with HAdV-B55, 6 (8.70%) with HAdV-E4, 1 with HAdV-B21 (1.45%), 1 with HAdV-D37 (1.45%), and 1 with HAdV-D64 (1.45%).

Conclusions: This is the first identification of HAdV-B55 relating to adenoviral conjunctivitis in China. These findings provide a firm basis for future surveillance of adenoviral conjunctivitis in China or other East Asian regions.

Keywords: Conjunctivitis; Genotype; Human adenoviruses; Human adenoviruses-B55.

MeSH terms

  • Adenovirus Infections, Human / epidemiology*
  • Adenoviruses, Human / genetics*
  • Child
  • Child, Preschool
  • China / epidemiology
  • Conjunctiva / virology
  • Conjunctivitis, Viral / epidemiology*
  • DNA, Viral / genetics
  • Female
  • Genotype
  • Humans
  • Infant
  • Male
  • Outpatients
  • Phylogeny

Substances

  • DNA, Viral