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2002-2009 年新西兰诺如病毒胃肠炎暴发的分子流行病学研究。

Molecular epidemiology of norovirus gastroenteritis outbreaks in New Zealand from 2002-2009.

机构信息

Norovirus Reference Laboratory, Institute of Environmental Science and Research Ltd., Kenepuru Science Centre, Porirua, New Zealand.

出版信息

J Med Virol. 2012 Sep;84(9):1449-58. doi: 10.1002/jmv.23349.

Abstract

Noroviruses are the most common cause of acute non-bacterial gastroenteritis outbreaks worldwide, including New Zealand. New Zealand has a population of 4.4 million, which allows for centralized outbreak surveillance and a Norovirus Reference Laboratory, which facilitates efficient diagnosis, surveillance, and tracking of norovirus outbreaks. Norovirus outbreak strains are identified, sequenced, and compared with international reference strains. Between January 2002 and December 2009, 1,206 laboratory-confirmed norovirus outbreaks were recorded. The predominant outbreak settings were healthcare institutions for the elderly and acute care patients. Other outbreak settings included catering establishments, cruise ships, homes, community events, school camps, child-related settings, and consumption of contaminated shellfish. Of the 1,206 outbreaks, 105 (8.7%) were caused by norovirus genogroup I (GI) strains, 1,085 (89.9%) were caused by genogroup II (GII) strains, and both GI and GII strains were detected in 9 (0.8%) outbreaks. The genogroup was not identified in 7 (0.6%) outbreaks. A range of norovirus genotypes, including GI genotypes 1-6, GII genotypes 2-8, and GII.12, were associated with these outbreaks. The predominant genotype was GII.4, which was identified in 825 (68.4%) outbreaks. Norovirus GII.4 variant strains, including 2002 (Farmington Hills), 2004 (Hunter), 2006a (Laurens, Yerseke), 2006b (Minerva), and 2010 (New Orleans) implicated in overseas outbreaks also occurred in New Zealand, providing evidence of global spread.

摘要

诺如病毒是全世界最常见的急性非细菌性肠胃炎爆发的原因,包括新西兰。新西兰有 440 万人口,这使得集中爆发监测和诺如病毒参考实验室成为可能,从而促进了有效的诊断、监测和跟踪诺如病毒爆发。爆发的诺如病毒毒株被鉴定、测序,并与国际参考毒株进行比较。从 2002 年 1 月至 2009 年 12 月,共记录了 1206 例实验室确诊的诺如病毒爆发。主要的爆发场所是老年保健机构和急性护理病人。其他爆发场所包括餐饮场所、游轮、家庭、社区活动、学校营地、儿童相关场所以及受污染贝类的消费。在 1206 次爆发中,有 105 次(8.7%)由诺如病毒基因组 I(GI)株引起,1085 次(89.9%)由基因组 II(GII)株引起,9 次(0.8%)爆发同时检测到 GI 和 GII 株。7 次(0.6%)爆发中未鉴定基因组。与这些爆发相关的诺如病毒基因型包括 GI 基因型 1-6、GII 基因型 2-8 和 GII.12。主要基因型是 GII.4,在 825 次(68.4%)爆发中发现。诺如病毒 GII.4 变体株,包括 2002 年(法明顿山)、2004 年(亨特)、2006 年 a 型(劳伦、耶尔塞克)、2006 年 b 型(米内瓦)和 2010 年(新奥尔良),与海外爆发有关,也在新西兰发生,证明了其在全球的传播。

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