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中国南方牡蛎(Ostrea rivularis Gould)养殖场人群中无症状诺如病毒感染的流行病学特征。

Epidemiological characteristics of asymptomatic Norovirus infection in a population from oyster (Ostrea rivularis Gould) farms in southern China.

机构信息

Guangzhou Center for Disease Control and Prevention,Guangzhou,Guangdong,China.

Guangdong Provincial Center for Disease Control and Prevention,Guangzhou,Guangdong,China.

出版信息

Epidemiol Infect. 2018 Nov;146(15):1955-1964. doi: 10.1017/S0950268818002212. Epub 2018 Aug 22.

Abstract

The following paper investigates the prevalence and characteristics of asymptomatic norovirus infection in the population living around oyster farm sites. Two consecutive surveys were conducted from January 2014 to December 2014 and 4549 stool samples were screened during the same time period. The total asymptomatic infection rate was 4.04% (184/4549). Norovirus infection rate was 5.20% in oyster farming population which was significantly higher compared with non-farming population where the infection rate was 3.65% (χ2 = 5.49, P < 0.05). A total of 184 NoV positive samples were identified by real time-quantitative polymerase chain reaction (RT-qPCR) and semi-nested RT-PCR and 136 sequences were obtained. The sequences were clustered into 14 genotypes. GI strains were clustered into six genotypes, including GI.2, GI.3, GI.5, GI.6, GI.8 and GI.9; while GII strains were clustered into GII.2, GII.3, GII.4, GII.5, GII.6, GII.8 and GII.13. GI.9 and GII.17 were the predominant and most prevalent genotypes, respectively. The GII.17 genotype replaced GII.4 becoming the dominant genotype in the oyster farming area in 2014. To sum up, long-term monitoring of asymptomatic infection is crucial for the detection of new variant strains and for identifying outbreaks during the early stage.

摘要

本研究调查了牡蛎养殖场周边人群中无症状诺如病毒感染的流行情况和特征。于 2014 年 1 月至 12 月进行了连续两次调查,同期共筛查了 4549 份粪便样本。总无症状感染率为 4.04%(184/4549)。牡蛎养殖人群中的诺如病毒感染率为 5.20%,明显高于非养殖人群的 3.65%(χ2=5.49,P<0.05)。通过实时荧光定量聚合酶链反应(RT-qPCR)和半巢式 RT-PCR 共鉴定出 184 份 NoV 阳性样本,获得 136 条序列。序列聚类为 14 种基因型。GI 株分为 6 种基因型,包括 GI.2、GI.3、GI.5、GI.6、GI.8 和 GI.9;GII 株分为 GII.2、GII.3、GII.4、GII.5、GII.6、GII.8 和 GII.13。GI.9 和 GII.17 分别是主要和最常见的基因型。2014 年,GII.17 基因型取代 GII.4 成为牡蛎养殖区的优势基因型。总之,长期监测无症状感染对于检测新变异株和在早期发现暴发至关重要。

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