Nosocomial outbreak of norovirus gastroenteritidis with unusual clinical-epidemiological features

Main Article Content

Marco Arosio *
Annalisa Grigis
Enrico Castellucci
Giancarla Caglioni
Franca Averara
Francesco Locati
Barbara Marziali
Ilaria Di Bartolo
Franco Maria Ruggeri
Antonio Goglio
(*) Corresponding Author:
Marco Arosio | microbiologia@ospedaliriuniti.bergamo.it

Abstract

Literature reports about Norovirus outbreaks, especially in hospitals, have accumulated in the past years, including patients and health workers.This report describes a small outbreak by Norovirus which occurred in USC Urology with unusual clinical-epidemiological features.The clinical course was unusual, as it presented no vomiting and duration of diarrhoea was unusually long (4-6 days) with the lack of involvement of health workers.The search for the virus was done with immunoassay method RIDASCREEN 2a generation on 11/19 patients (58%) with gastroenteritis symptoms, and 3/11 samples (27%) were positive. The molecular investigation by RT/PCR with diagnostic primers JV12 and JV13 on the polymerase region, carried out at the Istituto Superiore di Sanità, Rome, gave negative results while the RT/PCR using primers GIISKR and GIISKF, which amplify a fragment of the capsid region, was positive in 4/11 samples (36%) showing a correlation of 2/4 samples (50%) with RIDASCREEN immunoassay test. Our observations confirm the usefulness of immunoassay tests and the need to extend the molecular methods using different diagnostic primers. In outbreaks of gastroenteritis the microbiologist should consider the detection of Norovirus in diagnostic routine, as a positive result requires prevention measures to avoid also the spreading by droplets when vomiting is present.

Downloads

Download data is not yet available.

PlumX Metrics

PlumX Metrics provide insights into the ways people interact with individual pieces of research output (articles, conference proceedings, book chapters, and many more) in the online environment. Examples include, when research is mentioned in the news or is tweeted about. Collectively known as PlumX Metrics, these metrics are divided into five categories to help make sense of the huge amounts of data involved and to enable analysis by comparing like with like.


Article Details

Most read articles by the same author(s)