THE ANALYSIS AND EPIDEMIOLOGICAL A VACCINATION OF ROTAVIRUS 2021 IN TIMOR-L ESTE.

Research Article


Abstract views: 54 / PDF downloads: 17

Authors

  • Carlos Boavida Tilman

DOI:

https://doi.org/10.58372/2835-6276.1033

Keywords:

Analysis, Epidemiological, Vaccination, Rotavirus, Antigens, Gastroenteritis

Abstract

Introduction: Rotavirus (RV) are the main viral agents causing acute gastroenteritis (GE) in children, being aware of thousands of deaths in children with diarrhea, globally, especially in developing countries, the case of Timor-Leste. Recent studies have shown the present of rotavirus antigens in serum (antigens) and feces of animals and humans, and this finding may be related to extraintestinal therapists and greater seriousness of the disease. This study was carried out in pediatric room hospitals in Dili, Baucau, Maubessi, Malian a and private clinics of non-profit mission in partnership with the Government. 

Objectives: To know how to detect antigenic cases caused by rotavirus (RV) among children hospitalized with acute gastroenteritis (GE) in pediatric room hospitals in Timor-Leste.

Methodology: In the collection of certain and 560 children information, 4 46 paired samples of feces and serum were collected for analysis using the enzymatic immune method (ELISA).  Initially, the coverage was sufficient in the sample collection with the support of the employees of the vaccination program manager services in state and private clinics with support of cooperation and professional trust. 

Discussion result: Rotavirus stool research was positive in 23% (104/446) of the samples, and antigens were found in 3 4.5% (38/104) of these patients. The severity of the disease was analyzed using the universal rascal and vesicaria score, and no statistically significant difference was observed between patients with and without antigens (p= 0.110); however, a higher number of episodes and duration of vomiting were observed in patients with antigens (p=0.012 and p=0.002, respectively). Antigens is common in children hospitalized with acute gastroenteritis caused by rotavirus in Timor-Leste and is associated with a greater number of episodes and duration of vomiting.  It is observed the coordination of data collection and epidemiological surveillance control between the investigator and hospitals is considered 69.7% good in the practice of implementation of the study. The rotavirus vaccination coverage rate is higher than 75% and 38% lower for pentavalent the 3 doses of vaccination that registers and officially documented.

Conclusion: However, a more comprehensive epidemiological analysis involving molecular tests is necessary to complement the results achieved with regard to genotypes involved in future research.

References

Tate JE, Burton AH, Bosch-Pinto C, Steele AD, Duque J, Parashar UD, et al. 2008. Estimate of worldwide rotavirus-associated mortality in children younger than 5 years before the introduction of universal rotavirus vaccination programmers: a systematic review and meta-analysis. Lancet Infect Dis. 2012 Feb;12(2):136-41.

Greenberg HB, These MK. Rotaviruses: from pathogenesis to vaccination. Gastroenterology. 2009 May;136(6):1939-51.

Linares AC, Justino MC. Rotavirus vaccination in Brazil: effectiveness and health impact seven years post-introduction. Expert Rev Vaccines. 2014 Jan;13(1):43-57.

Lazier MT, Costa I, Shafiq F. The impact of rotavirus vaccination on GE hospitalization among children < 5 years in Brazil. In: 6th World Congress of the World Society for Pediatric Infectious Diseases; 2009 Nov 18-22; Buenos Aires, Argentina, Geneva: WAPID; 2009.

Costa I, Linhares AC, Cunha MH, Tubos S, Argozelo DF, Justino MC, et al. Sustained decrease in gastroenteritis related deaths and hospitalizations in children less than 5 years of age after the introduction of rotavirus vaccination: a time trend analysis in Brazil (2001- 2010). Pediatric Infect Dis J. 2016 Jun;35(6):180-90.

Ray P, Fenix M, Sharma S, Malik J, Subodh S, Bhatnagar S, et al. Quantitative evaluation of rotaviral antigenemia in children with acute rotaviral diarrhea. J Infect Dis. 2006 Sep;194(5):588-93.

Blatt SE, Kirkwood CD, Kelly VP, Warfield L, Carlit M, Estes MK, et al. Rotavirus antigenemia and viraemia: a common event? Lancet. 2003 Nov;362(9394):1445-9.

