Two Outbreaks of Severe Respiratory Disease in Nursing Homes Associated with Rhinovirus
Identifieur interne : 004125 ( Main/Exploration ); précédent : 004124; suivant : 004126Two Outbreaks of Severe Respiratory Disease in Nursing Homes Associated with Rhinovirus
Auteurs : Lauri A. Hicks [États-Unis] ; Colin W. Shepard [États-Unis] ; Phyllis H. Britz [États-Unis] ; Dean D. Erdman [États-Unis] ; Marc Fischer [États-Unis] ; Brendan L. Flannery [États-Unis] ; Angela J. Peck [États-Unis] ; Xiaoyan Lu [États-Unis] ; W. Lanier Thacker [États-Unis] ; Robert F. Benson [États-Unis] ; Maria L. Tondella [États-Unis] ; Mària E. Moll [États-Unis] ; Cynthia G. Whitney [États-Unis] ; Larry J. Anderson [États-Unis] ; Daniel R. Feikin [États-Unis]Source :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2006-02.
English descriptors
- Teeft :
- Acute serum samples, Adequate quality, Amies media, Arch intern, Asymptomatic, Asymptomatic controls, Bacterial pneumonia, Berks county, Chest radiograph, Chest radiographs, Chlamydia pneumoniae, Chronic lung disease, Clin, Clin microbiol, Clinical features, Contact isolation, Control hosp epidemiol, Control measures, Convalescent blood specimens, Data collection instrument, Disease control, Elderly people, Elderly persons, Facility, Human metapneumovirus, Infection, Jags february, Laboratory investigations, Lanier thacker, Manuscript preparation, Many residents, Marc fischer, Medical history, Medical records, Monroe county, National center, Nursing home, Nursing home residents, Nursing homes, Other pathogens, Outbreak, Outbreak period, Pathogen, Pennsylvania department, Picornavirus, Pneumonia, Pneumoniae, Prospective cohort study, Radiograph, Radiographically pneumonia, Relative risk, Resident, Respiratory illness, Respiratory outbreaks, Respiratory specimens, Respiratory symptoms, Respiratory syncytial virus, Respiratory tract infection, Respiratory tract infections, Rhinovirus, Rhinovirus infection, Rhinovirus outbreaks, Risk factors, Serological tests, Skilled nursing wing, Specific immunoglobulin, Sputum cultures, Swab, Symptomatic facility, Syncytial, Tract infection, Underrecognized cause, York state nursing homes.
Abstract
Objectives: To characterize illness and identify the etiology for two nursing home outbreaks of respiratory illness. Design: Multisite outbreak investigations; cohort. Setting: Two nursing homes in Pennsylvania. Participants: Facility A residents (n=170), Facility B residents (n=124), and employees (n=91). Measurements: Medical records for Facility A and B residents were reviewed, and employees from Facility B self‐administered a questionnaire to identify risk factors for illness. Serological, oropharyngeal, and nasopharyngeal specimens were collected for both outbreaks, and testing for respiratory pathogens was performed. Results: In Facility A, 40 (24%) of 170 residents were identified with respiratory illness; 13 (33%) case‐patients had radiographically confirmed pneumonia, 15 (38%) were taken to a hospital, and two (5%) died. Of 10 specimens collected from symptomatic Facility A case‐patients, four (40%) tested positive using reverse transcription polymerase chain reaction for rhinovirus. In Facility B, 77 (62%) of 124 residents had respiratory illness, and 40 (52%) had radiographically confirmed pneumonia; 12 (16%) case‐patients were hospitalized, and five (6%) died. Of 19 respiratory specimens collected from symptomatic Facility B case‐patients, six (32%) were positive for rhinovirus; one was from an employee. Five (50%) of 10 rhinovirus‐positive cases in both outbreaks had clinical and radiographic evidence of pneumonia. Conclusion: These investigations suggest that rhinoviruses may be an underrecognized cause of respiratory outbreaks in nursing homes, capable of causing pneumonia and perhaps death.
