Evidence map›Paper›PMID 33292874›Full record

ArticleEpidemiology and infection2020

Characterization of a hospital-based gastroenteritis outbreak caused by GII.6 norovirus in Jinshan, China.

X F Zhang, J R Chen, C L Song, D J Xie, M Tan, L Wang, M M Koroma, Y Z Hou, Z P Dong, J R Yu and 5 more

Open access · goldAbstract read
In one paragraph

Article in Epidemiology and infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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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

15 authors at 2 institutions in 2 countries.

X F ZhangSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0002-7178-2412
J R ChenSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong, China.
C L SongJinshan District Center for Disease Control and Prevention, Shanghai 201599, China.
D J XieSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong, China.
M TanDivisions of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Ohio, USA.
L WangDepartment of Epidemiology, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.
M M KoromaDepartment of Epidemiology, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.
Y Z HouDepartment of Epidemiology, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.
Z P DongJinshan District Center for Disease Control and Prevention, Shanghai 201599, China.
J R YuDepartment of Epidemiology, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.
W T DuanSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong, China.
D D ZhaoSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong, China.
J R DuJinshan District Center for Disease Control and Prevention, Shanghai 201599, China.
L ZhuJinshan District Center for Disease Control and Prevention, Shanghai 201599, China.
Y C DaiDepartment of Epidemiology, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0003-2091-5542
Southern Medical University · CNCincinnati Children's Hospital Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An acute gastroenteritis (AGE) outbreak caused by a norovirus occurred at a hospital in Shanghai, China, was studied for molecular epidemiology, host susceptibility and serological roles. Rectal and environmental swabs, paired serum samples and saliva specimens were collected. Pathogens were detected by real-time polymerase chain reaction and DNA sequencing. Histo-blood group antigens (HBGA) phenotypes of saliva samples and their binding to norovirus protruding proteins were determined by enzyme-linked immunosorbent assay. The HBGA-binding interfaces and the surrounding region were analysed by the MegAlign program of DNAstar 7.1. Twenty-seven individuals in two care units were attacked with AGE at attack rates of 9.02 and 11.68%. Eighteen (78.2%) symptomatic and five (38.4%) asymptomatic individuals were GII.6/b norovirus positive. Saliva-based HBGA phenotyping showed that all symptomatic and asymptomatic cases belonged to A, B, AB or O secretors. Only four (16.7%) out of the 24 tested serum samples showed low blockade activity against HBGA-norovirus binding at the acute phase, whereas 11 (45.8%) samples at the convalescence stage showed seroconversion of such blockade. Specific blockade antibody in the population played an essential role in this norovirus epidemic. A wide HBGA-binding spectrum of GII.6 supports a need for continuous health attention and surveillance in different settings.

Indexed as

AdultAgedAntibodies, ViralBlood Group AntigensCaliciviridae InfectionsChinaCross InfectionDisease OutbreaksGastroenteritisHospitalsHumansImmunoglobulin GMaleMiddle AgedNorovirusPhylogenyAntibodies, ViralBlood Group AntigensImmunoglobulin GEpidemiologyGII.6 NorovirusesHBGAsoutbreakserology

Identifiers

PMID33292874
PMCPMC7770467
OpenAlexW3110774817

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.