Current status of healthcare-associated enteroviral (non-polio) infections

Here we present the data on foreign research publications describing healthcare-associated enteroviral (nonpolio) infections (HAI) sought in the Worldwide Database for Nosocomial Outbreaks (Institut für Hygiene und Umweltmedizin, Universitȁtmedizincomplex “Charite”, Germany) as well as PubMed search...

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Autores principales: A. V. Alimov, E. P. Igonina, I. V. Feldblyum, V. I. Chalapa, Yu. A. Zakharova
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Publicado: Sankt-Peterburg : NIIÈM imeni Pastera 2020
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Acceso en línea:https://doaj.org/article/272c047a9a6c45039b6857cb545b5d9d
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spelling oai:doaj.org-article:272c047a9a6c45039b6857cb545b5d9d2021-11-22T07:09:54ZCurrent status of healthcare-associated enteroviral (non-polio) infections2220-76192313-739810.15789/10.15789/2220-7619-CSF-1161https://doaj.org/article/272c047a9a6c45039b6857cb545b5d9d2020-08-01T00:00:00Zhttps://www.iimmun.ru/iimm/article/view/1161https://doaj.org/toc/2220-7619https://doaj.org/toc/2313-7398Here we present the data on foreign research publications describing healthcare-associated enteroviral (nonpolio) infections (HAI) sought in the Worldwide Database for Nosocomial Outbreaks (Institut für Hygiene und Umweltmedizin, Universitȁtmedizincomplex “Charite”, Germany) as well as PubMed search engine (The United States National Library), covering 1936–2017 timeframe. The publications retrieved contained the data on 28 nosocomial outbreaks caused by Enterovirus A (EV-A71), В (Echoviruses 11, 17, 18, 30, 31, 33, Coxsackie viruses А9, В2, В5) and D (EV-D68). It was discovered that the majority of the nosocomial enteroviral (non-polio) outbreaks occurred in obstetric hospitals and neonatal units so that children were mainly maternally infected. In addition, a case associated with intrauterine infection was described. It was shown that outbreaks might be started by an infected child at the incubation period. Single publications reported nosocomial outbreaks in geriatric hospitals. Generally, nosocomial enteroviral (non-polio) outbreaks were characterized by polymorphic clinical picture caused by any certain pathogen serotype and within a single site of the infection. Few lethal outcomes were recorded. Enterovirus B species dominated among identified etiological agents. Violated hospital hygiene and infection control contributing to spread of infection were among those found in neonatal units: putting used diapers out on baby bed prior disposal, sharing bathtub, toys and household objects as well as poor hand hygiene in medical workers. One of the measures recommended to improve diagnostics of enteroviral (non-polio) infections was virology screening of children with suspected sepsis in case of unidentified etiology. It was established that etiological decoding of nosocomial outbreaks was impossible without applying pathogen-specific diagnostic tools, mainly nested RT-PCR and direct sequencing of followed by subsequent phylogenetic analysis.A. V. AlimovE. P. IgoninaI. V. FeldblyumV. I. ChalapaYu. A. ZakharovaSankt-Peterburg : NIIÈM imeni Pasteraarticleenteroviral (non-polio) infectionsnosocomial infectionsepidemic focusenterovirusesechoviruscoxsackievirusInfectious and parasitic diseasesRC109-216RUInfekciâ i Immunitet, Vol 10, Iss 3, Pp 486-496 (2020)
institution DOAJ
collection DOAJ
language RU
topic enteroviral (non-polio) infections
nosocomial infections
epidemic focus
enteroviruses
echovirus
coxsackievirus
Infectious and parasitic diseases
RC109-216
spellingShingle enteroviral (non-polio) infections
nosocomial infections
epidemic focus
enteroviruses
echovirus
coxsackievirus
Infectious and parasitic diseases
RC109-216
A. V. Alimov
E. P. Igonina
I. V. Feldblyum
V. I. Chalapa
Yu. A. Zakharova
Current status of healthcare-associated enteroviral (non-polio) infections
description Here we present the data on foreign research publications describing healthcare-associated enteroviral (nonpolio) infections (HAI) sought in the Worldwide Database for Nosocomial Outbreaks (Institut für Hygiene und Umweltmedizin, Universitȁtmedizincomplex “Charite”, Germany) as well as PubMed search engine (The United States National Library), covering 1936–2017 timeframe. The publications retrieved contained the data on 28 nosocomial outbreaks caused by Enterovirus A (EV-A71), В (Echoviruses 11, 17, 18, 30, 31, 33, Coxsackie viruses А9, В2, В5) and D (EV-D68). It was discovered that the majority of the nosocomial enteroviral (non-polio) outbreaks occurred in obstetric hospitals and neonatal units so that children were mainly maternally infected. In addition, a case associated with intrauterine infection was described. It was shown that outbreaks might be started by an infected child at the incubation period. Single publications reported nosocomial outbreaks in geriatric hospitals. Generally, nosocomial enteroviral (non-polio) outbreaks were characterized by polymorphic clinical picture caused by any certain pathogen serotype and within a single site of the infection. Few lethal outcomes were recorded. Enterovirus B species dominated among identified etiological agents. Violated hospital hygiene and infection control contributing to spread of infection were among those found in neonatal units: putting used diapers out on baby bed prior disposal, sharing bathtub, toys and household objects as well as poor hand hygiene in medical workers. One of the measures recommended to improve diagnostics of enteroviral (non-polio) infections was virology screening of children with suspected sepsis in case of unidentified etiology. It was established that etiological decoding of nosocomial outbreaks was impossible without applying pathogen-specific diagnostic tools, mainly nested RT-PCR and direct sequencing of followed by subsequent phylogenetic analysis.
format article
author A. V. Alimov
E. P. Igonina
I. V. Feldblyum
V. I. Chalapa
Yu. A. Zakharova
author_facet A. V. Alimov
E. P. Igonina
I. V. Feldblyum
V. I. Chalapa
Yu. A. Zakharova
author_sort A. V. Alimov
title Current status of healthcare-associated enteroviral (non-polio) infections
title_short Current status of healthcare-associated enteroviral (non-polio) infections
title_full Current status of healthcare-associated enteroviral (non-polio) infections
title_fullStr Current status of healthcare-associated enteroviral (non-polio) infections
title_full_unstemmed Current status of healthcare-associated enteroviral (non-polio) infections
title_sort current status of healthcare-associated enteroviral (non-polio) infections
publisher Sankt-Peterburg : NIIÈM imeni Pastera
publishDate 2020
url https://doaj.org/article/272c047a9a6c45039b6857cb545b5d9d
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