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1.
Emerg Infect Dis ; 28(3): 693-704, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-35202527

RESUMO

We identified and isolated a novel Hendra virus (HeV) variant not detected by routine testing from a horse in Queensland, Australia, that died from acute illness with signs consistent with HeV infection. Using whole-genome sequencing and phylogenetic analysis, we determined the variant had ≈83% nt identity with prototypic HeV. In silico and in vitro comparisons of the receptor-binding protein with prototypic HeV support that the human monoclonal antibody m102.4 used for postexposure prophylaxis and current equine vaccine will be effective against this variant. An updated quantitative PCR developed for routine surveillance resulted in subsequent case detection. Genetic sequence consistency with virus detected in grey-headed flying foxes suggests the variant circulates at least among this species. Studies are needed to determine infection kinetics, pathogenicity, reservoir-species associations, viral-host coevolution, and spillover dynamics for this virus. Surveillance and biosecurity practices should be updated to acknowledge HeV spillover risk across all regions frequented by flying foxes.


Assuntos
Quirópteros , Vírus Hendra , Infecções por Henipavirus , Doenças dos Cavalos , Animais , Austrália/epidemiologia , Vírus Hendra/genética , Infecções por Henipavirus/epidemiologia , Infecções por Henipavirus/veterinária , Doenças dos Cavalos/epidemiologia , Cavalos , Filogenia , Vigilância de Evento Sentinela
2.
Transbound Emerg Dis ; 69(2): 297-307, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33400387

RESUMO

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is an emerging virus that has caused significant human morbidity and mortality since its detection in late 2019. With the rapid emergence has come an unprecedented programme of vaccine development with at least 300 candidates under development. Ferrets have proven to be an appropriate animal model for testing safety and efficacy of SARS-CoV-2 vaccines due to quantifiable virus shedding in nasal washes and oral swabs. Here, we outline our efforts early in the SARS-CoV-2 outbreak to propagate and characterize an Australian isolate of the virus in vitro and in an ex vivo model of human airway epithelium, as well as to demonstrate the susceptibility of domestic ferrets (Mustela putorius furo) to SARS-CoV-2 infection following intranasal challenge.


Assuntos
COVID-19 , Furões , Animais , Austrália , COVID-19/veterinária , Vacinas contra COVID-19 , Humanos , SARS-CoV-2
3.
Viruses ; 12(11)2020 10 30.
Artigo em Inglês | MEDLINE | ID: mdl-33143230

RESUMO

Bats are an important source of viral zoonoses, including paramyxoviruses. The paramyxoviral Pararubulavirus genus contains viruses mostly derived from bats that are common, diverse, distributed throughout the Old World, and known to be zoonotic. Here, we describe a new member of the genus Achimota pararubulavirus 3 (AchPV3) and its isolation from the urine of African straw-coloured fruit bats on primary bat kidneys cells. We sequenced and analysed the genome of AchPV3 relative to other Paramyxoviridae, revealing it to be similar to known pararubulaviruses. Phylogenetic analysis of AchPV3 revealed the failure of molecular detection in the urine sample from which AchPV3 was derived and an attachment protein most closely related with AchPV2-a pararubulavirus known to cause cross-species transmission. Together these findings add to the picture of pararubulaviruses, their sources, and variable zoonotic potential, which is key to our understanding of host restriction and spillover of bat-derived paramyxoviruses. AchPV3 represents a novel candidate zoonosis and an important tool for further study.


Assuntos
Quirópteros/virologia , Infecções por Paramyxoviridae/veterinária , Paramyxovirinae/classificação , Filogenia , Animais , Células Cultivadas , Chlorocebus aethiops , Genoma Viral , Rim/citologia , Rim/virologia , Infecções por Paramyxoviridae/urina , Paramyxovirinae/isolamento & purificação , RNA Viral , Células Vero , Sequenciamento Completo do Genoma , Zoonoses/virologia
4.
Dis Aquat Organ ; 140: 129-141, 2020 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-32759471

