2016
DOI: 10.2807/1560-7917.es.2016.21.7.30141
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Molecular identification of emergent GII.P17-GII.17 norovirus genotype, Romania, 2015

Abstract: The novel GII.P17-GII.17 norovirus genotype has been reported as cause of gastroenteritis outbreaks in China and Japan since the winter season 2014/15, replacing the pandemic strain GII.4 Sydney 2012. These emergent strains have also been sporadically reported on other continents than Asia. GII.P17-GII.17 isolates, similar to Kawasaki308 2015, were identified in three patients during a large outbreak of acute gastroenteritis affecting 328 people in Romania, in neighbouring localities, in 2015.

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Cited by 31 publications
(14 citation statements)
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“…According to global trends, it was expected that HuNoV GII.17 would be detected more consistently than GII.4 in Korea. While HuNoV GII.17 was detected during 2013−2014, similar to the results for China, the US and Europe, HuNoV GII.4 was detected in 2015 [13][14][15][16][17], and was also detected along with HuNoV GII.17 in 2016 (Table 2 and Fig. 2).…”
supporting
confidence: 58%
See 1 more Smart Citation
“…According to global trends, it was expected that HuNoV GII.17 would be detected more consistently than GII.4 in Korea. While HuNoV GII.17 was detected during 2013−2014, similar to the results for China, the US and Europe, HuNoV GII.4 was detected in 2015 [13][14][15][16][17], and was also detected along with HuNoV GII.17 in 2016 (Table 2 and Fig. 2).…”
supporting
confidence: 58%
“…One sample contained both GI.3 and GI.7, and both were included in the overall count (Table 2) HuNoV GI and GII genotypes (GII. 2,5,7,9,11,12,14,15,16,18,19,20, and 21) were not found ( Table 2). …”
mentioning
confidence: 94%
“…Secondly, in the last phase, other, novel GII.P17-GII.17 viruses have replaced the previously dominant GII.4 in China since 2014 [ 51 ]. The novel GII.17 is also the predominant genotype in other countries [ 52 , 53 ], while in Japan, a sharp increase in the number of cases caused by this novel virus has been observed during 2014–2015 [ 54 ]. However, in 2015, its genetic diversity, adaptation and fitness were also found in China, especially in high incidence areas.…”
Section: Discussionmentioning
confidence: 99%
“…A newly emerging HuNoV GII.17 isolate, first identified in China, seems to be outcompeting the HuNoV GII.4 in some parts of Asia, resulting in increased outbreaks since the winter season of 2014 to 2015 ( 22 ). Recent studies suggest that this novel variant may be spreading globally, which could lead to the replacement of the pandemic genotype GII.4 by GII.17 ( 22 26 ). Fitting with the hypothesis that fidelity is linked to rapid emergence of norovirus isolates, the GII.17 isolate displays evolutionary rates at least 1 order of magnitude higher than those seen with GII.4 ( 25 ).…”
Section: Introductionmentioning
confidence: 99%