<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232016000500153</article-id>
<article-id pub-id-type="doi">10.5123/s2176-62232016000500017</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Detecção de antígenos de rotavírus no soro de crianças hospitalizadas por gastroenterite aguda em Belém, Estado do Pará, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Rotavirus antigen detection in serum samples from children with acute gastroenteritis in Belém, Pará State, Brazil]]></article-title>
<article-title xml:lang="es"><![CDATA[Detección de antígenos de rotavirus en el suero de niños hospitalizados por gastroenteritis aguda en Belém, Estado de Pará, Brasil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Justino]]></surname>
<given-names><![CDATA[Maria Cleonice Aguiar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[Erika Maria Nogueira de Abreu]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mascarenhas]]></surname>
<given-names><![CDATA[Joana D'Arc Pereira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soares]]></surname>
<given-names><![CDATA[Luana da Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soares]]></surname>
<given-names><![CDATA[Sissa Gabrielle Ribeiro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soares]]></surname>
<given-names><![CDATA[Tassia Salgado]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pavão Júnior]]></surname>
<given-names><![CDATA[Manoel Jaime Castro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bezerra]]></surname>
<given-names><![CDATA[Orvácio Melo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maciel]]></surname>
<given-names><![CDATA[Tássio Sampaio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Farias]]></surname>
<given-names><![CDATA[Fredison Pinheiro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Linhares]]></surname>
<given-names><![CDATA[Alexandre da Costa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Evandro Chagas/SVS/MS Seção de Virologia ]]></institution>
<addr-line><![CDATA[Ananindeua Pará]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal do Pará Instituto de Ciências da Saúde ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>7</volume>
<numero>esp</numero>
<fpage>153</fpage>
<lpage>158</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232016000500153&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232016000500153&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232016000500153&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO Os rotavírus (RV) são os principais agentes virais causadores de gastroenterite (GE) aguda na infância, sendo responsáveis por milhares de óbitos em crianças com diarreia, em âmbito global, especialmente nos países em desenvolvimento. Estudos recentes demonstraram a presença de antígenos de RV no soro (antigenemia) e nas fezes de animais e seres humanos, podendo esse achado estar relacionado a manifestações clínicas extraintestinais e maior gravidade da doença. Este estudo foi realizado em uma clínica infantil em Belém, Estado do Pará, Brasil, com o objetivo de detectar antigenemia causada por RV entre crianças hospitalizadas com GE aguda. De 566 crianças, foram coletadas 452 amostras pareadas de fezes e soro para análise por meio do método imunoenzimático (ELISA). A pesquisa de RV nas fezes revelou-se positiva em 24% (109/452) das amostras, sendo detectada antigenemia em 37,5% (41/109) desses pacientes. A gravidade da doença foi analisada utilizando-se o escore universal de Ruuska e Vesikari, não sendo observada diferença estatisticamente significativa entre os pacientes com e sem antigenemia (p = 0,120); entretanto, observou-se maior número de episódios e duração dos vômitos nos pacientes com antigenemia (p = 0,015 e p = 0,002, respectivamente). A antigenemia é frequente em crianças hospitalizadas com GE aguda causada por RV, em Belém, e está associada a um maior número de episódios e duração dos vômitos. Os resultados permitiram um melhor entendimento acerca da patogenia das rotaviroses, especialmente em crianças vacinadas. Entretanto, faz-se necessária uma análise mais abrangente envolvendo testes moleculares para complementação dos resultados alcançados no que tange aos genótipos envolvidos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Rotaviruses (RV) are the main causative agents of acute gastroenteritis (AGE) during childhood and are responsible for thousands of deaths due to diarrhea worldwide, especially in developing countries. Recent studies have indicated the presence of RV antigens in the serum (antigenemia) and feces of animals and humans, which may be related to extraintestinal clinical manifestations and increased disease severity. This study was conducted in a children's clinic located in Belém, Pará State, Brazil, and aimed to detect antigenemia caused by RV in children hospitalized for AGE. The study population was composed of 566 children, from whom 452 paired fecal and serum samples were collected for RV antigen detection using immunoassays (ELISA). Positive results were found in 24% (109/452) of fecal samples; antigenemia was detected in 37.5% (41/109) of children. Disease severity was analyzed using Ruuska and Vesikari's scoring system and no statistically significant difference was observed between patients with or without antigenemia (p = 0.120); however, a greater number of vomiting episodes and longer duration of vomiting were observed in patients with antigenemia than those without antigenemia (p = 0.015 and p = 0.002, respectively). Antigenemia is frequently identified in children hospitalized for AGE caused by RV, and is associated with a greater number of vomiting episodes and longer duration of vomiting in Belém, Brazil. The results enabled a better understanding of the pathogenesis of RV infections, especially in vaccinated children. However, a comprehensive analysis is necessary, including molecular tests for the genotypes involved for completing the achieved results.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Los rotavirus son los principales agentes virales causadores de gastroenteritis aguda (GEA) en la infancia, siendo responsables por miles de óbitos en niños con diarrea, mundialmente, especialmente en los países en desarrollo. Estudios recientes demostraron la presencia de antígenos de rotavirus en suero (antigenemia), además de en las heces, de animales y seres humanos, y este hallazgo puede estar relacionado a manifestaciones clínicas extraintestinales y a mayor gravedad de la enfermedad. El presente estudio se realizó en una clínica infantil en Belém, Pará, Brasil con el objetivo de detectar antigenemia causada por rotavirus entre niños hospitalizados con gastroenteritis aguda (GEA). Fueron incluidos 566 niños, de los cuales 452 recolectaron muestras pareadas de heces y suero para realizar la investigación de rotavirus por el ensayo inmunoenzimático (ELISA). El estudio de rotavirus en las heces se reveló positivo en 24% (109/452) de las muestras, siendo detectada antigenemia en 37,5% (41/109) de esos pacientes. La gravedad de la enfermedad se analizó utilizando el escore universal de Ruuska &amp; Vesikari no habiendo sido observada diferencia estadísticamente significativa entre los pacientes con y sin antigenemia (p=0,12); sin embargo, se observó un número mayor de episodios y duración de los vómitos en los pacientes con antigenemia (p=0,01 y 0,002, respectivamente). La antigenemia es un hallazgo frecuente en niños hospitalizados con GEA causada por rotavirus y está asociada a un mayor número de episodios y duración de los vómitos en Belém. Los resultados obtenidos permitieron una mejor comprensión sobre la patogenia de las infecciones por rotavirus, especialmente en niños vacunados, sin embargo, es necesario un análisis más amplio utilizando pruebas moleculares para complementar los resultados en lo que dice respecto a los genotipos involucrados.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Diarreia]]></kwd>
<kwd lng="pt"><![CDATA[Rotavírus]]></kwd>
<kwd lng="pt"><![CDATA[Antigenemia]]></kwd>
<kwd lng="pt"><![CDATA[Gastroenterite]]></kwd>
<kwd lng="en"><![CDATA[Diarrhea]]></kwd>
<kwd lng="en"><![CDATA[Rotavirus]]></kwd>
<kwd lng="en"><![CDATA[Antigenemia]]></kwd>
<kwd lng="en"><![CDATA[Gastroenteritis]]></kwd>
<kwd lng="es"><![CDATA[Diarrea]]></kwd>
<kwd lng="es"><![CDATA[Rotavirus]]></kwd>
<kwd lng="es"><![CDATA[Antigenemia]]></kwd>
<kwd lng="es"><![CDATA[Gastroenteritis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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