Prevalence and Genetic Diversity of Norovirus in Acute Gastroenteritis Cases in the Southwest Province of Turkey

Aims: Noroviruses may cause both epidemic and sporadic acute gastroenteritis globally. Thus, this study evaluated the prevalence of norovirus in stool samples of hospitalized patients with acute gastroenteritis in Aydin, Turkey using enzyme-linked immunoassay (ELISA) and real-time reverse transcript...

Full description

Bibliographic Details
Main Authors: Sevin Kırdar, Tülin Başara, İmran Kurt Ömürlü
Format: Article
Language:English
Published: Galenos Publishing House 2022-03-01
Series:Balkan Medical Journal
Online Access:https://balkanmedicaljournal.org/text.php?lang=en&id=2377
_version_ 1828025366585802752
author Sevin Kırdar
Tülin Başara
İmran Kurt Ömürlü
author_facet Sevin Kırdar
Tülin Başara
İmran Kurt Ömürlü
author_sort Sevin Kırdar
collection DOAJ
description Aims: Noroviruses may cause both epidemic and sporadic acute gastroenteritis globally. Thus, this study evaluated the prevalence of norovirus in stool samples of hospitalized patients with acute gastroenteritis in Aydin, Turkey using enzyme-linked immunoassay (ELISA) and real-time reverse transcription-polymerase chain reaction (rRT-PCR) and genotyped positive samples to detect which genotypes have currently circulated. Methods: This retrospective descriptive study collected 92 stool samples from patients with acute gastroenteritis symptoms from Aydın Adnan Menderes University Hospital from September 2017 to May 2019. The samples were tested using the commercial Third Generation Ridascreen norovirus ELISA and rRT-PCR. Positive samples were genotyped by sequencing of conventional positive RT-PCR products followed by phylogenetic analysis. Results: Of the 92 samples, 5 (5.4%) using ELISA and 12 (13%) using rRT-PCR tested positive for norovirus. All positive samples were genogroup II (GII). Two norovirus positive samples were genotyped successfully using DNA sequencing of the nested conventional PCR products. One sample (GII/Hu/TR/2019/Aydin25) could be categorized as GII.3 and the other (GII/Hu/TR/2019/Aydin20) as GII.13. Conclusion: rRT-PCR testing of stool samples is more sensitive than Ridascreen ELISA. Data from our study provide protocols for how to study norovirus epidemiology.
first_indexed 2024-04-10T13:00:08Z
format Article
id doaj.art-12d4f4c0750140298fdb4f305f7c1506
institution Directory Open Access Journal
issn 2146-3123
2146-3131
language English
last_indexed 2024-04-10T13:00:08Z
publishDate 2022-03-01
publisher Galenos Publishing House
record_format Article
series Balkan Medical Journal
spelling doaj.art-12d4f4c0750140298fdb4f305f7c15062023-02-15T16:13:12ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312022-03-0139215315610.4274/balkanmedj.galenos.2021.2021-8-22Prevalence and Genetic Diversity of Norovirus in Acute Gastroenteritis Cases in the Southwest Province of TurkeySevin Kırdar0https://orcid.org/0000-0002-4511-578XTülin Başara1https://orcid.org/0000-0003-3395-5332İmran Kurt Ömürlü2https://orcid.org/0000-0003-2887-6656Department of Medical Microbiology, Faculty of Medicine, Aydın Adnan Menderes University, Aydın, TurkeyLaboratory of Medical Microbiology Training and Research Hospital, Aydın Adnan Menderes University, Aydın, TurkeyDepartment of Biostatistics, Faculty of Medicine, Aydın Adnan Menderes University, Aydın, TurkeyAims: Noroviruses may cause both epidemic and sporadic acute gastroenteritis globally. Thus, this study evaluated the prevalence of norovirus in stool samples of hospitalized patients with acute gastroenteritis in Aydin, Turkey using enzyme-linked immunoassay (ELISA) and real-time reverse transcription-polymerase chain reaction (rRT-PCR) and genotyped positive samples to detect which genotypes have currently circulated. Methods: This retrospective descriptive study collected 92 stool samples from patients with acute gastroenteritis symptoms from Aydın Adnan Menderes University Hospital from September 2017 to May 2019. The samples were tested using the commercial Third Generation Ridascreen norovirus ELISA and rRT-PCR. Positive samples were genotyped by sequencing of conventional positive RT-PCR products followed by phylogenetic analysis. Results: Of the 92 samples, 5 (5.4%) using ELISA and 12 (13%) using rRT-PCR tested positive for norovirus. All positive samples were genogroup II (GII). Two norovirus positive samples were genotyped successfully using DNA sequencing of the nested conventional PCR products. One sample (GII/Hu/TR/2019/Aydin25) could be categorized as GII.3 and the other (GII/Hu/TR/2019/Aydin20) as GII.13. Conclusion: rRT-PCR testing of stool samples is more sensitive than Ridascreen ELISA. Data from our study provide protocols for how to study norovirus epidemiology.https://balkanmedicaljournal.org/text.php?lang=en&id=2377
spellingShingle Sevin Kırdar
Tülin Başara
İmran Kurt Ömürlü
Prevalence and Genetic Diversity of Norovirus in Acute Gastroenteritis Cases in the Southwest Province of Turkey
Balkan Medical Journal
title Prevalence and Genetic Diversity of Norovirus in Acute Gastroenteritis Cases in the Southwest Province of Turkey
title_full Prevalence and Genetic Diversity of Norovirus in Acute Gastroenteritis Cases in the Southwest Province of Turkey
title_fullStr Prevalence and Genetic Diversity of Norovirus in Acute Gastroenteritis Cases in the Southwest Province of Turkey
title_full_unstemmed Prevalence and Genetic Diversity of Norovirus in Acute Gastroenteritis Cases in the Southwest Province of Turkey
title_short Prevalence and Genetic Diversity of Norovirus in Acute Gastroenteritis Cases in the Southwest Province of Turkey
title_sort prevalence and genetic diversity of norovirus in acute gastroenteritis cases in the southwest province of turkey
url https://balkanmedicaljournal.org/text.php?lang=en&id=2377
work_keys_str_mv AT sevinkırdar prevalenceandgeneticdiversityofnorovirusinacutegastroenteritiscasesinthesouthwestprovinceofturkey
AT tulinbasara prevalenceandgeneticdiversityofnorovirusinacutegastroenteritiscasesinthesouthwestprovinceofturkey
AT imrankurtomurlu prevalenceandgeneticdiversityofnorovirusinacutegastroenteritiscasesinthesouthwestprovinceofturkey