Key result
Among 550 patients with acute diarrhea in Paraná State, Brazil, 21.8% tested positive for group A rotavirus, with G1 (50.9%) and P[8] (71.9%) being the most frequent genotypes.
Cross-Sectional (n=550)
Yes
The study confirms the high prevalence of group A rotavirus in children under 5 with acute gastroenteritis in Paraná, Brazil, and highlights the emergence of the G9 genotype in the region.
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Supports continued rotavirus surveillance in Brazilian children; extends regional genotype data but leaves broader vaccine impact open.
From January/2000 to December/2003, 550 diarrheic fecal samples from the children and adults were collected in several geographical regions of Paraná State, Brazil. The enzyme immunoassay showed 120 (21.8%) samples positive for the group A rotaviruses. One hundred and fourteen samples were genotyped by multiplex-nested-PCR assay. The highest frequency (77.5%) of the positive samples (n=93) was observed in the children under 5 years old. Rotavirus diarrhea was more frequent in the cold and dry seasons of the four evaluated years. The most frequent genotypes were: G1 (50.9%), G4 (9.6%), G9 (7.0%), G2 (1.7%), G3 (0.9%), P[ 8] (71.9%), and P[ 4] (3.5%). The P[ 8] G1 (46.5%) and P[ 8] G4 (9.6%) were the main combinations found to P and G genotypes. The mixed infections, characterized by the rotaviruses with more than one genotype G or P, and nontypeable rotavirus were observed in 8.8, 3.5, and 16.7% of the samples, respectively. The identification of the G9 genotype in the rotavirus strains tested along the four years of studies ratifies the emergency of this genotype also in Paraná State, South region of Brazil, as the worldwide.
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Santos et al. (2008) conducted a cross-sectional in Acute gastroenteritis (n=550). Group A rotavirus was evaluated on Detection of group A rotavirus by enzyme immunoassay. Among 550 patients with acute diarrhea in Paraná State, Brazil, 21.8% tested positive for group A rotavirus, with G1 (50.9%) and P[8] (71.9%) being the most frequent genotypes.
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