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2017年至2019年上海市松江区诺如病毒感染性腹泻聚集性疫情的基因分型分析

[Genotyping analysis of norovirus infectious diarrhea clusters in Songjiang district, Shanghai from 2017 to 2019].

作者信息

Qiao X F, Liu L, Wu J H, Li M, Yu J L, Li X, Lyu X H, Wu J J

机构信息

Shanghai Songjiang Center for Disease Control and Prevention, Shanghai 201620, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2021 Nov 6;55(11):1316-1320. doi: 10.3760/cma.j.cn112150-20210907-00878.

Abstract

We aimed to analyze the the genotyping of norovirus infectious diarrhea epidemic in Songjiang district, Shanghai, and explored the experience in handling the epidemic to provide a scientific basis for formulating prevention and treatment strategies. The epidemiological data and related samples of 69 outbreaks of infectious diarrhea caused by norovirus was collected from 2017 to 2019 in Songjiang district, Shanghai. Sequencing and type identification were performed by the method of gene sequencing for the junction region of Norovirus ORF1 and ORF2. From 2017 to 2019, 69 outbreaks of norovirus infections diarrhea were reported in Songjiang district, Shanghai. A total of 1 767 samples were tested, including 619 case samples (positive rate 19.9%), 343 practitioner samples (positive rate 1.1%), 505 environmental samples (positive rate 0.5%) and 300 food samples (not detected). 141 sequences were obtained, and the genotype analysis showed that the genotype that mainly caused infectious diarrhea in 2017 and 2018 was GII.P16-GII.2 (50.98%, 26/51). In 2019, the genotypes that mainly caused infectious diarrhea were GII.P16-GII.2 (13.73%, 7/51) and GII.Pe-GII.4 (9.80%, 5/51). The main genotype of the 69 outbreaks of nororirus infectious diarrhea epidemic in Songjiang district, Shanghai from 2017 to 2019 was GII.P16-GII.2, which showed obvious peaks in spring, autumn and winter. There were more infections in kindergartens and schools. The surveillance of norovirus infection should be strengthened.

摘要

我们旨在分析上海市松江区诺如病毒感染性腹泻疫情的基因分型,探索疫情处置经验,为制定防治策略提供科学依据。收集了上海市松江区2017年至2019年69起由诺如病毒引起的感染性腹泻的流行病学资料及相关样本。采用基因测序方法对诺如病毒ORF1和ORF2交界区进行测序和型别鉴定。2017年至2019年,上海市松江区共报告69起诺如病毒感染性腹泻疫情。共检测1767份样本,其中病例样本619份(阳性率19.9%),从业人员样本343份(阳性率1.1%),环境样本505份(阳性率0.5%),食品样本300份(未检出)。获得141条序列,基因分型分析显示,2017年和2018年引起感染性腹泻的主要基因型为GII.P16-GII.2(50.98%,26/51)。2019年,引起感染性腹泻的主要基因型为GII.P16-GII.2(13.73%,7/51)和GII.Pe-GII.4(9.80%,5/51)。2017年至2019年上海市松江区69起诺如病毒感染性腹泻疫情的主要基因型为GII.P16-GII.2,在春、秋、冬季呈现明显高峰。幼儿园和学校感染较多。应加强诺如病毒感染监测。

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