康倩, 王雪莹, 吕彩霞, 汪鹏, 张慧敏, 于德山. 一起高校多基因型诺如病毒感染暴发疫情的病原特征分析[J]. 疾病监测, 2022, 37(3): 414-419. DOI: 10.3784/jbjc.202104290230
引用本文: 康倩, 王雪莹, 吕彩霞, 汪鹏, 张慧敏, 于德山. 一起高校多基因型诺如病毒感染暴发疫情的病原特征分析[J]. 疾病监测, 2022, 37(3): 414-419. DOI: 10.3784/jbjc.202104290230
Kang Qian, Wang Xueying, Lyu Caixia, Wang Peng, Zhang Huimin, Yu Deshan. Molecular etiologic investigation of an acute gastroenteritis epidemic caused by multi genotype norovirus in a university in Gansu[J]. Disease Surveillance, 2022, 37(3): 414-419. DOI: 10.3784/jbjc.202104290230
Citation: Kang Qian, Wang Xueying, Lyu Caixia, Wang Peng, Zhang Huimin, Yu Deshan. Molecular etiologic investigation of an acute gastroenteritis epidemic caused by multi genotype norovirus in a university in Gansu[J]. Disease Surveillance, 2022, 37(3): 414-419. DOI: 10.3784/jbjc.202104290230

一起高校多基因型诺如病毒感染暴发疫情的病原特征分析

Molecular etiologic investigation of an acute gastroenteritis epidemic caused by multi genotype norovirus in a university in Gansu

  • 摘要:
      目的   分析2020年一起急性胃肠炎暴发疫情中诺如病毒基因特征,为加强学校诺如病毒感染暴发疫情防控提供依据。
      方法  收集2020年9月2 — 10日甘肃省某高校一起诺如病毒感染暴发疫情中有呕吐腹泻症状在校人员的232份粪便标本,初步采用实时荧光PCR法进行初筛和基因组鉴定,随后采用反转录聚合酶链式反应(RT-PCR)对诺如病毒阳性标本扩增,对Ct值小于35的扩增产物进行部分聚合酶区和衣壳区序列测定,采用MEGA-X 软件以邻接法构建系统进化树并进行遗传进化分析。
      结果   2020年该高校急性胃肠炎暴发疫情涉及患者的症状体征以腹泻(92.55%)、腹痛(88.94%)、呕吐(87.66%)和恶心(78.09%)等为主,由诺如病毒GⅠ、GⅡ型混合感染引起,232份粪便标本中诺如病毒检出率77.59%(180/232),其中GⅠ检出率16.38%(38/232),GⅡ检出率44.83%(104/232),GⅠ、GⅡ混合感染16.38%(38/232)。 截止2020年9月10日18:00,共有470名学生发病,就诊以轻症患者居多,其中33人入院观察治疗。 测序结果显示该疫情基因型别为GⅠ.3[P10]、GⅠ.3[P13]、GⅠ.5[P4]、GⅡ.10[P16]、GⅡ.17[P17]、GⅡ.22[PNA5]、GⅨ.1[GⅡ.P15]。
      结论   该高校急性胃肠炎疫情中诺如病毒病原基因型呈现7个型别,前3位依次为GⅡ.22[PNA5]、GⅠ.3[P13]、GⅨ.1[GⅡ.P15],需进一步加强甘肃省诺如病毒病原监测水平及基因型分析工作。

     

    Abstract:
      Objective   To analyze the genetic characteristics of norovirus detected in an acute gastroenteritis epidemic in an university in Gansu province in September 2–10, 2020, and provide evidence for the prevention and control of viral diarrhea caused by norovirus.
      Methods   A total of 232 stool samples were collected from the acute gastroenteritis cases with symptoms of vomiting and diarrhea in this epidemic. Real-time fluorescent PCR was used for preliminary screening and genome identification, and then reverse transcription polymerase chain reaction (RT-PCR) was used for positives sample amplification, and sequence determination of part of the polymerase region and capsid region was performed for the products with CT value less than 37, and software MEGA-X was used to construct a phylogenetic tree for genetic evolution analysis using the neighboring method.
      Results   The rate of diarrhea was 92.55%, the rate of abdominal pain was 88.94%, the rate of vomiting was 87.66%, and the rate of nausea was 78.09% in this acute gastroenteritis epidemic. The epidemic in the university was caused by co-infection of norovirus GⅠ and GⅡ. The detection rate of norovirus in 232 stool samples was 77.59% (180/232), and the detection rate of GⅠ was 16.38% (38/232), the detection rate of GⅡ was 44.83% (104/232) and the co-infection rate of GⅠ and GⅡ was 16.38% (38/232). As of 18:00 on September 10, 2020, a total of 470 students had been diagnosed with acute gastroenteritis, most were mild cases, among them 33 were admitted in hospital for observation and treatment. Based on sequencing, the genotypes of norovirus causing the epidemic were GⅠ.3[P10], GⅠ.3[P13], GⅠ.5[P4], GⅡ.10[16], GⅡ.17[P17], GⅡ.22[PNA5]and GⅨ.1[GⅡ.P15].
      Conclusion   There were 7 genotypes of norovirus detected in the acute gastroenteritis epidemic in this university, the first three were GⅡ.22[PNA5], GⅠ.3[P13], GⅨ.1[GⅡ.P15]. It is necessary to further strengthen the surveillance level and genotype analysis of norovirus in Gansu.

     

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