International Journal of Infectious Diseases · 2016 · 16 citations · 12 references
MedicineInfectious DiseasesMicrobiologyGastroenterologyOutbreak InvestigationVirologyGastrointestinal InfectionsInfectious DiarrheaPathogenesis Of Infectious DiseaseViral EpidemiologyWaterborne Outbreak InvestigationEpidemiological DiagnosisGastrointestinal Viral InfectionsNorovirus DetectionNorovirus GastroenteritisNorovirus InfectionOutbreak Investigation Of Enteric DiseasePoint-source DetectionWaterborne Infections
Noroviruses are a common cause of acute gastroenteritis around the world; however, reports of outbreaks caused by GII.17 norovirus are rare. An outbreak caused by GII.17 norovirus in a senior high school in Wuxi, Jiangsu Province, China is reported here. An epidemiological investigation, pathogen detection, and case-control study were performed. Epidemiological data combined with the epidemic curve indicated that this outbreak was a point source type initially, followed by secondary transmission. The first case was identified as most likely the source of the outbreak. Risk analysis showed exposure to patients and sharing a communal water cooler to be associated with the spread of infection. Sequence analysis of GII-positive samples confirmed that the norovirus GII.17 variant was the etiological agent of this outbreak.
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Yuki Matsushima, Mariko Ishikawa, Tomomi Shimizu et al. · Eurosurveillance · 2015 · 231 citations · Full text