An outbreak of acute GII.17 norovirus gastroenteritis in a long-term care facility in China: The role of nursing assistants
More than 30 residents and nursing assistants in a geriatric nursing hospital developed acute gastroenteritis from December 7th to December 18th, 2014 in Shanghai, China. An immediate epidemiological investigation was conducted to identify the etiological agent of the outbreak, mode of transmission...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-11-01
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| Series: | Journal of Infection and Public Health |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1876034117300424 |
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doaj-c8d6f1b78fa8494392bb18598586703b |
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Article |
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DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Chang Cui Lifeng Pan Yuanping Wang Caoyi Xue Weiping Zhu Linying Zhu Chuchu Ye Xianghua Lu Haihong Song Yifei Fu Qiao Sun |
| spellingShingle |
Chang Cui Lifeng Pan Yuanping Wang Caoyi Xue Weiping Zhu Linying Zhu Chuchu Ye Xianghua Lu Haihong Song Yifei Fu Qiao Sun An outbreak of acute GII.17 norovirus gastroenteritis in a long-term care facility in China: The role of nursing assistants Journal of Infection and Public Health |
| author_facet |
Chang Cui Lifeng Pan Yuanping Wang Caoyi Xue Weiping Zhu Linying Zhu Chuchu Ye Xianghua Lu Haihong Song Yifei Fu Qiao Sun |
| author_sort |
Chang Cui |
| title |
An outbreak of acute GII.17 norovirus gastroenteritis in a long-term care facility in China: The role of nursing assistants |
| title_short |
An outbreak of acute GII.17 norovirus gastroenteritis in a long-term care facility in China: The role of nursing assistants |
| title_full |
An outbreak of acute GII.17 norovirus gastroenteritis in a long-term care facility in China: The role of nursing assistants |
| title_fullStr |
An outbreak of acute GII.17 norovirus gastroenteritis in a long-term care facility in China: The role of nursing assistants |
| title_full_unstemmed |
An outbreak of acute GII.17 norovirus gastroenteritis in a long-term care facility in China: The role of nursing assistants |
| title_sort |
outbreak of acute gii.17 norovirus gastroenteritis in a long-term care facility in china: the role of nursing assistants |
| publisher |
Elsevier |
| series |
Journal of Infection and Public Health |
| issn |
1876-0341 |
| publishDate |
2017-11-01 |
| description |
More than 30 residents and nursing assistants in a geriatric nursing hospital developed acute gastroenteritis from December 7th to December 18th, 2014 in Shanghai, China. An immediate epidemiological investigation was conducted to identify the etiological agent of the outbreak, mode of transmission and the risk factors. Cases were investigated according to an epidemiological questionnaire. Samples from cases, highly transmissible environmental surfaces and drinking water were collected for pathogens detection. A retrospective cohort study was conducted to explore the transmission mode. A total of 34 cases were affected in this acute gastroenteritis outbreak, including 23 residents, 9 nursing assistants and 2 doctors. 13 out of 30 samples were positive for GII.17 norovirus, no other pathogen was detected. Nursing assistants who developed gastroenteritis symptoms had a higher attack rate in residents they cared than those who did not develop any gastroenteritis symptoms (p < 0.001). The acute gastroenteritis outbreak was caused by GII.17 norovirus. Person-to-person close contact and contaminated environmental surfaces were the probable transmission route. Nursing assistants were considered to play an important role in the secondary spread of norovirus. The poor medical skill and personal hygiene habits of nursing assistants in China should be paid attention and improved urgently which is critically important to prevent hospital infections. Keywords: Norovirus, Gastroenteritis outbreak, Nursing assistants, Long term care facility, China |
| url |
http://www.sciencedirect.com/science/article/pii/S1876034117300424 |
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doaj-c8d6f1b78fa8494392bb18598586703b2020-11-25T00:55:53ZengElsevierJournal of Infection and Public Health1876-03412017-11-01106725729An outbreak of acute GII.17 norovirus gastroenteritis in a long-term care facility in China: The role of nursing assistantsChang Cui0Lifeng Pan1Yuanping Wang2Caoyi Xue3Weiping Zhu4Linying Zhu5Chuchu Ye6Xianghua Lu7Haihong Song8Yifei Fu9Qiao Sun10Shanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive Medicine, 3039 Zhangyang Road, Shanghai 200136, China; Department of Infectious Disease, Pudong New Area Center for Disease Control and Prevention, Shanghai, ChinaShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive Medicine, 3039 Zhangyang Road, Shanghai 200136, ChinaShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive Medicine, 3039 Zhangyang Road, Shanghai 200136, China; Department of Infectious Disease, Pudong New Area Center for Disease Control and Prevention, Shanghai, ChinaShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive Medicine, 3039 Zhangyang Road, Shanghai 200136, China; Department of Infectious Disease, Pudong New Area Center for Disease Control and Prevention, Shanghai, ChinaShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive Medicine, 3039 Zhangyang Road, Shanghai 200136, China; Department of Infectious Disease, Pudong New Area Center for Disease Control and Prevention, Shanghai, ChinaShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive Medicine, 3039 Zhangyang Road, Shanghai 200136, ChinaShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive Medicine, 3039 Zhangyang Road, Shanghai 200136, China; Department of Infectious Disease, Pudong New Area Center for Disease Control and Prevention, Shanghai, ChinaShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive Medicine, 3039 Zhangyang Road, Shanghai 200136, China; Department of Infectious Disease, Pudong New Area Center for Disease Control and Prevention, Shanghai, ChinaShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive Medicine, 3039 Zhangyang Road, Shanghai 200136, ChinaShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive Medicine, 3039 Zhangyang Road, Shanghai 200136, China; Corresponding author. Fax: +86 21 68506890.Shanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive Medicine, 3039 Zhangyang Road, Shanghai 200136, China; Corresponding author. Fax: +86 21 50352884.More than 30 residents and nursing assistants in a geriatric nursing hospital developed acute gastroenteritis from December 7th to December 18th, 2014 in Shanghai, China. An immediate epidemiological investigation was conducted to identify the etiological agent of the outbreak, mode of transmission and the risk factors. Cases were investigated according to an epidemiological questionnaire. Samples from cases, highly transmissible environmental surfaces and drinking water were collected for pathogens detection. A retrospective cohort study was conducted to explore the transmission mode. A total of 34 cases were affected in this acute gastroenteritis outbreak, including 23 residents, 9 nursing assistants and 2 doctors. 13 out of 30 samples were positive for GII.17 norovirus, no other pathogen was detected. Nursing assistants who developed gastroenteritis symptoms had a higher attack rate in residents they cared than those who did not develop any gastroenteritis symptoms (p < 0.001). The acute gastroenteritis outbreak was caused by GII.17 norovirus. Person-to-person close contact and contaminated environmental surfaces were the probable transmission route. Nursing assistants were considered to play an important role in the secondary spread of norovirus. The poor medical skill and personal hygiene habits of nursing assistants in China should be paid attention and improved urgently which is critically important to prevent hospital infections. Keywords: Norovirus, Gastroenteritis outbreak, Nursing assistants, Long term care facility, Chinahttp://www.sciencedirect.com/science/article/pii/S1876034117300424 |