Description of an adenovirus A31 outbreak in a paediatric haematology unit
Adenovirus infections result in significant morbidity and mortality in allogeneic haematopoietic stem cell transplanted (hSCT) children. Adenovirus from species C and B account for more than 90% of adenoviruses recovered after hSCT. However, infections due to adenovirus A31 have been increasingly re...
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| Veröffentlicht in: | Bone marrow transplantation (Basingstoke) 2006-07, Vol.38 (1), p.23-28 |
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| container_title | Bone marrow transplantation (Basingstoke) |
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| creator | LERUEZ-VILLE, M CHARDIN-OUACHEE, M NEVEN, B PICARD, C LE GUINCHE, I FISCHER, A ROUZIOUX, C BLANCHE, S |
| description | Adenovirus infections result in significant morbidity and mortality in allogeneic haematopoietic stem cell transplanted (hSCT) children. Adenovirus from species C and B account for more than 90% of adenoviruses recovered after hSCT. However, infections due to adenovirus A31 have been increasingly reported in recent years. Between April 2002 and April 2005, blood samples obtained every 2 weeks from 58 hSCT children were screened for adenovirus species A to C by quantitative real-time PCR. Phylogenetic analysis was realized after amplification and sequencing of the entire hexon gene. Fifteen cases of adenovirus infection with viraemia were recovered during this 3 years period. During spring/summer 2003, seven cases occurred and were due to an adenovirus species A. Phylogenetic analysis of the seven strains showed that they belonged to the A31 genotype and shared 100% homology. Clinical features of the seven HSCT children with A31 adenovirus viraemia are described. We describe here an epidemic spread of adenovirus genotype A31 in a paediatric haematology unit. Timing, location and hexon gene genotyping results highly suggested a nosocomial origin to this epidemic. The burden of adenovirus A31 infection needs to be further assessed in this context. |
| doi_str_mv | 10.1038/sj.bmt.1705389 |
| format | Article |
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Adenovirus from species C and B account for more than 90% of adenoviruses recovered after hSCT. However, infections due to adenovirus A31 have been increasingly reported in recent years. Between April 2002 and April 2005, blood samples obtained every 2 weeks from 58 hSCT children were screened for adenovirus species A to C by quantitative real-time PCR. Phylogenetic analysis was realized after amplification and sequencing of the entire hexon gene. Fifteen cases of adenovirus infection with viraemia were recovered during this 3 years period. During spring/summer 2003, seven cases occurred and were due to an adenovirus species A. Phylogenetic analysis of the seven strains showed that they belonged to the A31 genotype and shared 100% homology. Clinical features of the seven HSCT children with A31 adenovirus viraemia are described. We describe here an epidemic spread of adenovirus genotype A31 in a paediatric haematology unit. Timing, location and hexon gene genotyping results highly suggested a nosocomial origin to this epidemic. The burden of adenovirus A31 infection needs to be further assessed in this context.</description><identifier>ISSN: 0268-3369</identifier><identifier>EISSN: 1476-5365</identifier><identifier>DOI: 10.1038/sj.bmt.1705389</identifier><identifier>PMID: 16699529</identifier><identifier>CODEN: BMTRE9</identifier><language>eng</language><publisher>Basingstoke: Nature Publishing Group</publisher><subject>Adenovirus ; Adenovirus diseases ; Adenovirus Infections, Human - epidemiology ; Adenovirus Infections, Human - therapy ; Adenovirus Infections, Human - virology ; Adenoviruses ; Adenoviruses, Human - classification ; Adenoviruses, Human - genetics ; Adenoviruses, Human - isolation & purification ; Adolescent ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Bone marrow ; Bone marrow, stem cells transplantation. Graft versus host reaction ; Child ; Child, Preschool ; Children ; Complications and side effects ; Cross Infection - epidemiology ; Cross Infection - therapy ; Cross Infection - virology ; Diagnosis ; Disease Outbreaks ; Diseases ; Epidemics ; France - epidemiology ; Genetic aspects ; Genotype ; Genotypes ; Genotyping ; Hematology ; Hematopoietic Stem Cell Transplantation ; Hematopoietic stem cells ; Homology ; Hospitals, Pediatric ; Humans ; Infant ; Infections ; Medical sciences ; Morbidity ; Nosocomial infection ; Pediatrics ; Phylogenetics ; Phylogeny ; Risk factors ; Species ; Species Specificity ; Stem cell transplantation ; Stem cells ; Transfusions. Complications. Transfusion reactions. Cell and gene therapy ; Transplantation ; Transplantation, Homologous ; Treatment Outcome ; Viremia ; Viremia - virology</subject><ispartof>Bone marrow transplantation (Basingstoke), 2006-07, Vol.38 (1), p.23-28</ispartof><rights>2006 INIST-CNRS</rights><rights>COPYRIGHT 2006 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jul 2006</rights><rights>Nature Publishing Group 2006.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c516t-e733721a94bc914142245006449118721c19607bff8e1e6a359fc5017ef5950e3</citedby><cites>FETCH-LOGICAL-c516t-e733721a94bc914142245006449118721c19607bff8e1e6a359fc5017ef5950e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17904616$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16699529$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LERUEZ-VILLE, M</creatorcontrib><creatorcontrib>CHARDIN-OUACHEE, M</creatorcontrib><creatorcontrib>NEVEN, B</creatorcontrib><creatorcontrib>PICARD, C</creatorcontrib><creatorcontrib>LE GUINCHE, I</creatorcontrib><creatorcontrib>FISCHER, A</creatorcontrib><creatorcontrib>ROUZIOUX, C</creatorcontrib><creatorcontrib>BLANCHE, S</creatorcontrib><title>Description of an adenovirus A31 outbreak in a paediatric haematology unit</title><title>Bone marrow transplantation (Basingstoke)</title><addtitle>Bone Marrow Transplant</addtitle><description>Adenovirus infections result in significant morbidity and mortality in allogeneic haematopoietic stem cell transplanted (hSCT) children. Adenovirus from species C and B account for more than 90% of adenoviruses recovered after hSCT. However, infections due to adenovirus A31 have been increasingly reported in recent years. Between April 2002 and April 2005, blood samples obtained every 2 weeks from 58 hSCT children were screened for adenovirus species A to C by quantitative real-time PCR. Phylogenetic analysis was realized after amplification and sequencing of the entire hexon gene. Fifteen cases of adenovirus infection with viraemia were recovered during this 3 years period. During spring/summer 2003, seven cases occurred and were due to an adenovirus species A. Phylogenetic analysis of the seven strains showed that they belonged to the A31 genotype and shared 100% homology. Clinical features of the seven HSCT children with A31 adenovirus viraemia are described. We describe here an epidemic spread of adenovirus genotype A31 in a paediatric haematology unit. Timing, location and hexon gene genotyping results highly suggested a nosocomial origin to this epidemic. The burden of adenovirus A31 infection needs to be further assessed in this context.</description><subject>Adenovirus</subject><subject>Adenovirus diseases</subject><subject>Adenovirus Infections, Human - epidemiology</subject><subject>Adenovirus Infections, Human - therapy</subject><subject>Adenovirus Infections, Human - virology</subject><subject>Adenoviruses</subject><subject>Adenoviruses, Human - classification</subject><subject>Adenoviruses, Human - genetics</subject><subject>Adenoviruses, Human - isolation & purification</subject><subject>Adolescent</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Bone marrow</subject><subject>Bone marrow, stem cells transplantation. Graft versus host reaction</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Complications and side effects</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - therapy</subject><subject>Cross Infection - virology</subject><subject>Diagnosis</subject><subject>Disease Outbreaks</subject><subject>Diseases</subject><subject>Epidemics</subject><subject>France - epidemiology</subject><subject>Genetic aspects</subject><subject>Genotype</subject><subject>Genotypes</subject><subject>Genotyping</subject><subject>Hematology</subject><subject>Hematopoietic Stem Cell Transplantation</subject><subject>Hematopoietic stem cells</subject><subject>Homology</subject><subject>Hospitals, Pediatric</subject><subject>Humans</subject><subject>Infant</subject><subject>Infections</subject><subject>Medical sciences</subject><subject>Morbidity</subject><subject>Nosocomial