PMID- 24115094 OWN - NLM STAT- MEDLINE DCOM- 20150124 LR - 20220310 IS - 1096-9071 (Electronic) IS - 0146-6615 (Linking) VI - 86 IP - 7 DP - 2014 Jul TI - Norovirus infection in immunocompromised children and children with hospital-acquired acute gastroenteritis. PG - 1203-9 LID - 10.1002/jmv.23774 [doi] AB - Norovirus (NoV) is a leading cause of acute viral gastroenteritis among children, yet its burden of disease among immunocompromised hosts and its role in hospital acquired infections (HAI) is not well characterized. To determine the prevalence, genotypes, and NoV loads among immunocompromised children and children with HAI, residual stool samples, and clinical data were collected at two major pediatric hospitals in metropolitan Atlanta from 92 children that were immunocompromised and/or had a hospital acquired acute gastroenteritis. NoV was identified in 16.3% (15/92) of all stool specimens; 23.4% (11/47) in immunocompromised only children, and 13.3% (4/30) in children with HAI. All NoV positive cases were genogroup II (GII), and GII.4 was the predominant strain followed by GII.3, GII.12, and GII.13. The average NoV load for immunocompromised patients was 6.3 +/- 1.4 log genome equivalent copies (GEC) per gram of stool compared to 5.8 +/- 1.1 log GEC among patients with HAI. NoV infections are common among immunocompromised children and children with hospital-acquired gastroenteritis, underscoring the urgent need for rapid NoV detection system, and highlighting the importance of strict hospital hygiene practices. CI - (c) 2013 Wiley Periodicals, Inc. FAU - Munir, Naeemah AU - Munir N AD - Center for Global Safe Water, Rollins School of Public Health, Emory University, Atlanta, Georgia. FAU - Liu, Pengbo AU - Liu P FAU - Gastanaduy, Paul AU - Gastanaduy P FAU - Montes, Julia AU - Montes J FAU - Shane, Andi AU - Shane A FAU - Moe, Christine AU - Moe C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20130930 PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 SB - IM MH - Adolescent MH - Caliciviridae Infections/*epidemiology/virology MH - Child MH - Child, Preschool MH - Cross Infection/*epidemiology/virology MH - Feces/virology MH - Female MH - Gastroenteritis/*epidemiology/virology MH - Genotype MH - Georgia/epidemiology MH - Humans MH - Immunocompromised Host MH - Infant MH - Infant, Newborn MH - Male MH - Norovirus/classification/genetics/*isolation & purification MH - Prevalence MH - Viral Load OTO - NOTNLM OT - children OT - diarrhea OT - hospital-acquired infection OT - immunocompromised OT - norovirus EDAT- 2013/10/12 06:00 MHDA- 2015/01/27 06:00 CRDT- 2013/10/12 06:00 PHST- 2013/08/09 00:00 [accepted] PHST- 2013/10/12 06:00 [entrez] PHST- 2013/10/12 06:00 [pubmed] PHST- 2015/01/27 06:00 [medline] AID - 10.1002/jmv.23774 [doi] PST - ppublish SO - J Med Virol. 2014 Jul;86(7):1203-9. doi: 10.1002/jmv.23774. Epub 2013 Sep 30.