RESUMO

Using cultures of the SKF-9 cell line, megalocytivirus AFIV-16 was isolated from imported angelfish Pterophyllum scalare held in quarantine at the Australian border. The cytopathic effect caused by isolate AFIV-16 presented as cell rounding and enlargement, but complete destruction of the infected cell cultures did not occur. The infected cells demonstrated immunocytochemical reactivity with monoclonal antibody M10, which is used for diagnosis of OIE-listed red sea bream iridoviral disease. Using electron microscopy, the virus particles, consisting of hexagonal nucleocapsids, were observed in the cytoplasm of SKF-9 cells. The replication of AFIV-16 in cultured SKF-9 cells was significantly greater at 28°C incubation than at 22 and 25°C incubation, whereas no difference in growth characteristics was observed for red sea bream iridovirus (RSIV) isolate KagYT-96 across this temperature range. Whole genome sequencing demonstrated that AFIV-16 has a 99.96% similarity to infectious spleen and kidney necrosis virus (ISKNV), the type species in the genus Megalocytivirus. AFIV-16 was classified into ISKNV genotype Clade 1 by phylogenetic analysis of the major capsid protein gene nucleotide sequence. This is the first report of whole genome sequencing of an ISKNV genotype megalocytivirus isolated from ornamental fish.


Assuntos
Infecções por Vírus de DNA/veterinária , Doenças dos Peixes , Iridoviridae , Animais , Austrália , Genótipo , Filogenia , Vírus do Infarto Esplênico do Pato de Trager
5.
Dis Aquat Organ ; 139: 35-50, 2020 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-32351235

RESUMO

An orthomyxo-like virus was first isolated in 1998 as an incidental discovery from pilchards Sardinops sagax collected from waters off the South Australian coast. In the following 2 decades, orthomyxo-like viruses have been isolated from healthy pilchards in South Australia and Tasmania. In 2006, an orthomyxo-like virus was also isolated from farmed Atlantic salmon Salmo salar in Tasmania during routine surveillance and, again, from 2012 onwards from diseased Atlantic salmon. Using transmission electron microscopy, these viruses were identified as belonging to the family Orthomyxoviridae. To further characterise the viruses, the genomes of 11 viral isolates were sequenced. The open reading frames (ORFs) that encode 10 putative proteins from 8 viral genome segments were assembled from Illumina MiSeq next generation sequencing (NGS) data. The complete genome of a 2014 isolate was also assembled from NGS, RNA-sequencing (RNA-seq) data, that included conserved motifs that shared commonalities with infectious salmon anaemia virus, rainbow trout orthomyxovirus and Influenzavirus A. The presence of 8 viral proteins translated from genome segments was confirmed by mass spectrometric analysis including 2 novel proteins with no known orthologs. Sequence analysis of the ORFs, non-coding regions and proteins indicated that the viruses had minimal diversity and hence were named pilchard orthomyxovirus (POMV), based on the fish host species of its first isolation. The low homology of POMV proteins with previously characterised orthomyxoviruses suggests that POMV is the first virus to be characterised from a new genus within the Orthomyxoviridae. To facilitate more rapid detection and subsequent diagnostic confirmation of POMV infections, TaqMan and conventional nested PCRs were designed.


Assuntos
Doenças dos Peixes , Infecções por Orthomyxoviridae/veterinária , Orthomyxoviridae , Animais , Austrália do Sul , Tasmânia
6.
Vet Res ; 51(1): 58, 2020 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-32349781

RESUMO

Bovine ephemeral fever is a vector-borne disease of ruminants that occurs in tropical and sub-tropical regions of Africa, Asia and Australia. The disease is caused by a rhabdovirus, bovine ephemeral fever virus (BEFV), which occurs as a single serotype globally. Although several other closely related ephemeroviruses have been isolated from cattle and/or arthropods, only kotonkan virus from Nigeria and (tentatively) Mavingoni virus from Mayotte Island in the Indian Ocean have been previously associated with febrile disease. Here, we report the isolation of a novel virus (Hayes Yard virus; HYV) from blood collected in February 2000 from a bull (Bos indicus) in the Northern Territory of Australia. The animal was suffering from a severe ephemeral fever-like illness with neurological involvement, including recumbency and paralysis, and was euthanised. Histological examination of spinal cord and lung tissue identified extensive haemorrhage in the dura mata with moderate perineuronal oedema and extensive emphysema. HYV displayed cone-shaped morphology, typical of rhabdoviruses, and was found to be most closely related antigenically to Puchong virus (PUCV), isolated in 1965 from mosquitoes in Malaysia. Analysis of complete genome sequences of HYV (15 025 nt) and PUCV (14 932 nt) indicated that each has a complex organisation (3' N-P-M-G-GNS-α1-α2-ß-γ-L 5') and expression strategy, similar to that of BEFV. Based on an alignment of complete L protein sequences, HYV and PUCV cluster with other rhabdoviruses in the genus Ephemerovirus and appear to represent two new species. Neutralising antibody to HYV was also detected in a retrospective survey of cattle sera collected in the Northern Territory.