Blatt SE, Matson DO, Crawford SE, Stata MA, Azumi P, Bennett BL, et al. Rotavirus antigenemia in children is associated with viremia. Plops Med. 2007 Apr; 4(4): 121.

Chisamba SD, Tate VS, Dhongre R, Karlo V. High frequency of rotavirus viremia in children with acute gastroenteritis: discordance of strains detected in stool and sera. J Med Viral. 2008 Dec;80(12):2169-76.

Gray J, Vesicare T, Van Damme P, Jacquinot C, Markowitz J, Guarino A, et al. Rotavirus. J Pediatric Gastroenterol Nutra. 2008 May;46: S24-31.

Patel M, Ranch MA, Boom JA, Tate JE, Shani LC, Hull JA, et al. Detection of rotavirus antigenemia in routinely obtained serum specimens to augment surveillance and vaccine effectiveness evaluations. Pediatric Infect Dis J. 2010 Sep;29(9):836-9.

Ruska T, Vesicare T. Rotavirus disease in Finnish children: use of numerical scores for clinical severity of diarrheal episodes. Drying J Infect Dis. 1990;22(3):259-67.

Ministry of Health (BR). Department of Informatics of SUS. National Immunization Program, vaccination coverage 2015 [Internet]. Brasília: Ministry of Health; 2016 [cited 2016 May 25]. Available in: http://tabnet.datasus.gov. brr/cg/deftohtm.exe? puny/can/cpniuf.def.

Ray P, Fenix M, Sharma S, Malik J, Subodh S, Bhatnagar S, et al Quantitative evaluation of rotaviral antigenemia in children with acute rotaviral diarrhea. J Infect Dis. 2006 Sep;194(5):588-93.

Fujita Y, Leu B, Oshiro R, Sashimi T, Muinha H, Izmir H, et al. Rotavirus antigenemia and genomic in children with rotavirus gastroenteritis. Jen J Infect Dis. 2010 Mar;3(2):83-6.

Romani S, Paul A, Saravanabavan A, Ménon VK, Agrumulam R, Sowmyanarayanan TV, et al. Rotavirus antigenemia in Indian children with rotavirus gastroenteritis and a symptomatic infections. Clin Infect Dis. 2010 Dec;51(11):1284-9.

Sugata K, Taniguchi K, Yuit A, Miyake F, Suga S, Asano W, et al. Analysis of rotavirus antigenemia and extraintestinal manifestations in children with rotavirus gastroenteritis. Pediatrics. 2008 Aug;122(2):392-7.

Ahmed K, Boz Dayi G, Mitsui MT, Ahmed S, Kabir L, Bucket D, et al. Circulating rotaviral RNA in children with rotavirus antigenemia. J Negate Results Biomed. 2013 Feb;12(5):1-8.

Hemming M, Hothi L, Raisanen S, Salinan M, Vesicare T. Rotavirus antigenemia in children is associated with more severe clinical manifestations of acute gastroenteritis. Pediatric Infection Disease J. 2014 Apr;33(4):366-71.

Velázquez RF, Manson DO, Guerrero L, Shunts J, Pickering JLK, Ruiz-Palácios GM, et al. Serum antibody as a marker of protection against natural rotavirus infection and disease. J Infect Dis. 2000 Dec;182(6):1602-9.

Fisher TK, Ashley D, Karin T, Reynolds-Hedemann E, Gretsch J, Widdowson MA, et al. Rotavirus antigenemia in patients with acute gastroenteritis. J Infect Dis. 2005 Sep;192(5):913-9.

Yu T, Tsai C, Lai M, Chen C, Chao H, Lin C, et al. Antigenemia and cytokine expression in rotavirus gastroenteritis in children. J Microbial Immune Infection. 2012 Aug;45.

Ministry of Health, Timor-Leste, health report, January-December 2021.

Tilman C.B et al. (2020). The Perception of Population and Health Professionals regarding the National immunization Program of Timor-Leste. Health Systems and Policy Research.

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Published

2023-04-05

How to Cite

Carlos Boavida Tilman. (2023). THE ANALYSIS AND EPIDEMIOLOGICAL A VACCINATION OF ROTAVIRUS 2021 IN TIMOR-L ESTE.: Research Article. American Journal of Medical and Clinical Research & Reviews, 2(4), 1–10. https://doi.org/10.58372/2835-6276.1033

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