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Vol. 5. Núm. 25.
Páginas 169-173 (Julio - Agosto 1991)
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Vol. 5. Núm. 25.
Páginas 169-173 (Julio - Agosto 1991)
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Brote de toxiinfeccion alimentaria de probable etiologia virica por virus Norwalk
Foodborne Outbreak of Probable Viral Etiology by Norwalk Virus
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Alberto Arnedo Peña, Francisco González Morán*, Juan Bellido Blasco, José V. Marti Canos, Lourdes Safont Adsuara, Consuelo Calvo Mas
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En mayo de 1989 se produjo un brote de toxiinfección alimentaria (TIA) en el colegio público de Adzaneta, Castellón. Se realizó un estudio para describirlo, averiguar sus causas y adoptar las medidas de control adecuadas. Afectó a 16 niños y 2 profesores (tasa de ataque: 28,57 %). Se cumplieron los criterios clínicos y epidemiológicos para considerar al virus Norwalk como agente responsable. Probablemente su origen estuvo en un manipulador enfermo. En heces de éste y de un caso se visualizaron (ME) estructuras redondas de tamaño similar al virus Norwalk. En España el número de brotes de TIA sin agente causal conocido ha aumentado en los últimos años. Quizá este microorganismo sea responsable de una parte de estos brotes en los que, por diversos motivos, no se llega a identificar su agente causal.

Palabras clave:
Virus Norwalk
toxiinfección alimentaria
gastroenteritis manipulador de alimentos
manipulador de alimentos
Summary

In May 1989, a foodborne outbreak of acute gastroenteritis was Identified in a state school in Adzaneta, Castellón. A dtudy was undertaken to describe it, investigate its causes, and recommend adequate control measures. Sixteen children and 2 teachers were affected (attack rate: 28.57 %). Kaplan and cols clinical and epidemiological criteria for Norwalk-like virus as the responsable agent were present. The probable origin of the outbreak was a foodhandler who was already ill beforehand. The examination of stools of the foodhandler and a patient showed small round structures similar to the Norwalk virus. In Spain, the number of foodborne outbreaks without known causal agent has steadily increased in recent years. It may be that this microorganism is responsible for some of these outbreaks in which, for several reasons, the causal agent cannot be Identified.