Assuntos
Doenças dos Bovinos/virologia , Ephemerovirus/isolamento & purificação , Infecções por Rhabdoviridae/veterinária , Animais , Bovinos , Febre Efêmera/virologia , Masculino , Northern Territory , Infecções por Rhabdoviridae/virologia
7.
PLoS One ; 13(9): e0203853, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30204797

RESUMO

Cases of vomiting and diarrhoea were reported in racing pigeons in Western Australia in May, 2016. Morbidity and mortality rates were high. Similar clinical disease was seen in Victoria in December and by early 2017 had been reported in all states except the Northern Territory, in different classes of domestic pigeon-racing, fancy and meat bird-and in a flock of feral pigeons. Autopsy findings were frequently unremarkable; histological examination demonstrated significant hepatic necrosis as the major and consistent lesion, often with minimal inflammatory infiltration. Negative contrast tissue suspension and thin section transmission electron microscopy of liver demonstrated virus particles consistent with a member of the Reoviridae. Inoculation of trypsin-treated Vero, MDBK and MA-104 cell lines resulted in cytopathic changes at two days after infection. Next generation sequencing was undertaken using fresh liver samples and a previously undescribed group A rotavirus (genotype G18P[17]) of avian origin was identified and the virus was isolated in several cell lines. A q-RT-PCR assay was developed and used to screen a wider range of samples, including recovered birds. Episodes of disease have continued to occur and to reoccur in previously recovered lofts, with variable virulence reported. This is the first report of a rotavirus associated with hepatic necrosis in any avian species.


Assuntos
Doenças das Aves/virologia , Columbidae/virologia , Hepatopatias/veterinária , Infecções por Rotavirus/veterinária , Rotavirus , Animais , Austrália , Doenças das Aves/patologia , Bovinos , Chlorocebus aethiops , Diarreia/patologia , Diarreia/veterinária , Diarreia/virologia , Fígado/virologia , Hepatopatias/patologia , Hepatopatias/virologia , Necrose/patologia , Necrose/veterinária , Necrose/virologia , Infecções por Rotavirus/patologia , Células Vero , Vômito/patologia , Vômito/veterinária , Vômito/virologia
9.
Arch Virol ; 162(3): 625-634, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-27807656

RESUMO

In an attempt to determine whether or not genetic variants of the Tasmanian strain of Atlantic salmon aquareovirus (TSRV) exist, 14 isolates of TSRV, originating from various locations in Tasmania, covering a 20-year period (1990-2010), obtained from various host species and tissues, and isolated on different cell lines, were selected for this study. Two categories, termed "typical" and "atypical", of variants of TSRV were identified based on preliminary genotypic and phenotypic characterization carried out on these 14 different isolates. In addition, electron microscopic examination indicated the existence of at least three variants based on viral particle size. Finally, this study demonstrated the existence of at least one new variant of TSRV isolates, other than the more commonly isolated typical TSRV isolates, in farmed Tasmanian Atlantic salmon.


Assuntos
Doenças dos Peixes/virologia , Infecções por Reoviridae/veterinária , Reoviridae/isolamento & purificação , Animais , Genótipo , Filogenia , Reoviridae/classificação , Reoviridae/genética , Reoviridae/ultraestrutura , Infecções por Reoviridae/virologia , Salmo salar/virologia , Tasmânia
10.
Int J Parasitol Parasites Wildl ; 4(2): 268-76, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26106576

