1. Laboratory-based rotavirus surveillance during the introduction of a vaccination program, Brazil, 2005-2009.
- Author
-
Carvalho-Costa FA, Volotão Ede M, de Assis RM, Fialho AM, de Andrade Jda S, Rocha LN, Tort LF, da Silva MF, Gómez MM, de Souza PM, and Leite JP
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Brazil epidemiology, Child, Child, Preschool, Electrophoresis, Polyacrylamide Gel, Enzyme-Linked Immunosorbent Assay methods, Female, Genotype, Humans, Immunization Programs, Infant, Infant, Newborn, Male, Middle Aged, Molecular Epidemiology, Reverse Transcriptase Polymerase Chain Reaction, Rotavirus classification, Rotavirus genetics, Rotavirus Infections virology, Rotavirus Vaccines administration & dosage, Young Adult, Feces virology, Rotavirus isolation & purification, Rotavirus Infections epidemiology, Rotavirus Infections prevention & control, Rotavirus Vaccines immunology
- Abstract
Background: : Brazil introduced universal antirotavirus vaccination in March 2006. This article reports the results of rotavirus A (RV-A) surveillance from January 2005 to December 2009., Methods: : A total of 6109 fecal samples were collected in 18 Brazilian states. RV-A was detected by enzyme immunoassay and/or polyacrylamide gel electrophoresis, and genotyped through seminested reverse transcription-polymerase chain reaction., Results: : RV-A was detected in 20.3% (n = 1242) of the samples. Among children less than 2 years old, regardless the antirotavirus vaccination status, the rates of RV-A detection were 33.8% in 2005, 23.7% in 2006, 16.8% in 2007, 22.9% in 2008, and 18.3% in 2009 (P < 0.001; χ test for linear trend). Among RV-A-positive samples, genotype G1P[8] or G1P[not typed(NT)] was detected in 14% in 2005, 12.3% in 2006, 9.5% in 2007, 0.7% in 2008, and 20.4% in 2009; G2P[4]/G2P[NT] was characterized in 9% in 2005, 49% in 2006, 66% in 2007, 85% in 2008, and 37.5% in 2009; G3P[8]/G3P[NT] was observed in 8.7% in 2005, 3.5% in 2006, and 5.7% in 2009; G9P[8]/G9P[NT] was observed in 52% in 2005, 22% in 2006, 12.3% in 2007, 3.2% in 2008, and 3.4% in 2009., Conclusions: : Our data demonstrate the reemergence of RV-A genotype G2P[4] in Brazil from 2005 to 2008, and that the rate of G2P[4] detection decreased in 2009, probably reflecting natural oscillations of RV-A genotypes.
- Published
- 2011
- Full Text
- View/download PDF