Review Article

Agricultural Detection of Norovirus and Hepatitis A Using Fecal Indicators: A Systematic Review

Table 3

Types of pathogen/indicator analyzed by studya.

PathogenIndicator (n)bKappa coefficientc (95% CI)

NorovirusdAdenovirus (16)0.09 (−0.05, 0.23)
E. coli (14)0.04 (−0.05, 0.49)
F. coliphage (2)0.07 (−0.07, 0.21)
Legionella (4)0.19 (−0.24, 0.52)
Total coliforms (4)0.03 (−0.01, 0.02)
JC Polyomavirus (6)0.39 (0.04, 0.74)

Hepatitis AAdenovirus (3)−0.03 (−0.06, 0.01)
E. coli (3)0.49 (0.28, 0.70)
Fecal coliforms (1)0 (0,0)
Total coliforms (2)0.47 (0.47, 0.47)

aExcludes León-Félix et. al and López-Gálvez et. al studies. bNumber of analyses that included both the pathogen and indicator of interest. cKappa coefficients were calculated and then weighted by sample size for the summary estimate. dAll genotypes of norovirus were grouped for this analysis.