RESUMO

This is a retrospective study of 38 cases of infection by Babesia macropus, associated with a syndrome of anaemia and debility in hand-reared or free-ranging juvenile eastern grey kangaroos (Macropus giganteus) from coastal New South Wales and south-eastern Queensland between 1995 and 2013. Infection with B. macropus is recorded for the first time in agile wallabies (Macropus agilis) from far north Queensland. Animals in which B. macropus infection was considered to be the primary cause of morbidity had marked anaemia, lethargy and neurological signs, and often died. In these cases, parasitised erythrocytes were few or undetectable in peripheral blood samples but were sequestered in large numbers within small vessels of visceral organs, particularly in the kidney and brain, associated with distinctive clusters of extraerythrocytic organisms. Initial identification of this piroplasm in peripheral blood smears and in tissue impression smears and histological sections was confirmed using transmission electron microscopy and molecular analysis. Samples of kidney, brain or blood were tested using PCR and DNA sequencing of the 18S ribosomal RNA and heat shock protein 70 gene using primers specific for piroplasms. The piroplasm detected in these samples had 100% sequence identity in the 18S rRNA region with the recently described Babesia macropus in two eastern grey kangaroos from New South Wales and Queensland, and a high degree of similarity to an unnamed Babesia sp. recently detected in three woylies (Bettongia penicillata ogilbyi) in Western Australia.

11.
Dis Aquat Organ ; 114(2): 117-25, 2015 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-25993886

RESUMO

In November 2010, a rainbow trout (Oncorhynchus mykiss) hatchery in Victoria reported increased mortality rates in diploid and triploid female fingerlings. Live and moribund fish were submitted for laboratory investigation. All fish showed hyperpigmentation of the cranial half of the body. Histological lesions were seen in all areas of skin examined despite the localised nature of the gross lesions. There was irregular hyperplasia and spongiosis, alternating with areas of thinning and architectural disturbance. Occasionally, particularly in superficial layers of epithelium, cells showed large, eosinophilic inclusions that obscured other cellular detail. A small number of fish had necrosis in dermis, subcutis and superficial muscles. Bacteriological culture of skin and gills was negative for all bacterial pathogens, including Flavibacterium columnare, the agent of columnaris disease. Attempts at virus isolation from the skin of affected fish resulted in the development of a cytopathic effect in RTG-2 cell cultures suggestive of the presence of a virus. Negative contrast electron microscopy of cell culture supernatant demonstrated the presence of viral particles with the typical morphology of birnaviruses. Preliminary molecular characterisation identified an aquabirnavirus that differed from both the Tasmanian aquabirnavirus (TABV) and other aquabirnaviruses exotic to Australia. Previous isolates of aquabirnaviruses in Australia and New Zealand have been from healthy fish in a marine environment. This is the first report of an aquabirnavirus isolated from young salmonids at a freshwater hatchery in Australia. The role of the virus in the mortality event on the farm is uncertain as no further deaths attributable to this virus have occurred in the 4 yr since its initial discovery. The virus has been provisionally named Victorian trout aquabirnavirus (VTAB).


Assuntos
Infecções por Birnaviridae/veterinária , Birnaviridae/classificação , Birnaviridae/isolamento & purificação , Doenças dos Peixes/virologia , Oncorhynchus mykiss/virologia , Animais , Aquicultura , Austrália/epidemiologia , Birnaviridae/genética , Infecções por Birnaviridae/epidemiologia , Infecções por Birnaviridae/virologia , Feminino , Doenças dos Peixes/epidemiologia , Filogenia
12.
J Gen Virol ; 96(Pt 1): 24-29, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25228492

RESUMO

Bats have been found to harbour a number of new emerging viruses with zoonotic potential, and there has been a great deal of interest in identifying novel bat pathogens to determine the risk to human and animal health. Many groups have identified novel viruses in bats by detection of viral nucleic acid; however, virus isolation is still a challenge, and there are few reports of viral isolates from bats. In recent years, our group has developed optimized procedures for virus isolation from bat urine, including the use of primary bat cells. In previous reports, we have described the isolation of Hendra virus, Menangle virus and Cedar virus in Queensland, Australia. Here, we report the isolation of four additional novel bat paramyxoviruses from urine collected from beneath pteropid bat (flying fox) colonies in Queensland and New South Wales during 2009-2011.


Assuntos
Quirópteros/virologia , Paramyxovirinae/genética , Paramyxovirinae/isolamento & purificação , Urina/virologia , Animais , Austrália , Infecções por Paramyxoviridae/virologia , Zoonoses/virologia
13.
Emerg Infect Dis ; 20(6): 1040-3, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24856477

RESUMO

Recently discovered tick-borne phleboviruses have been associated with severe disease and death among persons in Asia and the United States. We report the discovery of a novel tick phlebovirus in Tasmania State, Australia, that is closely related to those zoonotic viruses found in Asia and North America.


