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Prevention of Nosocomial Transmission of Respiratory Syncytial Virus in a Newborn Nursery

Published online by Cambridge University Press:  21 June 2016

David R. Snydman
Affiliation:
Departments of Medicine. Pediatrics, Pathology, and Epidemiology, New England Medical Center
Cynthia Greer
Affiliation:
Department of Pediatrics. Children?, Hospital Medical Center
H. Cody Meissner
Affiliation:
Tuft\University School of Medicine
Kenneth Mcintosh
Affiliation:
Harvard Medical School, Boston, Massachusetts

Abstract

During three winter seasons prior to 1984-1985 the special care nursery at New England Medical Center experienced respiratory syncytial virus (RSV) epidemics that required closure of the unit. Prior to and during the 1984-1985 winter season, several measures were taken to prevent recurrent nosocomial RSV transmission. In the winters of 1984-1985 and 1985-1986 there were 26 introductions of community-acquired RSV with no transmission of nosocomial cases during 1,688 patient days at risk as compared with 1983-1984 when there were seven cases of nosocomial RSV following six introductions of RSV during 875 patient days at risk (rate = 8 per 1,000 patient days) (P = 0.0016). The institution of many infection control measures including active surveillance, cohorting infected patients, a strict winter visiting policy, and gowning, gloving, and applying mask on contact, was associated with the successful prevention of nosocomial transmission of RSV in this nursery setting.

Type
Origional Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1988

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References

1. Meissner, HC, Murray, SA, Kiernan, MA, et al: A simultaneous outbreak of respiratory syncytial virus and parainfluenza virus type 3 in a newborn nursery. J Pediatr 1984; 104: 680684.CrossRefGoogle Scholar
2. Hall, CB, Douglas, RG, Geiman, JM, et al: Nosocomial respiratory syncytial virus infections. N Engl J Med 1975; 293: 13431346.CrossRefGoogle ScholarPubMed
3. Hall, CB, Kopelman, AE, Douglas, RG Jr, et al: Neonatal respiratory syncytial virus infection. N Engl J Med 1979; 307:397400.Google Scholar
4. Valenti, WM, Clarke, TA: Concurrent outbreaks of rhinovirus us and respiratory syncytial virus in an intensive care nursery: Epidemiology and associated risk factors. J Pediatr 1982; 100:722726.10.1016/S0022-3476(82)80571-4CrossRefGoogle Scholar
5. Mathur, U, Bentley, DW, Hall, CB: Concurrent respiratory syncytial virus and influenza A infections in the institutionalized elderly and chronically ill. Ann Intern Med 1980; 93:4952.CrossRefGoogle ScholarPubMed
6. Valenti, WM, Menegus, MA: Nosocomial viral infections: IV. Guidelines for cohort isolation, the communicable disease survey, collection and transport of specimens for virus isolation, and considerations for the future. Infect Control 1981; 2:236245.CrossRefGoogle ScholarPubMed
7. Valenti, WM, Betts, RF. Hall, CB, et al: Nosocomial viral infections: II. Guidelines for prevention and control of respiratory viruses, herpes viruses, and hepatitis viruses. Infect Control 1980; 1:6578.CrossRefGoogle Scholar
8. Hall, CB: The nosocomial spread of respiratory syncytial viral infections. Ann Rev Med 1983; 34:311319.CrossRefGoogle ScholarPubMed
9. McIntosh, K, Pierik, LT: Immunofluorescence in viral diagnosis, in Coonrod, JD (ed): The Direct Detection of Microorganisms in Clinical Samples. New York, Academic Press, 1983, pp 5781.CrossRefGoogle Scholar
10. McIntosh, K, Chanock, RM: Respiratory syncytial virus, in Fields, BN (ed): Virology. New York, Raven Press. 1985, pp 12851304.Google Scholar
11. Hall, CB, McBride, JT, Walsh, EE. et al: Ribavirin treatment of infants with respiratory syncytial viral infections: A randomized double blind study. N Engl J Med 1983; 308:14431447.CrossRefGoogle ScholarPubMed
12. Gala, CL, Hall, CB, Schnabel, MA, et al: The use of eye-nose goggles to control nosocomial respiratory syncytial virus infection. JAMA 1986; 256:27062708.CrossRefGoogle ScholarPubMed
13. Agah, R, Cherry, J, Garakian, A, et al: A study of the respiratory syncytial virus (RSV) infection rate in personnel caring for children with RSV infections in which the routine isolation procedure was compared with the routine procedure supplemented by the use of goggles. Presented at the Twenty-fifth Interscience Conference on Antimicrobial Agents and Chemotherapy, Minneapolis, MN, 09 1985.Google Scholar
14. LeClair, JM, Freeman, J, Sullivan, BF, et al: Prevention of nosocomial respiratory syncytial virus infections through compliance with glove and gown isolation precautions. N Engl J Med 1987; 317:329334.CrossRefGoogle ScholarPubMed