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Comparison between quantitative real-time reverse transcription PCR results for norovirus in oysters and self-reported gastroenteric illness in restaurant customers

Lookup NU author(s): Kristof Gizynski

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Abstract

Norovirus is the principal agent of bivalve shellfish-associated gastroenteric illness worldwide. Numerous studies using PCR have demonstrated norovirus contamination in a significant proportion of both oyster and other bivalve shellfish production areas and ready-to-eat products. By comparison. the number of epidemiologically confirmed shellfish-associated outbreaks is relatively low. This study attempts to compare norovirus RNA detection in Pacific oysters (Crassostrea gigas) by quantitative real-time reverse transcription PCR (RT-PCR) and human health risk. Self-reported customer complaints of illness in a restaurant setting (screened for credible norovirus symptoms) were compared with presence and levels of norovirus as determined by realtime RT-PCR for the batch of oysters consumed. No illness was reported for batches consistently negative for norovirus by realtime RT-PCR. However, norovirus was detected in some batches for which no illness was reported. Overall presence or absence of norovirus showed a significant association with illness complaints. In addition. the batch with the highest norovirus RNA levels also resulted in the highest rate of reported illness, suggesting a linkage between virus RNA levels and health risks. This study suggests that detection of high levels of norovirus RNA in oysters is indicative of a significantly elevated health risk. However, illness may not necessarily be reported after detection of norovirus RNA at low levels. Copyright ©, International Association for Food Protection.


Publication metadata

Author(s): Lowther J, Avant J, Gizynski K, Rangdale R, Lees D

Publication type: Article

Publication status: Published

Journal: Journal of Food Protection

Year: 2010

Volume: 73

Issue: 2

Pages: 305-311

Print publication date: 01/02/2010

ISSN (print): 0362-028X

ISSN (electronic):

Publisher: International Association for Food Protection


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