Assuntos
Doenças das Aves/epidemiologia , Surtos de Doenças , Genoma Viral , Febre por Flebótomos/veterinária , Phlebovirus/genética , RNA Viral/genética , Carrapatos/virologia , Animais , Doenças das Aves/virologia , Aves , Vetores de Doenças , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Febre por Flebótomos/epidemiologia , Febre por Flebótomos/virologia , Phlebovirus/classificação , Phlebovirus/isolamento & purificação , Filogenia , Tasmânia
14.
Environ Microbiol Rep ; 5(1): 105-8, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23757138

RESUMO

Knowledge concerning microbial infectious diseases in the current amphibian crisis is rudimentary and largely limited to ranavirosis and chytridiomycosis. The family Chlamydiaceae is gaining attention as a common cause of disease in amphibians and may harbour new and emerging amphibian pathogens. We identified a novel species of Chlamydiales (Candidatus Amphibiichlamydia ranarum) with a prevalence of 71% in exotic invasive bullfrog tadpoles (Lithobates catesbeianus) from an introduced population in the Netherlands. The sequence of a 1474 bp 16S rRNA gene fragment showed that the novel taxon forms a well-defined clade with 'Candidatus Amphibiichlamydia salamandrae' within the Chlamydiaceae family. Although none of the tadpoles examined showed signs of clinical disease, urgent evaluation of its pathogenic potential for native amphibian species is required.


Assuntos
Chlamydiaceae/isolamento & purificação , Espécies Introduzidas , Rana catesbeiana/microbiologia , Animais , Chlamydiaceae/classificação , Chlamydiaceae/genética , DNA Bacteriano/genética , Larva/microbiologia , Países Baixos , RNA Ribossômico 16S/genética , Análise de Sequência de DNA
15.
Virology ; 441(2): 95-106, 2013 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-23562481

RESUMO

Viral emergence as a result of zoonotic transmission constitutes a continuous public health threat. Emerging viruses such as SARS coronavirus, hantaviruses and henipaviruses have wildlife reservoirs. Characterising the viruses of candidate reservoir species in geographical hot spots for viral emergence is a sensible approach to develop tools to predict, prevent, or contain emergence events. Here, we explore the viruses of Eidolon helvum, an Old World fruit bat species widely distributed in Africa that lives in close proximity to humans. We identified a great abundance and diversity of novel herpes and papillomaviruses, described the isolation of a novel adenovirus, and detected, for the first time, sequences of a chiropteran poxvirus closely related with Molluscum contagiosum. In sum, E. helvum display a wide variety of mammalian viruses, some of them genetically similar to known human pathogens, highlighting the possibility of zoonotic transmission.


Assuntos
Biodiversidade , Quirópteros/virologia , Metagenoma , Vírus/classificação , Vírus/genética , África , Animais , Análise por Conglomerados , Dados de Sequência Molecular , Filogenia , Análise de Sequência de DNA
16.
Emerg Infect Dis ; 18(12): 2044-6, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23171630

RESUMO

A novel virus, designated Cygnet River virus (CyRV), was isolated in embryonated eggs from Muscovy ducks in South Australia. CyRV morphologically resembles arenaviruses; however, sequencing identified CyRV as an orthomyxovirus. The high mortality rate among ducks co-infected with salmonellae suggests that CyRV may be pathogenic, either alone or in concert with other infections.


Assuntos
Patos/virologia , Infecções por Orthomyxoviridae/veterinária , Orthomyxoviridae/fisiologia , Doenças das Aves Domésticas/virologia , Animais , Linhagem Celular , Embrião de Galinha , Efeito Citopatogênico Viral , Dados de Sequência Molecular , Orthomyxoviridae/classificação , Orthomyxoviridae/genética , Infecções por Orthomyxoviridae/patologia , Infecções por Orthomyxoviridae/virologia , Filogenia , Doenças das Aves Domésticas/patologia , Austrália do Sul , Proteínas da Matriz Viral/genética , Liberação de Vírus
18.
Virus Res ; 165(2): 207-13, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22387967

