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A Norovirus Gastroenteritis Epidemic in a Long-Term–Care Facility

Published online by Cambridge University Press:  21 June 2016

Elizabeth Cooper  and
Stephen Blarney
Elizabeth Cooper*
Affiliation:
Southern Health, Monash Medical Centre, Clayton, Victoria, Australia
Stephen Blarney
Affiliation:
Southern Health, Monash Medical Centre, Clayton, Victoria, Australia
*
Infection Control Coordinator, Southern Health, Monash Medical Centre, 246 Clayton Rd., Clayton 3168, Victoria, Australia[email protected]
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Abstract

Background:

In Victoria, Australia, from July to December 2002, 126 outbreaks of viral and suspected viral gastroenteritis were reported in healthcare institutions. Norovirus was found to account for at least 77 of the 126 outbreaks.

Methods:

In October 2002, the infection control unit investigated an outbreak of acute gastroenteritis on three wards in a 500-bed, long-term-care facility in Melbourne, Victoria, Australia. Cohorting and other infection control measures were initiated.

Results:

The outbreak was controlled 32 days after the first symptoms of acute gastroenteritis were identified. Fifty-two patients and 11 staf f members were affected. Norovirus genotype 2 was detected on two of the three wards. Norovirus was not isolated in the third ward but was suspected to be the causative organism.

Conclusions:

Outbreaks of viral gastroenteritis can cause significant morbidity in a long-term-care facility, affecting both patients and staff. In addition, the transmission of viral pathogens can be well established before there is recognition of an outbreak.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 26 , Issue 3 , March 2005 , pp. 256 - 258
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2005

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References

1. Anonymous. CDC Norovirus activity: United States, 2002. MMWR 2003;52:41–45.Google Scholar
2.Department of Human Services. Viral gastroenteritis in health and aged care facilities. Victorian Infectious Diseases Bulletin 2003;6:10.Google Scholar
3.Roche, P, Marshall, J, Spencer, J. Norwalk-like virus: issues for surveillance. Commun Dis Intell 2002;26:552–554.Google Scholar
4.Lopman, B, Adak, G, Reacher, M, Brown, D. Two epidemiologic patterns of Norovirus outbreaks: surveillance in England and Wales, 1992-2000. Emerg Infect Dis 2003;9:71–77.Google Scholar
5.Bartlett, C. An overview of emerging foodborne and waterborne diseases. East Mediterr Health J 1996;2:51–60.Google Scholar
6.Cowden, J. Winter vomiting: infections due to Norwalk-like viruses are underestimated. BMJ 2002;324:249–250.CrossRefGoogle Scholar
7.Miller, M, Carter, L, Scott, K, Millard, G, Lynch, B, Guest, C. Norwalk-like virus outbreak in Canberra: implications for infection control in aged care facilities. Commun Dis Intell 2002;26:555–561.Google Scholar
8.Marshall, J, Hellard, M, Sinclair, M, et al.Incidence and characteristics of endemic Norwalk-like virus-associated gastroenteritis. J Med Virol 2003;69:568–578.Google Scholar
9.Department of Human Services. Controlling an Outbreak of Gastroenteritis: Guidance for Institutions. Melbourne, Victoria, Australia: Department of Human Services; 2004. Available at www.health.vic.gov.au/ideas/downloads/attach3.pdf. Accessed February 2005.Google Scholar