title: Enterovirus infections in hospitals of Ile de France region over 2013.
abstract: BACKGROUND
  The monitoring and genotyping of Enterovirus (EV) infections can help to associate particular or severe clinical manifestations with specific EV types and to identify the aetiology of infectious outbreaks.
  
  
  OBJECTIVE
  To describe the epidemiological features of EV infections diagnosed during the year 2013 in the Greater Paris area (Ile de France).
  
  
  METHODS
  During 2013, 2497 samples taken from 470 patients in 33 hospitals of Ile-de France were tested for EV genome by RT-PCR. EV genotyping was performed by the National Reference Centre (NRC) laboratories. EV infections were retrospectively reviewed by retrieving clinical and genotyping data from the NRC database.
  
  
  RESULTS
  Of the 2497 samples, 490 (19.6%) was positive for EV genome detection. These EV infections represented 88.7% and 24.1%, respectively, of all reported regional and national infections. Twenty-seven different genotypes were identified. Echovirus 30 (E-30) accounted for 54.1% of all characterized strains and caused a large outbreak. Four severe neonatal infections were reported, of which two were caused by EV-A71. Respiratory infections involving EV-D68 were observed in two adults. One fatal case of Coxsackievirus A2-associated myocarditis was reported.
  
  
  CONCLUSIONS
  Monitoring EV infections in combination with EV genotyping via the French EV network characterized the epidemiology of EV infections in the Ile de France region in 2013 and documented severe EV infections associated with EV-A71 or CV-A2.
authors.affiliation: Université Paris Descartes et Assistance Publique-Hôpitaux de Paris, Hôpital Cochin, Service de Virologie, Paris, France. Electronic address: lucie.molet@aphp.fr.
authors.forename: Lucie
authors.initials: L
authors.lastname: Molet
authors.affiliation: Assistance Publique-Hôpitaux de Paris, Hôpital Trousseau, Service de Virologie, Paris, France.
authors.forename: Kenda
authors.initials: K
authors.lastname: Saloum
authors.affiliation: CH de Versailles, Service de Biologie, Unité de Microbiologie, Le Chesnay, France.
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Marque-Juillet
authors.affiliation: Assistance Publique-Hôpitaux de Paris, Hôpital Trousseau, Service de Virologie, Paris, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Garbarg-Chenon
authors.affiliation: CHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des Entérovirus-Parechovirus- Laboratoire associé, Clermont-Ferrand, France; Université d'Auvergne, EA4843 « Epidémiologie et Pathogénie des Infections à Entérovirus », Faculté de Médecine, Clermont-Ferrand, France.
authors.forename: Cécile
authors.initials: C
authors.lastname: Henquell
authors.affiliation: Hospices Civils de Lyon, Laboratoire de Virologie, Centre National de Référence des Entérovirus-Parechovirus, Lyon, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Schuffenecker
authors.affiliation: CHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des Entérovirus-Parechovirus- Laboratoire associé, Clermont-Ferrand, France; Université d'Auvergne, EA4843 « Epidémiologie et Pathogénie des Infections à Entérovirus », Faculté de Médecine, Clermont-Ferrand, France.
authors.forename: Hélène
authors.initials: H
authors.lastname: Peigue-Lafeuille
authors.affiliation: Université Paris Descartes et Assistance Publique-Hôpitaux de Paris, Hôpital Cochin, Service de Virologie, Paris, France.
authors.forename: Flore
authors.initials: F
authors.lastname: Rozenberg
authors.affiliation: CHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des Entérovirus-Parechovirus- Laboratoire associé, Clermont-Ferrand, France; Université d'Auvergne, EA4843 « Epidémiologie et Pathogénie des Infections à Entérovirus », Faculté de Médecine, Clermont-Ferrand, France.
authors.forename: Audrey
authors.initials: A
authors.lastname: Mirand
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004770:Enterovirus / Q000145:classification* / Q000235:genetics / Q000302:isolation & purification*; D004769:Enterovirus Infections / Q000453:epidemiology*; D005260:Female; D005838:Genotype; D006761:Hospitals; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D010297:Paris / Q000453:epidemiology; D012189:Retrospective Studies; D020133:Reverse Transcriptase Polymerase Chain Reaction; D055815:Young Adult
keywords: Coxsackievirus A2; Echovirus 30; Enterovirus; Enterovirus surveillance