RESUMO

In late 2005, acute mortalities occurred in abalone on farms located in Victoria, Australia. Disease was associated with infection by an abalone herpes virus (AbHV). Subsequently, starting in 2006, the disease (abalone viral ganglioneuritis; AVG) was discovered in wild abalone in Victorian open waters. Currently, it continues to spread, albeit at a slow rate, along the Victorian coast-line. Here, we report on experimental transmission trials that were carried out by immersion using water into which diseased abalone had shed infectious viral particles. At various time points following exposure, naïve abalone were assessed by an AbHV-specific real-time PCR and histological analyses including in situ hybridization (ISH). Results demonstrated that while exposed abalone began displaying clinical signs of the disease from 60 hours post exposure (hpe), they tested positive for the presence of viral DNA at 36 hpe. Of further interest, the AbHV DNA probe used in the ISH assay detected the virus as early as 48 hpe.


Assuntos
Modelos Animais de Doenças , Herpesviridae/patogenicidade , Moluscos/virologia , Animais , Aquicultura , DNA Viral/genética , DNA Viral/isolamento & purificação , Herpesviridae/isolamento & purificação , Reação em Cadeia da Polimerase , Vitória , Eliminação de Partículas Virais
19.
Virology ; 402(1): 26-40, 2010 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-20350736

RESUMO

This report describes the discovery and characterization of a new fusogenic orthoreovirus, Broome virus (BroV), isolated from a little red flying-fox (Pteropus scapulatus). The BroV genome consists of 10 dsRNA segments, each having a 3' terminal pentanucleotide sequence conserved amongst all members of the genus Orthoreovirus, and a unique 5' terminal pentanucleotide sequence. The smallest genome segment is bicistronic and encodes two small nonstructural proteins, one of which is a novel fusion associated small transmembrane (FAST) protein responsible for syncytium formation, but no cell attachment protein. The low amino acid sequence identity between BroV proteins and those of other orthoreoviruses (13-50%), combined with phylogenetic analyses of structural and nonstructural proteins provide evidence to support the classification of BroV in a new sixth species group within the genus Orthoreovirus.


Assuntos
Quirópteros/virologia , Orthoreovirus/classificação , Orthoreovirus/isolamento & purificação , Infecções por Reoviridae/veterinária , Sequência de Aminoácidos , Animais , Austrália , Linhagem Celular , Análise por Conglomerados , Cricetinae , Genoma Viral , Dados de Sequência Molecular , Orthoreovirus/genética , Filogenia , RNA de Cadeia Dupla/genética , RNA Viral/genética , Análise de Sequência de DNA , Homologia de Sequência de Aminoácidos , Proteínas Virais/genética
20.
Int J Infect Dis ; 12(6): e85-7, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18706842

RESUMO

OBJECTIVES: Healthcare workers (HCWs) are at high risk for acquisition and/or transmission of Bordetella pertussis. We report an outbreak of pertussis in a children's hospital involving three HCWs. DESIGN: Clinical and epidemiological observations. RESULTS: A 62-year-old nurse was suffering from a paroxysmal cough, choking, and significant sleep disturbances of 3 weeks duration; a diagnosis of pertussis was made by PCR. At the time of diagnosis, 25 HCWs working on the same ward as the index case were identified as having been exposed. Of these, seven complained of a current cough illness. PCR was positive for B. pertussis in two of them (both with paroxysmal cough), and they were treated with clarithromycin p.o. Asymptomatic HCWs received postexposure prophylaxis with azithromycin p.o. None of these HCWs, and none of the patients hospitalized on the index case's ward, developed a cough illness during the following 4 weeks. CONCLUSIONS: Pertussis should be suspected in HCWs with prolonged cough illness, and immediate action is required to limit spread of the disease.


Assuntos
Bordetella pertussis , Infecção Hospitalar/prevenção & controle , Surtos de Doenças/prevenção & controle , Transmissão de Doença Infecciosa/prevenção & controle , Coqueluche/prevenção & controle , Bordetella pertussis/classificação , Bordetella pertussis/genética , Bordetella pertussis/isolamento & purificação , Infecção Hospitalar/microbiologia , Infecção Hospitalar/transmissão , Feminino , Hospitais Pediátricos , Hospitais Universitários , Humanos , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem Hospitalar , Reação em Cadeia da Polimerase/métodos , Coqueluche/diagnóstico , Coqueluche/microbiologia , Coqueluche/transmissão
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