An enzyme immunoassay for astrovirus was used to screen 357 stool samp
les fi om 267 symptomatic inpatients at a tertiary-care children's hos
pital. Thirty stool samples from 26 patients contained astrovirus anti
gen, while rotavirus was found in 34 samples and Clostridium difficile
toxin was found in 40. Half of the astrovirus infections were nosocom
ial, Additional pathogens were identified in six of the astrovirus ant
igen-positive stool samples. Most (80%) of the astroviruses recovered
were off serotype 1. Astrovirus infections were significantly more com
mon than rotavirus or C. difficile infections in very young infants an
d in those with surgical short-bowel syndrome.