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Surveillance and risk factors of norovirus gastroenteritis among children in a southern city of China in the fall-winter seasons of 2003-2006
Aim: Noroviruses (NoVs) are an important cause of acute gastroenteritis but knowledge on the disease burden and epidemiology in children in the developing countries remains limited. In this study, we performed a surveillance of NoV gastroenteritis in children of China to address some of the questio...
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Published in: | Journal of paediatrics and child health 2010-01, Vol.46 (1-2), p.45-50 |
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creator | Dai, Ying-Chun Xia, Ming Zhan, Hui-Chun Liu, Yi Li, Jian-Dong Chen, Qing Yu, Shou-Yi Nie, Jun Farkas, Tibor Jiang, Xi |
description | Aim: Noroviruses (NoVs) are an important cause of acute gastroenteritis but knowledge on the disease burden and epidemiology in children in the developing countries remains limited. In this study, we performed a surveillance of NoV gastroenteritis in children of China to address some of the questions.
Methods: Faecal specimens from children ( |
doi_str_mv | 10.1111/j.1440-1754.2009.01616.x |
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Methods: Faecal specimens from children (<5 years of age) at outpatient clinics of the Nan Fang Hospital in Guangzhou, China during the fall–winter seasons in 2003–2006 were tested for rotaviruses (RVs) and NoVs. A questionnaire on clinical records and hygiene habits was collected from each patient.
Results: Among 957 stool specimens tested, 488 (51%) specimens were positive for RVs. NoVs were detected in 112 (24%) of the 469 RV negative specimens. The Genogroup II (GII), particularly GII‐4, viruses were predominant. No significant difference of clinical symptoms, hospitalisation and patient care expenses were found between children infected with NoVs and RVs. Consumption of uncooked food is a risk for NoV infection. Contact with diarrhoea patients is a suspected risk factor. Cutting nails frequently is a protective factor against NoV infection.
Conclusions: NoVs are an important cause of acute gastroenteritis in children which need special attention of patient care at the clinics in addition to RVs. The awareness of those risk factors may help future disease control and prevention.</description><identifier>ISSN: 1034-4810</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1111/j.1440-1754.2009.01616.x</identifier><identifier>PMID: 19943862</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>calicivirus ; Child, Preschool ; Children & youth ; China - epidemiology ; diarrhoea ; gastroenteritis ; Gastroenteritis - epidemiology ; Gastroenteritis - etiology ; Gastroenteritis - virology ; Gastrointestinal diseases ; Humans ; Hygiene ; Norovirus ; Norovirus - isolation & purification ; Norovirus - pathogenicity ; Norwalk virus ; Population Surveillance ; Questionnaires ; Reverse Transcriptase Polymerase Chain Reaction ; Risk Factors ; RT-PCR ; Seasons ; Surveys and Questionnaires ; Urban Population ; Viruses</subject><ispartof>Journal of paediatrics and child health, 2010-01, Vol.46 (1-2), p.45-50</ispartof><rights>2009 The Authors. Journal compilation © 2009 Paediatrics and Child Health Division (Royal Australasian College of Physicians)</rights><rights>Journal compilation © 2010 Paediatrics and Child Health Division (Royal Australasian College of Physicians)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4916-762c67e58c528c7772ec9fdaaa56cc32586ee5a87fdfa3f02a770a3490baba103</citedby><cites>FETCH-LOGICAL-c4916-762c67e58c528c7772ec9fdaaa56cc32586ee5a87fdfa3f02a770a3490baba103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19943862$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dai, Ying-Chun</creatorcontrib><creatorcontrib>Xia, Ming</creatorcontrib><creatorcontrib>Zhan, Hui-Chun</creatorcontrib><creatorcontrib>Liu, Yi</creatorcontrib><creatorcontrib>Li, Jian-Dong</creatorcontrib><creatorcontrib>Chen, Qing</creatorcontrib><creatorcontrib>Yu, Shou-Yi</creatorcontrib><creatorcontrib>Nie, Jun</creatorcontrib><creatorcontrib>Farkas, Tibor</creatorcontrib><creatorcontrib>Jiang, Xi</creatorcontrib><title>Surveillance and risk factors of norovirus gastroenteritis among children in a southern city of China in the fall-winter seasons of 2003-2006</title><title>Journal of paediatrics and child health</title><addtitle>J Paediatr Child Health</addtitle><description>Aim: Noroviruses (NoVs) are an important cause of acute gastroenteritis but knowledge on the disease burden and epidemiology in children in the developing countries remains limited. In this study, we performed a surveillance of NoV gastroenteritis in children of China to address some of the questions.
