Agricultural Detection of Norovirus and Hepatitis A Using Fecal Indicators: A Systematic Review.

Agricultural Detection of Norovirus and Hepatitis A Using Fecal Indicators: A Systematic Review.
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DOI:
10.1155/2021/6631920
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发表时间:
2021
影响因子:
3.4
通讯作者:
Leon JS
Leon JS
中科院分区:
其他
文献类型:
--
作者:
Victor CP;Ellis K;Lamar F;Leon JS

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由于农业环境的粪便污染,新鲜农产品消费者可能面临病原体感染的风险。粪便污染的指标可用作评估农业样品中人类病原体(如诺如病毒和甲型肝炎)的潜在存在的替代指标。本系统评价的目的是确定人类诺如病毒或甲型肝炎的存在是否与农业样品(包括新鲜农产品、设备表面和手)中的微生物指标相关。系统检索了4个数据库(Embase、PubMed、Web of Science和Agricola),15篇文章符合纳入和排除标准。数据提取后,使用Cohen Kappa系数评估个体指标-病原体关系。诺如病毒与腺病毒之间的一致性水平为0.09(n = 16,95%CI −0.05,0.23),表明使用Landis和Koch标准的一致性较差。诺如病毒与E.大肠杆菌(κ = 0.04,n = 14,95% CI −0.05,0.49)或总大肠菌群(κ = 0.03,n = 4,95% CI −0.01,0.02)也较差。甲型肝炎与腺病毒(κ = −0.03,n = 3,95% CI −0.06,0.01)或粪大肠菌群(κ = 0,n = 1,95% CI 0,0)之间的一致性水平也很差。甲型肝炎与戊型肝炎有中度相关性。大肠杆菌(κ = 0.49,n = 3,95% CI 0.28,0.70)和总大肠菌群(κ = 0.47,n = 2,95% CI 0.47,0.47)。根据这些有限的结果,共同的指示生物是不是强有力的预测诺如病毒和甲型肝炎病毒在农业环境中的存在。
Fresh-produce consumers may be at risk of pathogen infection due to fecal contamination of the agricultural environment. Indicators of fecal contamination may be used as a proxy to evaluate the potential presence of human pathogens, such as norovirus and hepatitis A, on agricultural samples. The objective of this systematic review was to determine whether the presence of human norovirus or hepatitis A was associated with microbial indicators in agricultural samples including fresh produce, equipment surfaces, and hands. Four databases (Embase, PubMed, Web of Science, and Agricola) were systematically searched and fifteen articles met inclusion and exclusion criteria. After data extraction, individual indicator-pathogen relationships were assessed using Cohen's Kappa coefficient. The level of agreement between norovirus with adenovirus was 0.09 (n = 16, 95% CI −0.05, 0.23), indicating poor agreement using Landis and Koch's criterion. Similarly, the Kappa coefficient between norovirus with E. coli (κ = 0.04, n = 14, 95% CI −0.05, 0.49) or total coliforms (κ = 0.03, n = 4, 95% CI −0.01, 0.02) was also poor. The level of agreement between hepatitis A with adenovirus (κ = −0.03, n = 3, 95% CI −0.06, 0.01) or fecal coliforms (κ = 0, n = 1, 95% CI 0, 0) was also poor. There were moderate relationships between hepatitis A with E. coli (κ = 0.49, n = 3, 95% CI 0.28, 0.70) and total coliforms (κ = 0.47, n = 2, 95% CI 0.47, 0.47). Based on these limited results, common indicator organisms are not strong predictors of the presence of norovirus and hepatitis A virus in the agricultural environment.
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