Evidence map›Paper›PMID 31257413›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Sources of Airborne Norovirus in Hospital Outbreaks.

Malin Alsved, Carl-Johan Fraenkel, Mats Bohgard, Anders Widell, Anna Söderlund-Strand, Peter Lanbeck, Torsten Holmdahl, Christina Isaxon, Anders Gudmundsson, Patrik Medstrand and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 87 citations in OpenAlex.

  1. Article
  2. [Development of a Reverse Transcription Loop-Mediated Isothermal Amplification Assay for the Detection of Genogroup Ⅱ Norovirus].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
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  20. Interventions to prevent surface transmission of an infectious virus based on real human touch behavior: a case study of the norovirus.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 3 countries.

Malin AlsvedDivision of Ergonomics and Aerosol Technology, Department of Design Sciences, Lund University.
Carl-Johan FraenkelDepartment of Infection Control, Region Skåne.
Mats BohgardDivision of Ergonomics and Aerosol Technology, Department of Design Sciences, Lund University.
Anders WidellDepartment of Translational Medicine, Lund University, Lund, Sweden.
Anna Söderlund-StrandDepartment of Clinical Microbiology, University and Regional Laboratories, Lund, Sweden.
Peter LanbeckDepartment of Infectious Diseases, Skåne University Hospital.
Torsten HolmdahlDepartment of Infectious Diseases, Skåne University Hospital.
Christina IsaxonDivision of Ergonomics and Aerosol Technology, Department of Design Sciences, Lund University.
Anders GudmundssonDivision of Ergonomics and Aerosol Technology, Department of Design Sciences, Lund University.
Patrik MedstrandDepartment of Translational Medicine, Lund University, Lund, Sweden.
Blenda BöttigerDepartment of Clinical Microbiology, University and Regional Laboratories, Lund, Sweden.
Jakob LöndahlDivision of Ergonomics and Aerosol Technology, Department of Design Sciences, Lund University.
Lund University · SESkåne University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNoroviruses are the major cause of viral gastroenteritis. Disease transmission is difficult to prevent and outbreaks in health-care facilities commonly occur. Contact with infected persons and contaminated environments are believed to be the main routes of transmission. However, noroviruses have recently been found in aerosols and airborne transmission has been suggested. The aim of our study was to investigate associations between symptoms of gastroenteritis and the presence of airborne norovirus, and to investigate the size of norovirus-carrying particles.

methodsAir sampling was repeatedly performed close to 26 patients with norovirus infections. Samples were analyzed for norovirus RNA by reverse transcription quantitative polymerase chain reaction. The times since each patient's last episodes of vomiting and diarrhea were recorded. Size-separating aerosol particle collection was performed.

resultsNorovirus RNA was found in 21 (24%) of 86 air samples from 10 different patients. Only air samples during outbreaks, or before a succeeding outbreak, tested positive for norovirus RNA. Airborne norovirus RNA was also strongly associated with a shorter time period since the last vomiting episode (odds ratio 8.1; P = .04 within 3 hours since the last vomiting episode). The concentrations of airborne norovirus ranged from 5-215 copies/m3, and detectable amounts of norovirus RNA were found in particles <0.95 µm and >4.51 µm.

conclusionsThe results suggest that recent vomiting is the major source of airborne norovirus and imply a connection between airborne norovirus and outbreaks. The presence of norovirus RNA in submicrometre particles indicates that airborne transmission can be an important transmission route.

Indexed as

Caliciviridae InfectionsGastroenteritisNorovirusDisease OutbreaksHospitalsHumansairborne transmissionbioaerosolhospitalnorovirusvomiting

Identifiers

PMID31257413
PMCPMC7201413
OpenAlexW2956004800

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.