Evidence map›Paper›PMID 41844542›Full record

ArticleThe Pediatric infectious disease journal2026

Small Epidemic Outbreak of Norovirus in the Pediatric Department of Brescia Civic Hospital (Northern Italy): Genomic Characterization and Phylogenetic Analysis.

Michele Pellegrino, Anna Bertelli, Laura Dotta, Sara Roversi, Stefania Marsico, Raffaele Badolato, Francesca Caccuri, Serena Messali

Abstract read
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Article in The Pediatric infectious disease journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Michele PellegrinoFrom the Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Arcavacata di Rende, Italy.
Anna BertelliInstitute of Microbiology, ASST-Spedali Civili of Brescia, Brescia, Italy.
Laura DottaDepartment of Pediatrics, Department of Clinical and Experimental Sciences, ASST Spedali Civili of Brescia, University of Brescia, Brescia, Italy.
Sara RoversiInstitute of Microbiology, ASST-Spedali Civili of Brescia, Brescia, Italy.
Stefania MarsicoFrom the Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Arcavacata di Rende, Italy.
Raffaele BadolatoDepartment of Pediatrics, Department of Clinical and Experimental Sciences, ASST Spedali Civili of Brescia, University of Brescia, Brescia, Italy.
Francesca CaccuriSection of Microbiology, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Serena MessaliInstitute of Microbiology, ASST-Spedali Civili of Brescia, Brescia, Italy.ORCID 0009-0008-2803-6458

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman noroviruses are a leading cause of acute gastroenteritis worldwide, with GII.4 Sydney 2012 [P16], being the predominant circulating genotype in Italy in recent years. Outbreaks in pediatric hospital wards represent a major public health concern.

methodsEight stool samples collected between November 2023 and February 2024 at Brescia Civic Hospital were analyzed by real-time polymerase chain reaction, sequence-independent single-primer amplification and next-generation sequencing.

resultsAll isolates belonged to GII.4 Sydney 2012 [P16] genotype. Five isolates from December 2023 clustered tightly together, confirming a nosocomial outbreak with near-complete sequence identity. Isolates from November 2023, January 2024 and February 2024 were phylogenetically distinct, with 1 isolate (January 2024) clustering in a completely separated tree portion, carrying 30 amino acid substitutions and 237 synonymous mutations.

conclusionsOur analysis confirmed a nosocomial outbreak and underscored the substantial intra-genotypic diversity of GII.4 Sydney 2012 [P16] genotype. These findings highlight the importance of rapid diagnosis, infection control measures and continuous genomic surveillance to track the evolution and global circulation of epidemic noroviruses.

Indexed as

Caliciviridae InfectionsCross InfectionDisease OutbreaksGastroenteritisNorovirusChildChild, PreschoolFecesFemaleGenome, ViralGenotypeHospitals, PediatricHumansInfantItalyMalegenetic analysishuman norovirusnosocomial outbreakpediatric patientsphylogenetic analysis

Identifiers

PMID41844542
PMCPMC13340453

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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.