Url:
DOI: 10.1111/j.1532-5415.2005.00529.x
Affiliations:
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Hicks</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Shepard, Colin W" sort="Shepard, Colin W" uniqKey="Shepard C" first="Colin W." last="Shepard">Colin W. Shepard</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Britz, Phyllis H" sort="Britz, Phyllis H" uniqKey="Britz P" first="Phyllis H." last="Britz">Phyllis H. Britz</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Erdman, Dean D" sort="Erdman, Dean D" uniqKey="Erdman D" first="Dean D." last="Erdman">Dean D. Erdman</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Fischer, Marc" sort="Fischer, Marc" uniqKey="Fischer M" first="Marc" last="Fischer">Marc Fischer</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Flannery, Brendan L" sort="Flannery, Brendan L" uniqKey="Flannery B" first="Brendan L." last="Flannery">Brendan L. Flannery</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Peck, Angela J" sort="Peck, Angela J" uniqKey="Peck A" first="Angela J." last="Peck">Angela J. Peck</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Lu, Xiaoyan" sort="Lu, Xiaoyan" uniqKey="Lu X" first="Xiaoyan" last="Lu">Xiaoyan Lu</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Thacker, W Lanier" sort="Thacker, W Lanier" uniqKey="Thacker W" first="W. Lanier" last="Thacker">W. Lanier Thacker</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Benson, Robert F" sort="Benson, Robert F" uniqKey="Benson R" first="Robert F." last="Benson">Robert F. Benson</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Tondella, Maria L" sort="Tondella, Maria L" uniqKey="Tondella M" first="Maria L." last="Tondella">Maria L. Tondella</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Moll, Maria E" sort="Moll, Maria E" uniqKey="Moll M" first="Mària E." last="Moll">Mària E. Moll</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Whitney, Cynthia G" sort="Whitney, Cynthia G" uniqKey="Whitney C" first="Cynthia G." last="Whitney">Cynthia G. Whitney</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Anderson, Larry J" sort="Anderson, Larry J" uniqKey="Anderson L" first="Larry J." last="Anderson">Larry J. Anderson</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author><author><name sortKey="Feikin, Daniel R" sort="Feikin, Daniel R" uniqKey="Feikin D" first="Daniel R." last="Feikin">Daniel R. Feikin</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the*Respiratory Diseases Branch, †Viral Respiratory Diseases Branch, and ‡Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, and §Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia∥Pennsylvania Department of Health, Harrisburg</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="alt">JOURNAL OF AMERICAN GERIATRICS SOCIETY</title><idno type="ISSN">0002-8614</idno><idno type="eISSN">1532-5415</idno><imprint><biblScope unit="vol">54</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="284">284</biblScope><biblScope unit="page" to="289">289</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2006-02">2006-02</date></imprint><idno type="ISSN">0002-8614</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-8614</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Acute serum samples</term><term>Adequate quality</term><term>Amies media</term><term>Arch intern</term><term>Asymptomatic</term><term>Asymptomatic controls</term><term>Bacterial pneumonia</term><term>Berks county</term><term>Chest radiograph</term><term>Chest radiographs</term><term>Chlamydia pneumoniae</term><term>Chronic lung disease</term><term>Clin</term><term>Clin microbiol</term><term>Clinical features</term><term>Contact isolation</term><term>Control hosp epidemiol</term><term>Control measures</term><term>Convalescent blood specimens</term><term>Data collection instrument</term><term>Disease control</term><term>Elderly people</term><term>Elderly persons</term><term>Facility</term><term>Human metapneumovirus</term><term>Infection</term><term>Jags february</term><term>Laboratory investigations</term><term>Lanier thacker</term><term>Manuscript preparation</term><term>Many residents</term><term>Marc fischer</term><term>Medical history</term><term>Medical records</term><term>Monroe county</term><term>National center</term><term>Nursing home</term><term>Nursing home residents</term><term>Nursing homes</term><term>Other pathogens</term><term>Outbreak</term><term>Outbreak period</term><term>Pathogen</term><term>Pennsylvania department</term><term>Picornavirus</term><term>Pneumonia</term><term>Pneumoniae</term><term>Prospective