World-Wide Prevalence and Genotype Distribution of Enteroviruses

Viruses. 2021 Mar 8;13(3):434. doi: 10.3390/v13030434.


Enteroviruses (EVs) are highly prevalent viruses world-wide, causing a wide range of diseases in both children and adults. Insight in the global prevalence of EVs is important to define their clinical significance and total disease burden, and assists in making therapeutic decisions. While many studies have been conducted to describe epidemiology of EVs in specific (sub)populations and patient cohorts, little effort has been made to aggregate the available evidence. In the current study, we conducted a search in the PubMed and Embase (Ovid) databases to identify articles reporting EV prevalence and type distribution. We summarized the findings of 153 included studies. We found that EVs are highly prevalent viruses in all continents. Enterovirus B was the most detected species worldwide, while the other species showed continent-specific differences, with Enterovirus C more detected in Africa and Enterovirus A more detected in Asia. Echovirus 30 was by far the most detected type, especially in studies conducted in Europe. EV types in species Enterovirus B-including echovirus 30-were often detected in patient groups with neurological infections and in cerebrospinal fluid, while Enterovirus C types were often found in stool samples.

Keywords: enterovirus; epidemiology; genotype; prevalence.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Africa / epidemiology
  • Antigens, Viral / analysis
  • Asia / epidemiology
  • Cost of Illness
  • Enterovirus / classification*
  • Enterovirus / genetics*
  • Enterovirus Infections / epidemiology*
  • Enterovirus Infections / virology
  • Europe / epidemiology
  • Feces / virology
  • Genotype*
  • Global Health*
  • Humans
  • Phylogeny
  • Prevalence


  • Antigens, Viral