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Article
Incubation Periods of Viral Gastroenteritis: a Systematic Review
BMC Infectious Diseases (2013)
  • Rachel M. Lee
  • Justin Lessler
  • Rose A. Lee
  • Kara E. Rudolph
  • Nicholas G. Reich, University of Massachusetts - Amherst
  • Trish M. Perl
  • Derek A. T. Cummings
Abstract
Background: Accurate knowledge of incubation period is important to investigate and to control infectious diseases and their transmission, however statements of incubation period in the literature are often uncited, inconsistent, and/or not evidence based. Methods: In a systematic review of the literature on five enteric viruses of public health importance, we found 256 articles with incubation period estimates, including 33 with data for pooled analysis. Results: We fit a log-normal distribution to pooled data and found the median incubation period to be 4.5 days (95% CI 3.9-5.2 days) for astrovirus, 1.2 days (95% CI 1.1-1.2 days) for norovirus genogroups I and II, 1.7 days (95% CI 1.5-1.8 days) for sapovirus, and 2.0 days (95% CI 1.4-2.4 days) for rotavirus. Conclusions: Our estimates combine published data and provide sufficient quantitative detail to allow for these estimates to be used in a wide range of clinical and modeling applications. This can translate into improved prevention and control efforts in settings with transmission or the risk of transmission.
Keywords
  • incubation period,
  • norovirus,
  • rotavirus,
  • caliciviruses,
  • astrovirus,
  • systematic review
Disciplines
Publication Date
2013
Publisher Statement

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Citation Information
Rachel M. Lee, Justin Lessler, Rose A. Lee, Kara E. Rudolph, et al.. "Incubation Periods of Viral Gastroenteritis: a Systematic Review" BMC Infectious Diseases Vol. 13 Iss. 446 (2013)
Available at: http://works.bepress.com/nicholas_reich/9/