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Published on: July 22, 2012
Rotavirus gastroenteritis in children in 4 regions in Brazil: a hospital-based surveillance study
Veridiana Munford1, Alfredo Elias Gilio, Eloisa Correa de Souza
1Virology Laboratories, Department of Microbiology, Institute of Biomedical Sciences, MSD Brazil.
Insights
Rotavirus genotype surveillance in Brazil revealed regional variations in G and P types, with G2P[4] and G9P[8] being most common. Continuous monitoring is crucial for effective vaccination strategies against this childhood gastroenteritis cause.
Area of Science:
- Virology
- Public Health
- Epidemiology
Background:
- Rotavirus is a leading cause of severe gastroenteritis in children globally.
- Understanding rotavirus genotypes is critical for developing and implementing effective vaccination strategies.
Purpose of the Study:
- To investigate the prevalence and distribution of rotavirus genotypes in different regions of Brazil.
- To inform public health initiatives and vaccination programs.
Main Methods:
- Rotavirus surveillance was conducted in four Brazilian cities between 2005 and 2006.
- Stool samples from children under five with diarrhea were tested for rotavirus using Enzyme Immunoassay.
- Positive samples were genotyped for G and P types using reverse-transcriptase polymerase chain reaction.
Main Results:
- A total of 510 stool samples were collected, with 221 (43.3%) testing positive for rotavirus.
- The predominant G types were G9, G2, and G1; P[4] and P[8] were the most common P types.
- The most frequent G/P genotype combinations were G2P[4], G9P[8], G9P[4], and G1P[8], with regional variations observed.
Conclusions:
- Rotavirus prevalence and genotype distribution varied significantly across different regions in Brazil.
- Ongoing surveillance of rotavirus types is essential for identifying emerging strains and adapting immunization programs.
Background:
Rotavirus is a major cause of gastroenteritis in children. Knowledge of rotavirus genotypes is important for vaccination strategies.
Methods:
During 2005-2006, rotavirus surveillance studies were conducted in São Paulo, Salvador, Goiânia, and Porto Alegre, Brazil. Stool samples were collected from children <5 years of age who had diarrhea and were screened by the Rotaclone Enzyme Immunoassay for the presence of rotavirus. Confirmed rotavirus-positive samples were characterized for P and G genotypes by reverse-transcriptase polymerase chain reaction.
Results:
A total of 510 stool samples were collected. Of these, 221 (43.3%) were positive for rotavirus. Overall, G9 was the predominant G type, followed by G2, and G1; P[4] and P[8] were the predominant P types. The most frequent G/P genotype combination detected was G2P[4], followed by G9P[8], G9P[4], and G1P[8]. G2P[4] was the predominant type in Goiânia and Salvador; G9P[8] and G1P[8] were predominant in São Paulo and Porto Alegre, respectively.
Conclusions:
The prevalence, seasonality, and genotype distribution of rotavirus infection varied in different regions in Brazil. With immunization programs, continuous monitoring of rotavirus types is important to detect novel and emerging strains.
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