The epidemiology of published norovirus outbreaks: a review of risk factors associated with attack rate and genogroup

The purpose of this study was to examine global epidemiological trends in human norovirus (NoV) outbreaks by transmission route and setting, and describe relationships between these characteristics, viral attack rates, and the occurrence of genogroup I (GI) or genogroup II (GII) strains in outbreaks...

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Veröffentlicht in:Epidemiology and infection 2012-07, Vol.140 (7), p.1161-1172
Hauptverfasser: MATTHEWS, J. E., DICKEY, B. W., MILLER, R. D., FELZER, J. R., DAWSON, B. P., LEE, A. S., ROCKS, J. J., KIEL, J., MONTES, J. S., MOE, C. L., EISENBERG, J. N. S., LEON, J. S.
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container_issue 7
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container_title Epidemiology and infection
container_volume 140
creator MATTHEWS, J. E.
DICKEY, B. W.
MILLER, R. D.
FELZER, J. R.
DAWSON, B. P.
LEE, A. S.
ROCKS, J. J.
KIEL, J.
MONTES, J. S.
MOE, C. L.
EISENBERG, J. N. S.
LEON, J. S.
description The purpose of this study was to examine global epidemiological trends in human norovirus (NoV) outbreaks by transmission route and setting, and describe relationships between these characteristics, viral attack rates, and the occurrence of genogroup I (GI) or genogroup II (GII) strains in outbreaks. We analysed data from 902 reverse transcriptase–polymerase chain reaction-confirmed, human NoV outbreaks abstracted from a systematic review of articles published from 1993 to 2011 and indexed under the terms ‘norovirus’ and ‘outbreak’. Multivariate regression analyses demonstrated that foodservice and winter outbreaks were significantly associated with higher attack rates. Foodborne and waterborne outbreaks were associated with multiple strains (GI+GII). Waterborne outbreaks were significantly associated with GI strains, while healthcare-related and winter outbreaks were associated with GII strains. These results identify important trends for epidemic NoV detection, prevention, and control.
doi_str_mv 10.1017/S0950268812000234
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E. ; DICKEY, B. W. ; MILLER, R. D. ; FELZER, J. R. ; DAWSON, B. P. ; LEE, A. S. ; ROCKS, J. J. ; KIEL, J. ; MONTES, J. S. ; MOE, C. L. ; EISENBERG, J. N. S. ; LEON, J. S.</creator><creatorcontrib>MATTHEWS, J. E. ; DICKEY, B. W. ; MILLER, R. D. ; FELZER, J. R. ; DAWSON, B. P. ; LEE, A. S. ; ROCKS, J. J. ; KIEL, J. ; MONTES, J. S. ; MOE, C. L. ; EISENBERG, J. N. S. ; LEON, J. S.</creatorcontrib><description>The purpose of this study was to examine global epidemiological trends in human norovirus (NoV) outbreaks by transmission route and setting, and describe relationships between these characteristics, viral attack rates, and the occurrence of genogroup I (GI) or genogroup II (GII) strains in outbreaks. We analysed data from 902 reverse transcriptase–polymerase chain reaction-confirmed, human NoV outbreaks abstracted from a systematic review of articles published from 1993 to 2011 and indexed under the terms ‘norovirus’ and ‘outbreak’. 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subjects Basic Reproduction Number
Biological and medical sciences
Caliciviridae Infections - epidemiology
Caliciviridae Infections - virology
Cross Infection - epidemiology
Cross Infection - virology
Disease Outbreaks
Epidemics
Epidemiology
Food - virology
Food contamination & poisoning
Fundamental and applied biological sciences. Psychology
Gastroenteritis - epidemiology
Gastroenteritis - virology
Genotype
Global Health
Humans
Infections
Microbiology
Miscellaneous
Norovirus
Norovirus - classification
Norovirus - genetics
Norovirus - isolation & purification
Polymerase chain reaction
Public health
Risk Factors
Seasons
Viral infections
Virology
Water Microbiology
title The epidemiology of published norovirus outbreaks: a review of risk factors associated with attack rate and genogroup
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