Li Cheryl S Y, Chan Paul K S, Tang Julian W
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong Special Administrative Region, China.
J Med Virol. 2009 Nov;81(11):1903-11. doi: 10.1002/jmv.21611.
A total of 209 stool samples were collected from pediatric patients admitted for acute gastroenteritis in a hospital in Hong Kong, during an 8-month period from January to August 2008, and were tested for the presence of rotavirus, norovirus, sapovirus, adenovirus, and astrovirus using a multiplex RT-PCR assay. The most common virus was rotavirus group A (59 of 209, 28%, mainly serotypes G1, G2, G3, and G9), followed by norovirus group II (48 of 209, 23%), adenovirus (7 of 209, 3%, serotypes 2, 3, and 41), and sapovirus (2 of 209, 1%). Interestingly, none of the specimens in this study were positive for astrovirus. One sample was found to have a dual infection with both norovirus group II and adenovirus. The results support the importance of norovirus as a causative agent of diarrhea in children, which may be underestimated by the current routine diagnostic testing.
2008年1月至8月的8个月期间,从香港一家医院因急性肠胃炎入院的儿科患者中总共采集了209份粪便样本,使用多重逆转录聚合酶链反应(RT-PCR)检测法检测了轮状病毒、诺如病毒、札幌病毒、腺病毒和星状病毒的存在情况。最常见的病毒是A组轮状病毒(209份样本中有59份,占28%,主要血清型为G1、G2、G3和G9),其次是II组诺如病毒(209份样本中有48份,占23%)、腺病毒(209份样本中有7份,占3%,血清型为2、3和41)和札幌病毒(209份样本中有2份,占1%)。有趣的是,本研究中的样本均未检测出星状病毒呈阳性。发现1份样本同时感染了II组诺如病毒和腺病毒。这些结果支持了诺如病毒作为儿童腹泻病原体的重要性,而目前的常规诊断检测可能低估了这一点。