05) We analyzed these findings with respect to the meteorologica

05). We analyzed these findings with respect to the meteorological data obtained for both years. The mean values obtained for relative humidity and temperature were significantly lower in 2012 (45.9% ± 21.7%, 17.8 °C ± 4.7 °C) than in 2010 (52.9% ± 21.6%, 19.4 °C ± 4.1 °C) (P = 0.004/0.0073) (Indian Meteorological

Department, Government of India, Pune). Our data indicated a deviation of rotavirus infections toward lower humidity and temperature as described previously in eastern India [12]. G1P[8], G2P[4], G3P[8], G4P[8] and G9P[8] are the most common rotavirus strains circulating worldwide. Throughout the study period, G1P[8] rotavirus strains showed highest prevalence, except in the year 2009 where G9P[8] was the predominant strain. Although G2P[4] has been described as the second most predominant Crizotinib research buy strain in other regions of India [4] and [13], we found learn more variation in its prevalence in comparison

with other commonly detected rotavirus strain, G9P[8]. An earlier study from Pune identified the G3P[8] strain once in the year 2005 [3] and was detected only once in this study. Other studies have documented the absence of this strain and the G4P[8] strain indicating that they are uncommon in India. Earlier rotavirus strain surveillance marked the circulation of unusual combinations of G and P types (G1P[4], G1P[6], G2P[6], G2P[8], G2P[10], G4P[4], G9P[4], G9P[6], G10P[6], G10P[8])

[3] and [4]. As against this, the present study detected only a limited number of such G-P combinations (G1P[4], G2P[6], G2P[8], G4P[4] and G9P[4]) with a notable contribution of G9P[4] strains. The year 2009 witnessed the highest diversity in circulating rotavirus strains in comparison with the years 2010–2012. Interestingly, the percentage of mixed infections was also highest (27.1%) in 2009 and found to decline to 0% in 2012. Thus, the proportion of mixed infections of rotavirus may correlate with the extent of diversity in rotavirus strains. In the same year, G9P[8] strains which are considered the fifth most common strains, displaced G1P[8] strains known to be predominant unless globally. Subsequent to this, the prevalence of G9P[8] strains declined after attaining the highest score in the year 2010. This was followed by a marked increase in the circulation of rare G9P[4] strains. It is possible that the occurrence of these strains could be a result of reassortment between G9P[8] and G2P[4] strains. Generation of such a reassortment has been proposed previously [14] and [15]. It is hypothesized that unusual combinations of G and P types are unfit for survival and hence do not stabilize in the environment [16]. In view of this, the continuous increase in the number of G9P[4] strains vis-a-vis a decrease in G9P[8] strains identified in the present study needs to be monitored further.

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