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韩国釜山无症状食品从业人员中诺如病毒的分子流行病学及GII.17基因型的出现

Molecular epidemiology of norovirus in asymptomatic food handlers in Busan, Korea, and emergence of genotype GII.17.

作者信息

Koo Hee Soo, Lee Mi Ok, Ku Pyeong Tae, Hwang Su Jeong, Park Dong Ju, Baik Hyung Suk

机构信息

Busan Metropolitan Government Research Institute of Health and Environment, Busan, 46616, Republic of Korea.

Department of Microbiology, Pusan National University, Busan, 46241, Republic of Korea.

出版信息

J Microbiol. 2016 Oct;54(10):686-94. doi: 10.1007/s12275-016-6312-4. Epub 2016 Sep 30.

Abstract

The molecular epidemiology of norovirus infections was studied in food handlers without any symptoms from January to December 2015 in Busan city, Korea. A total of 2,174 fecal specimens from asymptomatic food handlers were analyzed, and 2.3% (49/2,174) were norovirus-positive. Fourteen of 335 samples (4.2%) were positive in January; fifteen of 299 samples (5.0%) in February, and seven of 189 samples (3.7%) in December. However, norovirus was rarely detected in other months. From sequencing analysis, 11 genotypes (five GI and six GII genotypes) were detected. Among the 42 capid gene sequences identified, 14 were from the GI genogroup, while 28 were from the GII genogroup. The most commonly detected genotype was GII.17, comprising 15 (35.7%) of positive samples. From January 2012 to December 2015, 5,138 samples were collected from gastroenteritis patients and outbreaks in Busan. The most detected genotype in 2012, 2013, and 2014 was GII.4 (121, 24, and 12 cases, respectively), but in 2015, GII.17 (25 cases) was the most common. The GII.4 genotype was the major cause of acute gastroenteritis from 2012 to 2014, but the GII.17 genotype became the most prevalent cause in 2015. Continued epidemiological surveillance of GII.17 is needed, together with assessment of the risk of norovirus infection.

摘要

2015年1月至12月,在韩国釜山对无症状食品从业人员的诺如病毒感染分子流行病学进行了研究。共分析了2174份无症状食品从业人员的粪便样本,其中2.3%(49/2174)诺如病毒呈阳性。1月份335份样本中有14份(4.2%)呈阳性;2月份299份样本中有15份(5.0%)呈阳性,12月份189份样本中有7份(3.7%)呈阳性。然而,其他月份很少检测到诺如病毒。通过测序分析,检测到11种基因型(5种GI基因型和6种GII基因型)。在鉴定出的42个衣壳基因序列中,14个来自GI基因组,28个来自GII基因组。最常检测到的基因型是GII.17,占阳性样本的15份(35.7%)。2012年1月至2015年12月,从釜山的肠胃炎患者和疫情中收集了5138份样本。2012年、2013年和2014年检测到的最常见基因型是GII.4(分别为121例、24例和12例),但在2015年,GII.17(25例)最为常见。2012年至2014年,GII.4基因型是急性肠胃炎的主要病因,但GII.17基因型在2015年成为最流行的病因。需要对GII.17进行持续的流行病学监测,并评估诺如病毒感染的风险。

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