Non-Polio Enteroviruses from Acute Flaccid Paralysis Surveillance in Shandong Province, China, 1988–2013

Acute flaccid paralysis Echovirus Coxsackievirus
DOI: 10.1038/srep06167 Publication Date: 2014-08-22T09:04:25Z
ABSTRACT
Enteroviruses (EVs) are important human pathogens associated with various clinical syndromes. This study represents an overview of non-polio enteroviruses (NPEVs) isolated from acute flaccid paralysis (AFP) surveillance in Shandong Province, China 1988 to 2013. Altogether 792 and 170 NPEV isolates were stool specimens 9263 AFP cases 1059 contacts, respectively. Complete VP1 sequencing typing on all 962 revealed 53 types which echovirus (E) 6 (7.6%), E14 E11 (7.4%), coxsackievirus (CV) B3 E25 (5.6%), CVB5 (4.9%), E7 (4.5%) EV-A71 (4.4%) the eight most commonly reported serotypes. Distinct summer–fall seasonality was observed, June–October accounting for 79.3% isolation known month specimen collection. Increase CVA—the predominant hand, foot mouth disease—was observed recent years. Sequence analysis coding region E6 suggested strains had great genetic divergence other countries. The results described this provide valuable information circulation emergence different EV context limited China.
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