Epidemiology of human metapneumovirus in a pediatric long-term care facility

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Natalie NeuLisa Saiman

Abstract

Viral respiratory pathogens cause outbreaks in pediatric long-term care facilities (LTCFs), but few studies have used viral diagnostic testing to identify the causative pathogens. We describe the use of such testing during a prolonged period of respiratory illness and elucidate the epidemiology of human metapneumovirus (hMPV) at our LTCF. Retrospective study of influenza-like illness (ILI). A 136-bed pediatric LTCF from January 1 through April 30, 2010. The ILI case definition included fever, cough, change in oropharyngeal secretions, increase in oxygen requirement, and/or wheezing. During the study period, 69 episodes of ILI occurred in 61 (41%) of 150 residents. A viral pathogen was detected in 27 (39%) of the episodes, including respiratory syncytial virus (RSV) (n = 3), influenza A virus (not typed; n = 2), parainfluenza virus (n =2), adenovirus (n = 1), and hMPV (n = 19). Twenty-seven of the residents with ILI (44%) required transfer to acute care hospitals (mean length of hospitalization, 12 days; range, 3-47 days). Residents with tracheostomies were more likely to have ILI (adjusted odds ratio [OR], 3.99 [95% confidence interval {CI}, 1.87-8.53]; P = .0004). The mortality rate for residents with ILI was 1.6%. Residents w...Continue Reading

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Citations

Dec 3, 2014·American Journal of Infection Control·Meghan T MurrayLisa Saiman
Dec 2, 2015·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Borghild LøylandElaine Larson
Apr 8, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Meghan T MurrayNatalie Neu
May 3, 2015·American Journal of Infection Control·Meghan T MurrayElaine L Larson
Jun 13, 2014·Current Opinion in Infectious Diseases·Lindsay E Nicolle
Nov 6, 2018·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Sibyl WilmontElaine L Larson
Jan 10, 2017·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Steven Schaeffer SpiresThomas R Talbot

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