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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
Main Authors: Dai, Ying-Chun, Xia, Ming, Zhan, Hui-Chun, Liu, Yi, Li, Jian-Dong, Chen, Qing, Yu, Shou-Yi, Nie, Jun, Farkas, Tibor, Jiang, Xi
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container_title Journal of paediatrics and child health
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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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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 (&lt;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 &amp; youth ; China - epidemiology ; diarrhoea ; gastroenteritis ; Gastroenteritis - epidemiology ; Gastroenteritis - etiology ; Gastroenteritis - virology ; Gastrointestinal diseases ; Humans ; Hygiene ; Norovirus ; Norovirus - isolation &amp; 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. 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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 (&lt;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. 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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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