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[医院科室中人类杯状病毒感染的暴发]

[Outbreak of human calicivirus infection in a hospital department].

作者信息

Reuter G, Kucsera S, Somogyi G, Lencsés G, Szúcs G

机构信息

Allami Népegészségügyi és Tisztiorvosi Szolgálat Baranya Megyei Intézete, Pécs, Regionális Virológiai Laboratórium.

出版信息

Orv Hetil. 2001 Mar 4;142(9):459-63.

Abstract

Human caliciviruses (HuCV)--such as Norwalk-like and Sapporo-like viruses--members of the family Caliciviridae, are a major cause of acute non-bacterial gastroenteritis in persons of all ages worldwide. They are important pathogens in food- and waterborne diseases in which the transmission can often be traced to fecally contaminated water or foods, and spread by person-to-person contact, vomitus or airborne droplets. HuCV-associated outbreaks involving large numbers of people usually occur in settings where people congregate. Between May 9 and 24, 2000, an outbreak of acute, mild, nonbacterial gastroenteritis occurred in woman, chronic psychiatric ward of a county hospital where 35 of 143 persons (24.5%) were registered with characteristic symptoms. Reverse transcription-polymerase chain reaction (RT-PCR) assay was used for virus detection. HuCV was found in stool samples in 12 of 17 (70.6%) ill persons. This is the first HuCV-associated hospital outbreak of gastroenteritis in Hungary where HuCV was successfully detected by molecular method and its etiologic role was also supported by epidemiologic investigation.

摘要

人杯状病毒(HuCV),如诺如样病毒和札幌样病毒,属于杯状病毒科,是全球所有年龄段人群急性非细菌性胃肠炎的主要病因。它们是食源性和水源性疾病中的重要病原体,其传播通常可追溯到粪便污染的水或食物,并通过人际接触、呕吐物或空气飞沫传播。涉及大量人群的HuCV相关疫情通常发生在人群聚集的场所。2000年5月9日至24日,一家县医院的慢性精神科病房发生了一起急性、轻度、非细菌性胃肠炎疫情,143人中的35人(24.5%)出现了特征性症状。采用逆转录聚合酶链反应(RT-PCR)检测病毒。在17名患病者中的12人(70.6%)的粪便样本中发现了HuCV。这是匈牙利首次发生与HuCV相关的医院胃肠炎疫情,通过分子方法成功检测到了HuCV,并且流行病学调查也支持了其病因学作用。

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