Title Occurrence of respiratory viruses among outpatients with diarrhea in Beijing, China, 2019-2020.
Author Shen, Lingyu; Yan, Hanqiu; Li, Weihong; Tian, Yi; Lin, Changying; Liu, Baiwei; Wang, Yu; Jia, Lei; Zhang, Daitao; Yang, Peng; Wang, Quanyi; Gao, Zhiyong
Journal Front Microbiol Publication Year/Month 2022
PMID 36713165 PMCID PMC9878210
Affiliation + expend 1.Institute for Infectious Diseases and Endemic Diseases Prevention and Control, Beijing Center for Disease Prevention and Control, Beijing, China.

OBJECTIVES: To investigate respiratory virus infections in diarrhea cases and identify the risk of respiratory virus transmission through feces. METHODS: Fecal specimens were collected from diarrhea cases in enteric disease clinics in Beijing, China, from 2019 to 2020. Cases that tested negative for norovirus, rotavirus, sapovirus, astrovirus, and enteric adenovirus were included in the study. Real-time RT-PCR was used to detect 16 groups of respiratory viruses, and the major viruses were genotyped. Viruses isolation and digestion of clinical specimens and nucleic acid by artificial gastric acid or artificial bile/pancreatic juice were used to evaluate the risk of respiratory virus transmission through feces. RESULTS: A total of 558 specimens were collected and 47 (8.42%) specimens were detected positive, 40 (13.33%, 40/300) in 2019, and 7 (2.71%, 7/258) in 2020, including 20 (3.58%) for human rhinovirus (HRV), 13 (2.32%) for Bocavirus (BoV), 6 (1.08%) for parainfluenza virus I (PIV), 4 (0.72%) for coronavirus (CoV) OC43, 3 (0.54%) for respiratory syncytial virus (RSV) A, and 1 (0.18%) for both BoV and CoV OC43. Syndrome coronavirus 2 (SARS-CoV-2) and other viruses were not detected in this study. Eight genotypes were identified in the 13 HRV specimens. BoVs 1 and 2 were identified in nine BoV specimens. HRV infectious virions were successfully isolated from 2 clinical specimens and clinical specimens of HRV, RSV, PIV, and CoV could not be detected after 4 h of digestion and their nucleic acid could not be detected after 2 h of digestion by artificial gastric acid or artificial bile/pancreatic juice. CONCLUSION: There may be a risk of respiratory virus transmission from diarrhea cases, and interventions against SARS-COV-2 epidemics are also effective for other respiratory viruses.

StrainID RV Species Serotype Length(nt) Country Year Strain Name
ANS10300 A 40 513 China 2011 HRVA/Human-wt/CHN/19051121/2019/HRVA40
ANS10301 A 12 504 China 2013 HRVA/Human-wt/CHN/19121154/2019/HRVA12
ANS10302 A 12 504 China 2012 HRVA/Human-wt/CHN/19121144/2019/HRVA12
ANS10303 A 12 504 China 2012 HRVA/Human-wt/CHN/19121159/2019/HRVA12
ANS10304 A 11 366 China 2012 HRVA/Human-wt/CHN/20051036/2020/HRVA11
ANS10305 A 11 366 China 2014 HRVA/Human-wt/CHN/19051085/2019/HRVA11
BNS02030 B 6 518 China 2012 HRVB/Human-wt/CHN/191211633/2019/HRVB6
BNS02031 B 84 515 China 2012 HRVB/Human-wt/CHN/19121123/2019/HRVB84
BNS02032 B 4 504 China 2013 HRVB/Human-wt/CHN/19121141/2019/HRVB4
BNS02033 B 4 504 China 2013 HRVB/Human-wt/CHN/19051158/2019/HRVB4
BNS02034 B 4 504 China 2013 HRVB/Human-wt/CHN/20121111/2020/HRVB4
BNS02035 B 72 365 China 2013 HRVB/Human-wt/CHN/20051039/2020/HRVB72
CNS07353 C 6 509 China 2012 HRVC/Human-wt/CHN/19121105/2019/HRVC6
CNS07354 C 6 509 China 2011 HRVC/Human-wt/CHN/19121161/2019/HRVC6
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