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. 2014 Nov;61(3):345-52.
doi: 10.1016/j.jcv.2014.08.024. Epub 2014 Sep 3.

Noroviruses associated with outbreaks of acute gastroenteritis in the State of Rio Grande do Sul, Brazil, 2004-2011

Juliana da Silva Ribeiro de Andrade  1 , Monica Simões Rocha  2 , Felipe Aníbal Carvalho-Costa  2 , Julia Monassa Fioretti  2 , Maria da Penha Trindade Pinheiro Xavier  2 , Zenaida Maria Alves Nunes  3 , Jeanice Cardoso  4 , Alexandre Madi Fialho  2 , José Paulo Gagliardi Leite  2 , Marize Pereira Miagostovich  2
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Free article

Noroviruses associated with outbreaks of acute gastroenteritis in the State of Rio Grande do Sul, Brazil, 2004-2011

Juliana da Silva Ribeiro de Andrade et al. J Clin Virol. 2014 Nov.
Free article

Abstract

Background: Acute gastroenteritis norovirus (NoV) in a country of continental dimensions like Brazil has resulted in under-reporting of the number of outbreaks, as well as the genotypes associated.

Objectives: To demonstrate the role of NoV in outbreaks occurring in the State of Rio Grande do Sul, Southern Brazil, we determined its prevalence, as well as the genotypes associated, and evaluated clinical and epidemiological aspects.

Study design: NoV investigation was carried out in rotavirus group A negative stool samples from 2265 patients from 741 outbreaks that occurred in the State of Rio Grande do Sul, Brazil, during a period of eight years (2004-2011). NoV detection and nucleotide sequencing for genotype characterization was carried by using sets of primers targeting a conservative Rd-Rp polymerase genome region and the viral capsid gene, respectively.

Results: NoVs were detected in 817 stool samples (36.1%) and associated with 327 outbreaks (44.1%). NoV GII.2, GII.3, GII.4, GII.6, GII.12, GII.13, GII.14, GII.15, GII.17, GII.21; and GI.1 and GI.3 were characterized. GII.4 was the most frequently detected (72.3%), with five variants identified (Asia_2003, Hunter_2004, Yerseke_2006a, Den_Haag_2006b, New Orleans_2009). This study describes the first detection of GI.1 and GII.13 and GII.15 in Brazil and demonstrates NoV winter-spring seasonality in this region of the country.

Conclusions: NoVs were responsible for almost 50% of outbreaks, with about 70% of them resulting from genotype GII.4 and its variants. The seasonality observed could help health authorities to establish a system of active surveillance in order to reduce NoV impact especially in congregate settings.

Keywords: Acute gastroenteritis outbreaks; GII variants; Genotypes; Noroviruses; Southern Brazil.

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