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Epidemiol Infect ; 141(8): 1585-97, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23388349

RESUMO

Multiple norovirus outbreaks following catered events in Auckland, New Zealand, in September 2010 were linked to the same catering company and investigated. Retrospective cohort studies were undertaken with attendees of two events: 38 (24·1%) of 158 surveyed attendees developed norovirus-compatible illness. Attendees were at increased risk of illness if they had consumed food that had received manual preparation following cooking or that had been prepared within 45 h following end of symptoms in a food handler with prior gastroenteritis. All food handlers were tested for norovirus. A recombinant norovirus GII.e/GII.4 was detected in specimens from event attendees and the convalescent food handler. All catering company staff were tested; no asymptomatic norovirus carriers were detected. This investigation improved the characterization of norovirus risk from post-symptomatic food handlers by narrowing the potential source of transmission to one individual. Food handlers with gastroenteritis should be excluded from the workplace for 45 h following resolution of symptoms.


Assuntos
Infecções por Caliciviridae/epidemiologia , Infecções por Caliciviridae/transmissão , Surtos de Doenças , Manipulação de Alimentos , Gastroenterite/epidemiologia , Norovirus/classificação , Norovirus/fisiologia , Adulto , Infecções por Caliciviridae/virologia , Estudos de Coortes , Fezes/virologia , Feminino , Gastroenterite/virologia , Genótipo , Humanos , Masculino , Pessoa de Meia-Idade , Dados de Sequência Molecular , Nova Zelândia/epidemiologia , Norovirus/genética , Filogenia , Reação em Cadeia da Polimerase , RNA Viral/genética , RNA Viral/metabolismo , Estudos Retrospectivos , Análise de Sequência de RNA , Fatores de Tempo , Adulto Jovem
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