[Molecular phylogeny and genetic variability of echovirus 30 based on the analysis of the 3' end of the VP1 gene]. / Phylogénie moléculaire et variabilité génétique des échovirus 30 basées sur l'analyse de la région 3' terminale du gène VP1.

Echovirus 30 represent one of the most frequently isolated enterovirus serotype, incriminated in various pathologies, essentially aseptic meningitis. Several works studied the molecular epidemiology of these viruses. By analysing a region of 260 nucleotides situated in the end of the VP1 gene (region regrouping the majority of the sequences of the Echovirus 30), we proposed to realise a synthesis work which regroup the main epidemiological studies on the Echovirus 30. We established a phylogenetic profile of 87 Echovirus strains geographically distinct and isolated during a half a century (1957-2003). The phylogentic tree permitted to distinguish 2 genogroups which the nucleotide divergence exceeds 20%. The 2 genogroups also present internal subdivisions named genotypes which the nucleotide divergence is more than 15%. Finally, we noted phylogenetic regroupings within a same genotype. The general profile of the phylogenetic tree is characterised by a distribution of the Echovirus 30 strains in the time independently of their geographically isolation, which reveals a genetic evolution of these viruses related to their high genetic plasticity and the rapid circulation from a geographic area to another.

Viral meningitis in child care center staff and parents: an outbreak of echovirus 30 infections.

OBJECTIVE: A report of five cases of viral meningitis among adults with children enrolled in a child care center prompted an investigation of risk factors for viral transmission from children to adult household members. METHODS: To determine recent echovirus 30 (E30) infections, the authors conducted a serologic survey. To determine risk factors for infection among adult household members, they conducted a retrospective cohort study using written questionnaires. RESULTS: Recent E30 infections were found in 84% of children tested, 57% of adult household members tested, and 47% of staff members tested. Infected adults were more likely than infected children to have clinical meningitis. Among adult household members, changing diapers was a risk factor for recent infection. Women who changed > or = 90 diapers per month had a higher infection rate than women who changed fewer diapers; in contrast, men who changed > or = 90 diapers per month had a lower infection rate than men who changed fewer diapers. Handwashing was protective: there was a negative correlation between handwashing after diaper changes and E30 infection among adults with infected children in diapers. CONCLUSIONS: Because child care centers can be a source of enteroviral infections among adult household members, adults with viral meningitis should be questioned about their children's day care or preschool attendance. The importance of handwashing should be stressed to adults with children in day care.