Siqueira AA, Santelli ACFS, Alencar LR, Dantas MP, Dimech CPN, Carmo GMI, Santos DA, Alves RMS, Lucena MBF, Morais M, Assis RMS, Fialho A, Mascarenhas JDP, Costa M, Linhares AC, Leite JPG, Araujo WN, Hatch DL. Outbreak of acute gastroenteritis in young children with death due to rotavirus genotype G9 in Rio Branco, Brazilian Amazon region, 2005.
Int J Infect Dis 2010;
14:e898-903. [PMID:
20843719 DOI:
10.1016/j.ijid.2010.03.024]
[Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2009] [Accepted: 03/11/2010] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND
An epidemic of acute gastroenteritis occurred in Rio Branco City, Acre State, in Brazil's Amazon region in 2005. An investigation was conducted to confirm the etiology and identify possible risk factors for death.
METHODS
Rio Branco municipality surveillance data for the period May to October 2005 were reviewed. In a case-control study, children who died following acute gastroenteritis were compared to age-matched controls with acute gastroenteritis who survived. Rotavirus A (RV-A) was investigated in 799 stool samples and genotyped by reverse transcription polymerase chain reaction (RT-PCR).
RESULTS
The cumulative incidence of diarrhea in children aged <5 years was 21%. A fatal outcome was significantly associated with uncovered household water storage containers. RV-A was identified in 88% of samples and G9 was the prevalent genotype (71%).
CONCLUSIONS
Oral rehydration solution and boiling or chlorinating drinking water likely limited mortality. This epidemic was caused by RV-A genotype G9. After the outbreak, a rotavirus vaccine was introduced into the official childhood immunization schedule in Brazil.
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