Sapovirus outbreaks in long-term care facilities, Oregon and Minnesota, USA, 2002-2009.
Sapovirus outbreaks in long-term care facilities, Oregon and Minnesota, USA, 2002-2009.
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DOI：
10.3201/eid1805.111843
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发表时间：
2012-05
影响因子：
11.8
通讯作者：
Besser JM
中科院分区：
文献类型：
--
作者：
Lee LE;Cebelinski EA;Fuller C;Keene WE;Smith K;Vinjé J;Besser JM
Sapovirus赋予了“从摇篮到坟墓”这一短语新的含义。从历史上看，沙波病毒与生活在医院、收容所或难民营等群体环境中的儿童的胃肠道疾病有关。但现在，在长期护理和类似设施的老年居民中发生了沙波病毒爆发。这些老年居民特别容易受到快速传播的胃肠道病毒和严重并发症的影响。自2002年以来，这种病毒一直在长期护理设施中流行，2007年爆发开始增加。无论患者年龄组如何，应将Sapovirus检测添加到胃肠道感染的常规诊断检查中。研究结果可用于制定预防、控制和治疗指南，特别是针对脆弱的老年人群。我们检测了93例诺如病毒阴性胃肠炎暴发的粪便样本，其中21例暴发由沙波病毒引起。其中，71%是由sapovirus基因组IV引起的，66%发生在长期护理设施中。未来胃肠炎爆发的调查应包括多种微生物检测。
Sapovirus gives new meaning to the phrase “cradle to grave.” Historically, sapovirus has been associated with gastrointestinal illness in children living in group settings such as hospitals, shelters, or refugee camps. But now, sapovirus outbreaks are occurring among elderly residents of long-term care and similar facilities. These elderly residents are especially vulnerable to rapidly transmitted gastrointestinal viruses and serious complications. This virus has been making the rounds in long-term care facilities since 2002, and outbreaks started increasing in 2007. Sapovirus testing should be added to routine diagnostic workups for gastrointestinal infections, regardless of patient age group. Results can be used to develop prevention, control, and treatment guidelines, especially for vulnerable elderly populations. We tested fecal samples from 93 norovirus-negative gastroenteritis outbreaks; 21 outbreaks were caused by sapovirus. Of these, 71% were caused by sapovirus genogroup IV and 66% occurred in long-term care facilities. Future investigation of gastroenteritis outbreaks should include multi-organism testing.