Risk factors for norovirus, Sapporo-like virus, and group A rotavirus gastroenteritis

Emerg Infect Dis. 2003 Dec;9(12):1563-70. doi: 10.3201/eid0912.020076.

Abstract

Viral pathogens are the most common causes of gastroenteritis in the community. To identify modes of transmission and opportunities for prevention, a case-control study was conducted and risk factors for gastroenteritis attributable to norovirus (NV), Sapporo-like virus (SLV), and rotavirus were studied. For NV gastroenteritis, having a household member with gastroenteritis, contact with a person with gastroenteritis outside the household, and poor food-handling hygiene were associated with illness (population attributable risk fractions [PAR] of 17%, 56%, and 47%, respectively). For SLV gastroenteritis, contact with a person with gastroenteritis outside the household was associated with a higher risk (PAR 60%). For rotavirus gastroenteritis, contact with a person with gastroenteritis outside the household and food-handling hygiene were associated with a higher risk (PAR 86% and 46%, respectively). Transmission of these viral pathogens occurs primarily from person to person. However, for NV gastroenteritis, foodborne transmission seems to play an important role.

MeSH terms

  • Adolescent
  • Adult
  • Animals
  • Caliciviridae Infections / epidemiology
  • Caliciviridae Infections / prevention & control
  • Caliciviridae Infections / transmission
  • Caliciviridae Infections / virology*
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Cohort Studies
  • Disease Transmission, Infectious
  • Female
  • Food Handling / methods*
  • Gastroenteritis / epidemiology
  • Gastroenteritis / prevention & control
  • Gastroenteritis / virology*
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Netherlands / epidemiology
  • Norovirus / isolation & purification
  • Prospective Studies
  • Risk Factors
  • Rotavirus / isolation & purification
  • Rotavirus Infections / epidemiology
  • Rotavirus Infections / prevention & control
  • Rotavirus Infections / transmission
  • Rotavirus Infections / virology*
  • Sapovirus / isolation & purification