2020
DOI: 10.1007/s00705-020-04772-7
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Reinforced poliovirus and enterovirus surveillance in Romania, 2015–2016

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Cited by 6 publications
(4 citation statements)
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“…The distribution of EV species in our study ( Figure 4 ) was similar to that observed in many countries of the world in different climatic zones according to the results of AFP surveillance [ 31 , 32 , 34 , 36 , 37 , 38 ], investigation of healthy children [ 38 , 39 , 40 ], surveillance of EVs [ 41 ], and rotavirus surveillance [ 32 ]. After 2010, the proportion of EV-A steadily began to increase among both AFP and EVI isolates ( Figure 4 ).…”
Section: Discussionsupporting
confidence: 85%
“…The distribution of EV species in our study ( Figure 4 ) was similar to that observed in many countries of the world in different climatic zones according to the results of AFP surveillance [ 31 , 32 , 34 , 36 , 37 , 38 ], investigation of healthy children [ 38 , 39 , 40 ], surveillance of EVs [ 41 ], and rotavirus surveillance [ 32 ]. After 2010, the proportion of EV-A steadily began to increase among both AFP and EVI isolates ( Figure 4 ).…”
Section: Discussionsupporting
confidence: 85%
“…Diverse factors such as the differential seasonal fluctuations of types, immunity generation into population, occurrence of large outbreaks of different diseases, or the introduction of new viral variants, among many others, could act as driving forces of this pattern. Unfortunately, most of the environmental studies of EVs which used next-generation sequencing have been conducted during short sampling campaigns as in our case [26][27][28][45][46][47]. Long-term environmental surveillance projects could be useful to elucidate epidemiological patterns for EVs beyond the bounded subset of EVs commonly detected when clinical specimens obtained from AM or AFP cases are studied.…”
Section: Discussionmentioning
confidence: 99%
“…In fact, some studies have demonstrated that the use of HEp-2c cells increased the number of EV C isolates, suggesting that the absence of this cell line in an isolation routine can lead to underestimating EV C isolation [ 20 , 21 , 22 ]. Conversely, the high detection rate of EV B species may be due to the use of RD cells for virus isolation, which are highly sensitive to EV B but less susceptible to EV A and non-polio EV C [ 21 , 22 , 23 ].…”
Section: Discussionmentioning
confidence: 99%