Incidence of Acute Gastroenteritis and Role of Norovirus, Georgia, USA, 2004–2005

Approximately 179 million cases of acute gastroenteritis (AGE) occur annually in the United States. However, lack of routine clinical testing for viruses limits understanding of their role among persons seeking medical care. Fecal specimens submitted for routine bacterial culture through a health ma...

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Main Authors: Aron J. Hall, Mariana Rosenthal, Nicole Gregoricus, Sharon A. Greene, Jeana Ferguson, Olga L. Henao, Jan Vinjé, Ben A. Lopman, Umesh D. Parashar, Marc-Alain Widdowson
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2011-08-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/17/8/10-1533_article
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author Aron J. Hall
Mariana Rosenthal
Nicole Gregoricus
Sharon A. Greene
Jeana Ferguson
Olga L. Henao
Jan Vinjé
Ben A. Lopman
Umesh D. Parashar
Marc-Alain Widdowson
author_facet Aron J. Hall
Mariana Rosenthal
Nicole Gregoricus
Sharon A. Greene
Jeana Ferguson
Olga L. Henao
Jan Vinjé
Ben A. Lopman
Umesh D. Parashar
Marc-Alain Widdowson
author_sort Aron J. Hall
collection DOAJ
description Approximately 179 million cases of acute gastroenteritis (AGE) occur annually in the United States. However, lack of routine clinical testing for viruses limits understanding of their role among persons seeking medical care. Fecal specimens submitted for routine bacterial culture through a health maintenance organization in Georgia, USA, were tested with molecular diagnostic assays for norovirus, rotavirus, astrovirus, sapovirus, and adenovirus. Incidence was estimated by using national health care utilization rates. Routine clinical diagnostics identified a pathogen in 42 (7.3%) of 572 specimens; inclusion of molecular viral testing increased pathogen detection to 15.7%. Community AGE incidence was 41,000 cases/100,000 person-years and outpatient incidence was 5,400/100,000 person-years. Norovirus was the most common pathogen, accounting for 6,500 (16%) and 640 (12%) per 100,000 person-years of community and outpatient AGE episodes, respectively. This study demonstrates that noroviruses are leading causes of AGE among persons seeking medical care.
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spelling doaj.art-eed0c34b20244dc6b0fceb9ac899a4be2022-12-21T18:33:15ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592011-08-011781381138810.3201/eid1708.101533Incidence of Acute Gastroenteritis and Role of Norovirus, Georgia, USA, 2004–2005Aron J. HallMariana RosenthalNicole GregoricusSharon A. GreeneJeana FergusonOlga L. HenaoJan VinjéBen A. LopmanUmesh D. ParasharMarc-Alain WiddowsonApproximately 179 million cases of acute gastroenteritis (AGE) occur annually in the United States. However, lack of routine clinical testing for viruses limits understanding of their role among persons seeking medical care. Fecal specimens submitted for routine bacterial culture through a health maintenance organization in Georgia, USA, were tested with molecular diagnostic assays for norovirus, rotavirus, astrovirus, sapovirus, and adenovirus. Incidence was estimated by using national health care utilization rates. Routine clinical diagnostics identified a pathogen in 42 (7.3%) of 572 specimens; inclusion of molecular viral testing increased pathogen detection to 15.7%. Community AGE incidence was 41,000 cases/100,000 person-years and outpatient incidence was 5,400/100,000 person-years. Norovirus was the most common pathogen, accounting for 6,500 (16%) and 640 (12%) per 100,000 person-years of community and outpatient AGE episodes, respectively. This study demonstrates that noroviruses are leading causes of AGE among persons seeking medical care.https://wwwnc.cdc.gov/eid/article/17/8/10-1533_articlenorovirusvirusesgastroenteritisAGEetiologyincidence
spellingShingle Aron J. Hall
Mariana Rosenthal
Nicole Gregoricus
Sharon A. Greene
Jeana Ferguson
Olga L. Henao
Jan Vinjé
Ben A. Lopman
Umesh D. Parashar
Marc-Alain Widdowson
Incidence of Acute Gastroenteritis and Role of Norovirus, Georgia, USA, 2004–2005
Emerging Infectious Diseases
norovirus
viruses
gastroenteritis
AGE
etiology
incidence
title Incidence of Acute Gastroenteritis and Role of Norovirus, Georgia, USA, 2004–2005
title_full Incidence of Acute Gastroenteritis and Role of Norovirus, Georgia, USA, 2004–2005
title_fullStr Incidence of Acute Gastroenteritis and Role of Norovirus, Georgia, USA, 2004–2005
title_full_unstemmed Incidence of Acute Gastroenteritis and Role of Norovirus, Georgia, USA, 2004–2005
title_short Incidence of Acute Gastroenteritis and Role of Norovirus, Georgia, USA, 2004–2005
title_sort incidence of acute gastroenteritis and role of norovirus georgia usa 2004 2005
topic norovirus
viruses
gastroenteritis
AGE
etiology
incidence
url https://wwwnc.cdc.gov/eid/article/17/8/10-1533_article
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