Methods: Faecal specimens from children (<5 years of age) at outpatient clinics of the Nan Fang Hospital in Guangzhou, China during the fall–winter seasons in 2003–2006 were tested for rotaviruses (RVs) and NoVs. A questionnaire on clinical records and hygiene habits was collected from each patient.
Results: Among 957 stool specimens tested, 488 (51%) specimens were positive for RVs. NoVs were detected in 112 (24%) of the 469 RV negative specimens. The Genogroup II (GII), particularly GII‐4, viruses were predominant. No significant difference of clinical symptoms, hospitalisation and patient care expenses were found between children infected with NoVs and RVs. Consumption of uncooked food is a risk for NoV infection. Contact with diarrhoea patients is a suspected risk factor. Cutting nails frequently is a protective factor against NoV infection.
Conclusions: NoVs are an important cause of acute gastroenteritis in children which need special attention of patient care at the clinics in addition to RVs. The awareness of those risk factors may help future disease control and prevention.</description><subject>calicivirus</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>China - epidemiology</subject><subject>diarrhoea</subject><subject>gastroenteritis</subject><subject>Gastroenteritis - epidemiology</subject><subject>Gastroenteritis - etiology</subject><subject>Gastroenteritis - virology</subject><subject>Gastrointestinal diseases</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Norovirus</subject><subject>Norovirus - isolation & purification</subject><subject>Norovirus - pathogenicity</subject><subject>Norwalk virus</subject><subject>Population Surveillance</subject><subject>Questionnaires</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>Risk Factors</subject><subject>RT-PCR</subject><subject>Seasons</subject><subject>Surveys and Questionnaires</subject><subject>Urban Population</subject><subject>Viruses</subject><issn>1034-4810</issn><issn>1440-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqNkU9vFCEYxidGY2vrVzDEg55m5D_MwYPZ2KppWqtVj4RlmC7bWWhhpt39EH5nobupiQeVAxDe3_MA71NVAMEG5fFm2SBKYY0Eow2GsG0g4og360fV_kPhcd5DQmsqEdyrnqW0hBBixuTTag-1LSWS4_3q59cp3lo3DNobC7TvQHTpCvTajCEmEHrgQwy3Lk4JXOo0xmD9aKMbXQJ6FfwlMAs3dNF64DzQIIVpXNjogXHjpshnC-d1qeXjbDsM9Z0rDiBZnYK_vyJ_gdR54ofVk4wk-3y3HlTfjt5fzD7UJ2fHH2fvTmpDW8RrwbHhwjJpGJZGCIGtaftOa824MQQzya1lWoq-6zXpIdZCQE1oC-d6rnNXDqrXW9_rGG4mm0a1csnY0gUbpqQEIS2URKBMvvoriRHOLxIygy__AJdhij7_QmEouRQto_-GJC6Q3EImhpSi7dV1dCsdNwpBVeJXS1VSViVlVeJX9_GrdZa-2PlP85Xtfgt3eWfg7Ra4c4Pd_Lex-vR5VnZZX2_1Lo12_aDX8UpxQQRTP06P1fcv9AieywslyS9Al8yc</recordid><startdate>201001</startdate><enddate>201001</enddate><creator>Dai, Ying-Chun</creator><creator>Xia, Ming</creator><creator>Zhan, Hui-Chun</creator><creator>Liu, Yi</creator><creator>Li, Jian-Dong</creator><creator>Chen, Qing</creator><creator>Yu, Shou-Yi</creator><creator>Nie, Jun</creator><creator>Farkas, Tibor</creator><creator>Jiang, Xi</creator><general>Blackwell Publishing Asia</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U1</scope><scope>7U2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>201001</creationdate><title>Surveillance and risk factors of norovirus gastroenteritis among children in a southern city of China in the fall-winter seasons of 2003-2006</title><author>Dai, Ying-Chun ; Xia, Ming ; Zhan, Hui-Chun ; Liu, Yi ; Li, Jian-Dong ; Chen, Qing ; Yu, Shou-Yi ; Nie, Jun ; Farkas, Tibor ; Jiang, Xi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4916-762c67e58c528c7772ec9fdaaa56cc32586ee5a87fdfa3f02a770a3490baba103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>calicivirus</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>China - epidemiology</topic><topic>diarrhoea</topic><topic>gastroenteritis</topic><topic>Gastroenteritis - epidemiology</topic><topic>Gastroenteritis - etiology</topic><topic>Gastroenteritis - virology</topic><topic>Gastrointestinal diseases</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Norovirus</topic><topic>Norovirus - isolation & purification</topic><topic>Norovirus - pathogenicity</topic><topic>Norwalk virus</topic><topic>Population Surveillance</topic><topic>Questionnaires</topic><topic>Reverse Transcriptase Polymerase Chain Reaction</topic><topic>Risk Factors</topic><topic>RT-PCR</topic><topic>Seasons</topic><topic>Surveys and Questionnaires</topic><topic>Urban Population</topic><topic>Viruses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dai, Ying-Chun</creatorcontrib><creatorcontrib>Xia, Ming</creatorcontrib><creatorcontrib>Zhan, Hui-Chun</creatorcontrib><creatorcontrib>Liu, Yi</creatorcontrib><creatorcontrib>Li, Jian-Dong</creatorcontrib><creatorcontrib>Chen, Qing</creatorcontrib><creatorcontrib>Yu, Shou-Yi</creatorcontrib><creatorcontrib>Nie, Jun</creatorcontrib><creatorcontrib>Farkas, Tibor</creatorcontrib><creatorcontrib>Jiang, Xi</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of paediatrics and child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dai, Ying-Chun</au><au>Xia, Ming</au><au>Zhan, Hui-Chun</au><au>Liu, Yi</au><au>Li, Jian-Dong</au><au>Chen, Qing</au><au>Yu, Shou-Yi</au><au>Nie, Jun</au><au>Farkas, Tibor</au><au>Jiang, Xi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surveillance and risk factors of norovirus gastroenteritis among children in a southern city of China in the fall-winter seasons of 2003-2006</atitle><jtitle>Journal of paediatrics and child health</jtitle><addtitle>J Paediatr Child Health</addtitle><date>2010-01</date><risdate>2010</risdate><volume>46</volume><issue>1-2</issue><spage>45</spage><epage>50</epage><pages>45-50</pages><issn>1034-4810</issn><eissn>1440-1754</eissn><abstract>Aim: Noroviruses (NoVs) are an important cause of acute gastroenteritis but knowledge on the disease burden and epidemiology in children in the developing countries remains limited. In this study, we performed a surveillance of NoV gastroenteritis in children of China to address some of the questions.
Methods: Faecal specimens from children (<5 years of age) at outpatient clinics of the Nan Fang Hospital in Guangzhou, China during the fall–winter seasons in 2003–2006 were tested for rotaviruses (RVs) and NoVs. A questionnaire on clinical records and hygiene habits was collected from each patient.
Results: Among 957 stool specimens tested, 488 (51%) specimens were positive for RVs. NoVs were detected in 112 (24%) of the 469 RV negative specimens. The Genogroup II (GII), particularly GII‐4, viruses were predominant. No significant difference of clinical symptoms, hospitalisation and patient care expenses were found between children infected with NoVs and RVs. Consumption of uncooked food is a risk for NoV infection. Contact with diarrhoea patients is a suspected risk factor. Cutting nails frequently is a protective factor against NoV infection.
Conclusions: NoVs are an important cause of acute gastroenteritis in children which need special attention of patient care at the clinics in addition to RVs. The awareness of those risk factors may help future disease control and prevention.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>19943862</pmid><doi>10.1111/j.1440-1754.2009.01616.x</doi><tpages>6</tpages></addata></record> |
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subjects | calicivirus Child, Preschool Children & youth China - epidemiology diarrhoea gastroenteritis Gastroenteritis - epidemiology Gastroenteritis - etiology Gastroenteritis - virology Gastrointestinal diseases Humans Hygiene Norovirus Norovirus - isolation & purification Norovirus - pathogenicity Norwalk virus Population Surveillance Questionnaires Reverse Transcriptase Polymerase Chain Reaction Risk Factors RT-PCR Seasons Surveys and Questionnaires Urban Population Viruses |
title | Surveillance and risk factors of norovirus gastroenteritis among children in a southern city of China in the fall-winter seasons of 2003-2006 |
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