Incubation periods of viral gastroenteritis: A systematic review

Rachel M. Lee, Justin Lessler, Rose A. Lee, Kara E. Rudolph, Nicholas G. Reich, Trish M. Perl, Derek A.T. Cummings

Research output: Contribution to journalArticle

74 Scopus citations

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.

Original languageEnglish (US)
Article number446
JournalBMC Infectious Diseases
Volume13
Issue number1
DOIs
StatePublished - Sep 25 2013

Keywords

  • Astrovirus
  • Caliciviruses
  • Incubation period
  • Norovirus
  • Rotavirus
  • Systematic review

ASJC Scopus subject areas

  • Infectious Diseases

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    Lee, R. M., Lessler, J., Lee, R. A., Rudolph, K. E., Reich, N. G., Perl, T. M., & Cummings, D. A. T. (2013). Incubation periods of viral gastroenteritis: A systematic review. BMC Infectious Diseases, 13(1), [446]. https://doi.org/10.1186/1471-2334-13-446