2011
DOI: 10.2223/jped.2122
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Characterization of rotavirus and norovirus strains: a 6-year study (2004-2009)

Abstract: Objective: To monitor rotavirus (RV) and norovirus (NoV) infections in hospitalized children ≤ 5 years with acute gastroenteritis in the state of São Paulo, Brazil, during a 6-year period (2004)(2005)(2006)(2007)(2008)(2009).Methods: This retrospective study was conducted with 61 medical centers with convenient surveillance fecal specimens, investigated by enzyme-linked immunosorbent assay, sodium dodecyl sulfate polyacrylamide gel electrophoresis, reverse polymerase chain reaction and sequencing to genotype c… Show more

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Cited by 22 publications
(34 citation statements)
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“…The importance of this finding needs to be confirmed, because opposite findings have been suggested by another study from Brazil [38]. Finally, studies in Brazil [3941] and developed countries [4244] suggest that vaccine introduction may result in the selection of serotypically distinct new strains. To date, however, the two vaccines have remained highly effective in preventing severe RV disease in developed countries and large numbers of vaccine selected “drifted” strains have not emerged.…”
Section: Introductionmentioning
confidence: 85%
“…The importance of this finding needs to be confirmed, because opposite findings have been suggested by another study from Brazil [38]. Finally, studies in Brazil [3941] and developed countries [4244] suggest that vaccine introduction may result in the selection of serotypically distinct new strains. To date, however, the two vaccines have remained highly effective in preventing severe RV disease in developed countries and large numbers of vaccine selected “drifted” strains have not emerged.…”
Section: Introductionmentioning
confidence: 85%
“…Clear seasonality in RoV infection in the country has not been demonstrated, although a high frequency has been found during winter months. 1,3 In the study, RoV and NoV clinical characteristics were mostly indistinguishable, although some authors consider vomiting associated to NoV infection more frequently. 1,5 Mixed infection among RoV and NoV was observed in children aged less than one year.…”
mentioning
confidence: 79%
“…1,3 In the study, RoV and NoV clinical characteristics were mostly indistinguishable, although some authors consider vomiting associated to NoV infection more frequently. 1,5 Mixed infection among RoV and NoV was observed in children aged less than one year. Different factors can cause infection in these children, as early breastfeed replacement and the hygienic measures taken by adults who work with children.…”
mentioning
confidence: 79%
“…Multiple cases of infection are also frequently associated with nosocomial infections [2]. Besides the diversity of viruses circulating in the community, higher levels of mixed infections should be expected; however, these levels seem to be lower in the Brazilian population [31].…”
Section: Discussionmentioning
confidence: 99%