Systematic review and meta-analysis of enteric virus shedding in human excretions.

IF 10.8 1区医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL

EBioMedicine Pub Date : 2025-09-01 Epub Date: 2025-08-05 DOI:10.1016/j.ebiom.2025.105878

Gang Zheng, Elana M G Chan, Alexandria B Boehm

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引用次数: 0

Abstract

Background: Wastewater-based epidemiology can inform the understanding of infectious disease occurrence in communities. Quantitative information on shedding of pathogen biomarkers in excretions that enter wastewater is needed to link measurements of pathogen biomarkers to rates of disease occurrence.

Methods: We compile, summarise, and compare data on shedding of human norovirus, rotavirus, hepatitis A virus, and adenovirus group F in stool, vomit, urine, saliva, mucus, and sputum using a systematic review and meta-analysis approach.

Findings: We provide summaries of measured concentrations of the viruses across excretions where data exist. We provide longitudinal shedding profiles in terms of concentrations and positivity rates. Duration of shedding and day of peak shedding are also provided.

Interpretation: There are limited data available for excretions other than stool, and limited data available for adenovirus group F. The aggregated data provided herein can serve as model inputs to translate wastewater enteric virus biomarker concentrations to disease occurrence rates. The study highlights data gaps and research needs.

Funding: This study was funded by a gift from the Sergey Brin Family Foundation to ABB.

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人类排泄物中肠道病毒脱落的系统回顾和荟萃分析。

背景：基于废水的流行病学可以为了解社区传染病的发生提供信息。为了将病原体生物标志物的测量与疾病发生率联系起来，需要有关进入废水的排泄物中病原体生物标志物脱落的定量信息。方法：采用系统综述和荟萃分析方法，对人类诺如病毒、轮状病毒、甲型肝炎病毒和腺病毒F组在粪便、呕吐物、尿液、唾液、粘液和痰中脱落的数据进行汇编、总结和比较。研究结果：我们提供了在存在数据的情况下通过排泄物测量的病毒浓度的摘要。我们根据浓度和阳性率提供纵向脱落剖面。还提供了脱落的持续时间和高峰脱落的日期。解释：除粪便外的排泄物数据有限，腺病毒组f的数据也有限。本文提供的汇总数据可以作为模型输入，将废水肠道病毒生物标志物浓度转化为疾病发生率。该研究强调了数据差距和研究需求。资金：本研究由谢尔盖·布林家族基金会捐赠给ABB。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

EBioMedicine Biochemistry, Genetics and Molecular Biology-General Biochemistry,Genetics and Molecular Biology

CiteScore

17.70

自引率

0.90%

发文量

579

审稿时长

5 weeks

期刊介绍： eBioMedicine is a comprehensive biomedical research journal that covers a wide range of studies that are relevant to human health. Our focus is on original research that explores the fundamental factors influencing human health and disease, including the discovery of new therapeutic targets and treatments, the identification of biomarkers and diagnostic tools, and the investigation and modification of disease pathways and mechanisms. We welcome studies from any biomedical discipline that contribute to our understanding of disease and aim to improve human health.