infection</subject><subject>Pediatrics</subject><subject>Phylogenetics</subject><subject>Phylogeny</subject><subject>Risk factors</subject><subject>Species</subject><subject>Species Specificity</subject><subject>Stem cell transplantation</subject><subject>Stem cells</subject><subject>Transfusions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Bone marrow</topic><topic>Bone marrow, stem cells transplantation. Graft versus host reaction</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Complications and side effects</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - therapy</topic><topic>Cross Infection - virology</topic><topic>Diagnosis</topic><topic>Disease Outbreaks</topic><topic>Diseases</topic><topic>Epidemics</topic><topic>France - epidemiology</topic><topic>Genetic aspects</topic><topic>Genotype</topic><topic>Genotypes</topic><topic>Genotyping</topic><topic>Hematology</topic><topic>Hematopoietic Stem Cell Transplantation</topic><topic>Hematopoietic stem cells</topic><topic>Homology</topic><topic>Hospitals, Pediatric</topic><topic>Humans</topic><topic>Infant</topic><topic>Infections</topic><topic>Medical sciences</topic><topic>Morbidity</topic><topic>Nosocomial infection</topic><topic>Pediatrics</topic><topic>Phylogenetics</topic><topic>Phylogeny</topic><topic>Risk factors</topic><topic>Species</topic><topic>Species Specificity</topic><topic>Stem cell transplantation</topic><topic>Stem cells</topic><topic>Transfusions. 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Adenovirus from species C and B account for more than 90% of adenoviruses recovered after hSCT. However, infections due to adenovirus A31 have been increasingly reported in recent years. Between April 2002 and April 2005, blood samples obtained every 2 weeks from 58 hSCT children were screened for adenovirus species A to C by quantitative real-time PCR. Phylogenetic analysis was realized after amplification and sequencing of the entire hexon gene. Fifteen cases of adenovirus infection with viraemia were recovered during this 3 years period. During spring/summer 2003, seven cases occurred and were due to an adenovirus species A. Phylogenetic analysis of the seven strains showed that they belonged to the A31 genotype and shared 100% homology. Clinical features of the seven HSCT children with A31 adenovirus viraemia are described. We describe here an epidemic spread of adenovirus genotype A31 in a paediatric haematology unit. Timing, location and hexon gene genotyping results highly suggested a nosocomial origin to this epidemic. The burden of adenovirus A31 infection needs to be further assessed in this context.</abstract><cop>Basingstoke</cop><pub>Nature Publishing Group</pub><pmid>16699529</pmid><doi>10.1038/sj.bmt.1705389</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Bone marrow transplantation (Basingstoke), 2006-07, Vol.38 (1), p.23-28 |
| issn | 0268-3369 1476-5365 |
| language | eng |
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| source | MEDLINE; Nature; EZB Electronic Journals Library; SpringerLink Journals - AutoHoldings |
| subjects | Adenovirus Adenovirus diseases Adenovirus Infections, Human - epidemiology Adenovirus Infections, Human - therapy Adenovirus Infections, Human - virology Adenoviruses Adenoviruses, Human - classification Adenoviruses, Human - genetics Adenoviruses, Human - isolation & purification Adolescent Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Bone marrow Bone marrow, stem cells transplantation. Graft versus host reaction Child Child, Preschool Children Complications and side effects Cross Infection - epidemiology Cross Infection - therapy Cross Infection - virology Diagnosis Disease Outbreaks Diseases Epidemics France - epidemiology Genetic aspects Genotype Genotypes Genotyping Hematology Hematopoietic Stem Cell Transplantation Hematopoietic stem cells Homology Hospitals, Pediatric Humans Infant Infections Medical sciences Morbidity Nosocomial infection Pediatrics Phylogenetics Phylogeny Risk factors Species Species Specificity Stem cell transplantation Stem cells Transfusions. Complications. Transfusion reactions. Cell and gene therapy Transplantation Transplantation, Homologous Treatment Outcome Viremia Viremia - virology |
| title | Description of an adenovirus A31 outbreak in a paediatric haematology unit |
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