Community outbreak of adenovirus, Taiwan, 2011

Emerg Infect Dis. 2012 Nov;18(11):1825-32. doi: 10.3201/eid1811.120629.

Abstract

In 2011, a large community outbreak of human adenovirus (HAdV) in Taiwan was detected by a nationwide surveillance system. The epidemic lasted from week 11 through week 41 of 2011 (March 14-October 16, 2011). Although HAdV-3 was the predominant strain detected (74%), an abrupt increase in the percentage of infections caused by HAdV-7 occurred, from 0.3% in 2008-2010 to 10% in 2011. Clinical information was collected for 202 inpatients infected with HAdV; 31 (15.2%) had severe infection that required intensive care, and 7 of those patients died. HAdV-7 accounted for 10%, 12%, and 41% of infections among outpatients, inpatients with nonsevere infection, and inpatients with severe infection, respectively (p<0.01). The HAdV-7 strain detected in this outbreak is identical to a strain recently reported in the People's Republic of China (HAdV7-HZ/SHX/CHN/2009). Absence of circulating HAdV-7 in previous years and introduction of an emerging strain are 2 factors that caused this outbreak.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adenovirus Infections, Human / diagnosis
  • Adenovirus Infections, Human / epidemiology*
  • Adenovirus Infections, Human / therapy
  • Adenovirus Infections, Human / virology
  • Adenoviruses, Human / classification
  • Adenoviruses, Human / genetics*
  • Adolescent
  • Capsid Proteins / genetics
  • Child
  • Child, Preschool
  • Disease Outbreaks*
  • Humans
  • Infant
  • Infant, Newborn
  • Inpatients
  • Outpatients
  • Phylogeny
  • Population Surveillance
  • Prognosis
  • Taiwan / epidemiology

Substances

  • Capsid Proteins
  • hexon capsid protein, Adenovirus