PMID- 28633888 OWN - NLM STAT- MEDLINE DCOM- 20180403 LR - 20181202 IS - 1532-2742 (Electronic) IS - 0163-4453 (Linking) VI - 75 IP - 3 DP - 2017 Sep TI - Burden of acute gastroenteritis caused by norovirus in China: A systematic review. PG - 216-224 LID - S0163-4453(17)30208-6 [pii] LID - 10.1016/j.jinf.2017.06.004 [doi] AB - BACKGROUND: To understand the epidemiology and disease burden of norovirus (NoVs) gastroenteritis in China, a systematic review was conducted. METHODS: Studies on acute gastroenteritis (AGE) caused by NoVs from mainland China, published before 2017 were searched. All retrieved articles were screened and reviewed by a standardized algorithm. NoVs detection rates as well as strain variations by ages, seasonal variations and geographic locations were analyzed using random-effects model. RESULTS: A total of 225 articles were included in the final analysis. Similar detection rates at 21.0% and 19.8% were obtained from the North and the South, respectively. NoVs infection occurred year round, with a peak between October and January in the North and between August and November in the South. High detection rates ( approximately 29%) of NoVs were found in adults and the elderly and in children aged 6-35 months ( approximately 22%). The predominant strains were GII.4 (70.4%), followed by GII.3 (13.5%). CONCLUSION: NoVs cause significant disease burden in China which warrants development of vaccines against NoVs, particularly for children and the elderly who are vulnerable to gastroenteritis diseases. To achieve a broad protection, continual monitoring NoV epidemics and strain variations for selection of proper vaccine strains is critical. CI - Copyright (c) 2017 The British Infection Association. All rights reserved. FAU - Zhou, Hong-Lu AU - Zhou HL AD - Key Laboratory Medical Molecular Virology, MoE/MoH, and the Institutes of Biomedical Sciences, Shanghai Medical College, Fudan University, Shanghai, 200032, People's Republic of China. FAU - Zhen, Shan-Shan AU - Zhen SS AD - Key Laboratory Medical Molecular Virology, MoE/MoH, and the Institutes of Biomedical Sciences, Shanghai Medical College, Fudan University, Shanghai, 200032, People's Republic of China; Shanghai Minhang Center for Diseases Control and Prevention, Shanghai, 201101, People's Republic of China. FAU - Wang, Jin-Xia AU - Wang JX AD - Key Laboratory Medical Molecular Virology, MoE/MoH, and the Institutes of Biomedical Sciences, Shanghai Medical College, Fudan University, Shanghai, 200032, People's Republic of China. FAU - Zhang, Can-Jing AU - Zhang CJ AD - Key Laboratory Medical Molecular Virology, MoE/MoH, and the Institutes of Biomedical Sciences, Shanghai Medical College, Fudan University, Shanghai, 200032, People's Republic of China. FAU - Qiu, Chao AU - Qiu C AD - Key Laboratory Medical Molecular Virology, MoE/MoH, and the Institutes of Biomedical Sciences, Shanghai Medical College, Fudan University, Shanghai, 200032, People's Republic of China. FAU - Wang, Song-Mei AU - Wang SM AD - Laboratory of Molecular Biology, Training Center of Medical Experiments, School of Basic Medical Sciences, Fudan University, Shanghai, 200032, People's Republic of China. FAU - Jiang, Xi AU - Jiang X AD - Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, University of Cincinnati, College of Medicine, Cincinnati, OH, USA. FAU - Wang, Xuan-Yi AU - Wang XY AD - Key Laboratory Medical Molecular Virology, MoE/MoH, and the Institutes of Biomedical Sciences, Shanghai Medical College, Fudan University, Shanghai, 200032, People's Republic of China; Research Center on Aging and Medicine, Fudan University, Shanghai, 200032, People's Republic of China. Electronic address: xywang@shmu.edu.cn. LA - eng PT - Journal Article PT - Review PT - Systematic Review DEP - 20170617 PL - England TA - J Infect JT - The Journal of infection JID - 7908424 RN - 0 (RNA, Viral) SB - IM MH - Acute Disease MH - Adult MH - Aged MH - Caliciviridae Infections/*epidemiology/*virology MH - Child MH - Child, Preschool MH - China/epidemiology MH - Cost of Illness MH - Epidemics MH - Feces/virology MH - Female MH - Gastroenteritis/*epidemiology/*virology MH - Genotype MH - Humans MH - Infant MH - Norovirus/*genetics/isolation & purification MH - Phylogeny MH - Prevalence MH - RNA, Viral/genetics MH - Seasons OTO - NOTNLM OT - Acute gastroenteritis OT - China OT - Disease burden OT - Norovirus OT - Systematic review EDAT- 2017/06/22 06:00 MHDA- 2018/04/04 06:00 CRDT- 2017/06/22 06:00 PHST- 2017/04/29 00:00 [received] PHST- 2017/06/06 00:00 [revised] PHST- 2017/06/12 00:00 [accepted] PHST- 2017/06/22 06:00 [pubmed] PHST- 2018/04/04 06:00 [medline] PHST- 2017/06/22 06:00 [entrez] AID - S0163-4453(17)30208-6 [pii] AID - 10.1016/j.jinf.2017.06.004 [doi] PST - ppublish SO - J Infect. 2017 Sep;75(3):216-224. doi: 10.1016/j.jinf.2017.06.004. Epub 2017 Jun 17.