Multi-organ donor transmission of hepatitis C virus to five solid organ transplant recipients and lack of transmission to corneal transplant recipients.

Background: A multi-organ donor seronegative for hepatitis C virus (HCV) by 1st generation enzyme immunoassay (EIA) supplied 5 solid organs and 2 corneas to 7 recipients. This donor was retrospectively shown to be 2nd generation HCV EIA-positive and polymerase chain reaction (PCR)-positive. All 5 solid organ recipients but none of the corneal recipients developed HCV infection.

Norwalk-like Viruses Associated With A Gastroenteritis Outbreak Following Oyster Consumption.

In late October 1991, an outbreak of gastroenteritis, following the consumption of raw oysters involving more than 200 people, was reported in five locations in Quebec, Canada. Bacteriological analysis of the oysters involved indicated low levels of fecal coliforms, but direct electron microscopy of stool samples obtained from two people involved in the outbreak revealed that both contained 27-34 nm, small, round Norwalk-like viruses. Immunoelectron microscopy, using acute sera obtained from these individuals and convalescent serum from another person related to the outbreak, revealed antibody coatings on these Norwalk-like viruses with all three sera.

Prevalence of hepatitis B surface antigen, hepatitis C antibody, and HIV-1 antibody among residents of a long-term-care facility.

Objective: To determine the prevalence of hepatitis B antigen (HBsAg), antibody to hepatitis C virus (anti-HCV), and antibody to human immunodeficiency virus (anti-HIV) among residents of a long-term care facility.

Design: Anonymous unlinked serosurvey.

Setting: Accredited university-affiliated long-term-care facility in Toronto with 300 chronic-care hospital patients, 350 nursing home residents, and 200 residents of a senior citizens' apartment complex.

Detection of Norwalk-like virus and specific antibody by immune-electron microscopy with colloidal gold immune complexes.

Direct electron-microscopy (DEM), immune electron microscopy (IEM) and four different procedures of immune electron microscopy with colloidal gold immune complexes were evaluated for the detection of Norwalk-like virus and specific antibody. A solid-phase immune electron microscopy with colloidal gold immune complexes-triple layer method (SPIEMGIC-TLM) is developed for screening patients' specimens for the detection of Norwalk-like virus and its specific antibody. The method demonstrates low non-specific background labelling and is simple, sensitive and easy to perform.