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Abstract Summary Rotavirus is the leading cause of acute gastroenteritis (AGE), accounting for 20%-50% of all pediatric hospitalizations for acute diarrhea.In Egypt, an annual prevalence of Rotavirus gastroenteritis of 42% among the reported episodes of gastroenteritis below five years of age was reported in a study covering the WHO Eastern Mediterranean region. The aim of the study is to explore the relationship between blood group typing and Rotavirus gastroenteritis and its severity in Beni- Suef university hospital. The current study was a cross sectional study that was conducted on 200 casesof acute gastroenteritis below 5 years of age, attending the outpatient clinic of Beni-Suef University Hospital from April 2021 to November 2022.Prevalence of Rota virus infection among the studied participants was 41%. Concerning residence, there was a statistical significance (p = 0.001) association between rotavirus infection and residency in rural areas, where rural areas were most associated with rotavirus infection (61%) dominance in comparison to urban areas (39%).. As regards the rate of hospitalization, it was found to be highly significant more among Rota-positive cases of GE (84.1) (p < 0.005). Regarding the degree of dehydration, Moderate degree was found highly significant in Rota-negative cases of GE (50) and severe degree was found highly significant in Rota-positive cases of GE (47.6) (p = 0.001). Rota-positive cases were significantly more prevalent among cases with blood group A (47.6%) followed by blood group O (41.5%) and significantly less among cases with blood group B (p < 0.05). According to Severity of gastroenteritis, moderate and severe cases were found highly significant among group A and O (p =.005) Rota-positive gastroenteritis showed significant positive correlations with the indicators of severity such as hospitalization, degree of dehydration, frequency, vomiting and severity of the disease P= (.005), (.001), (.001), (.02) and (.001) respectively. However, gastroenteritis showed statistically non-significant correlation with age and fever (p = 0.490) and (.223).Therefore, rotavirus gastroenteritis among children with blood group A should be monitored closely. |