Key words:
Norwalk virus
foodborne outbreak
gastroenteritis
foodhandler
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Biblografía
[1.]
Ministerio de Sanidad y Consumo. Boletín Epidemiológico semanal número 1280, 1989.
[2.]
J.L. Kelsey, W.D. Thompson, A.S. Evans.
Methods in Observational Epidemiology.
pp. 10-11
[3.]
W. Holland, R. Detels, G. Knox.
Oxford Text Book of Public Health.
pp. 101-112
[4.]
Dean AG, Dean Ja, Burton AH and Dicker RL. Epi Info version 5:a word processing, database and statistics program for epidemiology. Atlanta, GA, EE.UU. Centers for Diseases Control, 1990.
[5.]
J.E. Kaplan, R. Feldman, D.S. Campbell, C. Lookabaugh, G.W. Gary.
The frequency of a Nowralk-Like pattern of illness in outbreaks of acute gastroenteritis.
An J Public Health, 72 (1982), pp. 1329-1332
[6.]
J.E. Kaplan, G.W. Gary, R.C. Baron, et al.
Epidemiology of Norwalk gastroenteritis and the role of Norwalk virus m outbreaks of acute nonbacterial gastroenteritis.
Ann Int Med, 96 (1982), pp. 756-761
[7.]
M.L. Fleissner, J.E. Herrmann, J.W. Booth, N.R. Blacklow, N.A. Noeak.
Role of Norwalk virus in two foodborne outbreaks of gastroenteritis: definitive virus association.
Am J Epidemiol, 129 (1989), pp. 165-172
[8.]
A.Z. Kapikian, R.G. Wyatt, R. Dolin, T.S. Yhornhill, A.R. Kalica, R.M. Chanok.
Visualization by Inmune electron-microscopy of a 27 nm particle associated with acute non bacterial gastroenteritis.
J Virol, 10 (1972), pp. 1075-1081
[9.]
A.Z. Kapikian, H.B. Greenberg, R.G. Wyatt, A.R. Kalica, R. Chanok.
Yhe Norwalk Group of Viruses-Agents associated with Epidemic Viral Gastroenteritis.
Virus Infection of the Gastrointestinal Tract,
[10.]
Benenson A (ed.). Control of Communicable Diseases in Man. 14 ed Washington American Public Health Association. 1985
[11.]
H.B. Greenberg, R. Wyatt, A.Z. Kapikian.
Norwalk Virus in Vomitus.
Lancet, 1 (1979), pp. 55
[12.]
K.D. Kappus, J.S. Marks, R.C. Holman, et al.
An Outbreak of Norwalk Gastroenteritis Associated with Swimming in a Pool and Secondary Person-to-person Transmission.
Am J Epidemiol, 116 (1982), pp. 843-1839
[13.]
D.L. Morse, J.J. Guzewich, J.P. Hanrahan, et al.
Widespread outbreaks of Clam-and-Oister-Associated Gastroenteritis.
N Engl J Med, 314 (1986), pp. 678-1671
[14.]
M.R. Griffin, J.J. Surowiek, D.I. McCloskey, et al.
Food-borne Norwalk Virus.
Am J Epidemiol, 115 (1982), pp. 178-184
[15.]
E.M. Heun, R.L. Vogt, P.J. Hudson, S. Parren, W. Gary.
Risk Factors for Secondary Transmission in Households after a Commonsource Outbreak of Norwalk Gastroenteritis.
Am J Epidemiol, 126 (1987), pp. 1181-1186
[16.]
T.P. Gross, J.G. Conde, W. Gary, D. Hartmg, D. Goeller, E. Israel.
An Outoreak of Acute Infectious Nonbacterial Gastroenteritis in a Hig School in Maryland.
Pub Health Rep, 104 (1989), pp. 164-169
[17.]
J.V.S. Pether, E.O. Caul.
An Outbreak ol Food-borne Gartroenteritis in Two Hospitals Associated with a Norwalk-like Viruses.
J Hyg Camb, 91 (1983), pp. 343-350
[18.]
W.D. Cubitt.
Norwalk and Small Round-structured viruses.
Enteric Infection,
[19.]
J.N. Kuritsky, M.T. Osterholm, H.B. Greenberg, et al.
Norwalk Gastroenteritis: A Community Outbreak Associated with Bakery Consumption.
Ann Int Med, 100 (1984), pp. 519-521
[20.]
K.E. White, M.T. Osterholm, J.A. Mariotti, et al.
A Food-borne Outbreak ol Norwalk Virus Gastroenteritis.
Am J Epidemiol, 124 (1986), pp. 120-126
[21.]
A.M. Iversen, M. Gill, C.L.R. Barlett, W.D. Cubitt, D.A. McSwiggan.
Two Outbreaks ol Foodbome Gastroenteritis Caused by a Small Round Structured Virus: Evidence of Prolonged Inactivity in a Food Handler.
Lancet, I (1987), pp. 556-558
[22.]
L. Seklal, W. Stackiw, S. Dzogan, D. Sargeant.
Food-borne Gastroenteritis Due to Norwalk Virus in a Winnipeg Hotal.
CMJA, 140 (1989), pp. 1461-1464
[23.]
J.A. Reid, D.G. White, E.O. Caul, S.R. Palmer.
Role of infected food handler in hotel outbreak of Norwalk-Like viral gastroenteritis: implications for control.
The Lancet, II (1988), pp. 321-322
[24.]
A. Dascal, N.R. Blacklow.
Viral Diarrhea.
Infectious Diarrnea,
[25.]
N. Bean, P. Griffin, J.S. Goulding, C.B. Ivey.
Foodborne Disease Outbreaks, 5 Years Summary, 1983-1987.
MMWR, 39 (1990), pp. 15-57
[26.]
J.N. Kuritsky, M.T. Osterholm, J.A. Korlal, K.E. White, J.E. Kaplan.
A Statewide Assessment of the Role of Norwalk Virus in Outbreaks of Food-Borne Gastroenteritis.
J Inf Dis, 151 (1985), pp. 568
[27.]
R. Dolin, J.J. Treanor, H.P. Madore.
Novel Agents of Virals Enteritis in Humans.
J Inf Dis, 155 (1987), pp. 365-376
[28.]
S. Arcidiacono, J.I. Brand.
Mass Sociogenic Ilness in a Day-Care Center, Florida.
MMWR, 39 (1990), pp. 301-304
[29.]
C.W. Lebaron, N.P. Furutan, J.F. Lew, et al.
Viral Agents of Gastroenteritis.
MMWR, 39 (1990), pp. 1-24
Copyright © 1991. Sociedad Española de Salud Pública y Administración Sanitaria
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