cohort study</term><term>Radiograph</term><term>Radiographically pneumonia</term><term>Relative risk</term><term>Resident</term><term>Respiratory illness</term><term>Respiratory outbreaks</term><term>Respiratory specimens</term><term>Respiratory symptoms</term><term>Respiratory syncytial virus</term><term>Respiratory tract infection</term><term>Respiratory tract infections</term><term>Rhinovirus</term><term>Rhinovirus infection</term><term>Rhinovirus outbreaks</term><term>Risk factors</term><term>Serological tests</term><term>Skilled nursing wing</term><term>Specific immunoglobulin</term><term>Sputum cultures</term><term>Swab</term><term>Symptomatic facility</term><term>Syncytial</term><term>Tract infection</term><term>Underrecognized cause</term><term>York state nursing homes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives: To characterize illness and identify the etiology for two nursing home outbreaks of respiratory illness. Design: Multisite outbreak investigations; cohort. Setting: Two nursing homes in Pennsylvania. Participants: Facility A residents (n=170), Facility B residents (n=124), and employees (n=91). Measurements: Medical records for Facility A and B residents were reviewed, and employees from Facility B self‐administered a questionnaire to identify risk factors for illness. Serological, oropharyngeal, and nasopharyngeal specimens were collected for both outbreaks, and testing for respiratory pathogens was performed. Results: In Facility A, 40 (24%) of 170 residents were identified with respiratory illness; 13 (33%) case‐patients had radiographically confirmed pneumonia, 15 (38%) were taken to a hospital, and two (5%) died. Of 10 specimens collected from symptomatic Facility A case‐patients, four (40%) tested positive using reverse transcription polymerase chain reaction for rhinovirus. In Facility B, 77 (62%) of 124 residents had respiratory illness, and 40 (52%) had radiographically confirmed pneumonia; 12 (16%) case‐patients were hospitalized, and five (6%) died. Of 19 respiratory specimens collected from symptomatic Facility B case‐patients, six (32%) were positive for rhinovirus; one was from an employee. Five (50%) of 10 rhinovirus‐positive cases in both outbreaks had clinical and radiographic evidence of pneumonia. Conclusion: These investigations suggest that rhinoviruses may be an underrecognized cause of respiratory outbreaks in nursing homes, capable of causing pneumonia and perhaps death.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Hicks, Lauri A" sort="Hicks, Lauri A" uniqKey="Hicks L" first="Lauri A." last="Hicks">Lauri A. Hicks</name></region><name sortKey="Anderson, Larry J" sort="Anderson, Larry J" uniqKey="Anderson L" first="Larry J." last="Anderson">Larry J. Anderson</name><name sortKey="Benson, Robert F" sort="Benson, Robert F" uniqKey="Benson R" first="Robert F." last="Benson">Robert F. Benson</name><name sortKey="Britz, Phyllis H" sort="Britz, Phyllis H" uniqKey="Britz P" first="Phyllis H." last="Britz">Phyllis H. Britz</name><name sortKey="Erdman, Dean D" sort="Erdman, Dean D" uniqKey="Erdman D" first="Dean D." last="Erdman">Dean D. Erdman</name><name sortKey="Feikin, Daniel R" sort="Feikin, Daniel R" uniqKey="Feikin D" first="Daniel R." last="Feikin">Daniel R. Feikin</name><name sortKey="Fischer, Marc" sort="Fischer, Marc" uniqKey="Fischer M" first="Marc" last="Fischer">Marc Fischer</name><name sortKey="Flannery, Brendan L" sort="Flannery, Brendan L" uniqKey="Flannery B" first="Brendan L." last="Flannery">Brendan L. Flannery</name><name sortKey="Lu, Xiaoyan" sort="Lu, Xiaoyan" uniqKey="Lu X" first="Xiaoyan" last="Lu">Xiaoyan Lu</name><name sortKey="Moll, Maria E" sort="Moll, Maria E" uniqKey="Moll M" first="Mària E." last="Moll">Mària E. Moll</name><name sortKey="Peck, Angela J" sort="Peck, Angela J" uniqKey="Peck A" first="Angela J." last="Peck">Angela J. Peck</name><name sortKey="Shepard, Colin W" sort="Shepard, Colin W" uniqKey="Shepard C" first="Colin W." last="Shepard">Colin W. Shepard</name><name sortKey="Thacker, W Lanier" sort="Thacker, W Lanier" uniqKey="Thacker W" first="W. Lanier" last="Thacker">W. Lanier Thacker</name><name sortKey="Tondella, Maria L" sort="Tondella, Maria L" uniqKey="Tondella M" first="Maria L." last="Tondella">Maria L. Tondella</name><name sortKey="Whitney, Cynthia G" sort="Whitney, Cynthia G" uniqKey="Whitney C" first="Cynthia G." last="Whitney">Cynthia G. Whitney</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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