PMID: 9552183Apr 29, 1998Paper

A viral gastroenteritis outbreak associated with person-to-person spread among hospital staff

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
V M CáceresJ J Gibson

Abstract

To identify the etiologic agent and risk factors associated with a hospital ward outbreak of gastroenteritis. A regional referral hospital in upstate South Carolina. We reviewed patient charts, surveyed staff, and tested stool from acutely ill persons. A case was defined as diarrhea and vomiting in a staff member or patient from January 5 to 13, 1996. The initial case occurred on January 5 in a staff nurse who subsequently was hospitalized on the ward and visited by many staff colleagues. The staff were at a significantly greater risk for gastroenteritis than were patients (28/89 [31%] vs 10/91 [11%]; relative risk [RR], 2.9; 95% confidence interval [CI95], 1.5-5.5). All 10 case-patients had been exposed to case-nurses (assigned nurses who were primary caretakers), and eight had documented exposure to case-nurses 1 to 2 days before their illness. Patients exposed to case-nurses had a significantly increased risk of illness (8/57 [14%] vs 0/32; RR, >4.5; CI95, undefined). Neither staff nor patients had significantly increased risk from food, water, ice, or exposure to case-patients. Electron microscopy identified small round-structured viruses (SRSVs) in nine of nine stool samples. This nosocomial outbreak of gastroenteritis was...Continue Reading

Citations

Feb 22, 2002·Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology·B A LopmanM Koopmans
Nov 9, 2002·Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology·H J O'NeillF Mitchell
Jul 31, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·H GötzJ Giesecke
Oct 13, 2006·Current Opinion in Infectious Diseases·C L Richards, W R Jarvis
Sep 8, 2005·Journal of Clinical Gastroenterology·Allen C ChengNathan M Thielman
Sep 6, 2003·Applied and Environmental Microbiology·Sandhya U ParshionikarRichard Harris
Sep 29, 2007·Emergency Medicine Journal : EMJ·Jennifer VardyNeil Dignon
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Vincent C C ChengK Y Yuen

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