An Outbreak of Acute Nonbacterial Gastroenteritis in a Nursing Home

1993 ◽  
Vol 14 (2) ◽  
pp. 87-94 ◽  
Author(s):  
David A. Pegues ◽  
Charles H. Woernle
Keyword(s):  
Nursing Home ◽  
Acute Nonbacterial Gastroenteritis

AN OUTBREAK OF ACUTE NONBACTERIAL GASTROENTERITIS IN A NURSING HOME

1982 ◽  
Vol 116 (6) ◽  
pp. 940-948 ◽  
Author(s):  
JONATHAN E. KAPLAN ◽  
LAWRENCE B. SCHONBERGER ◽  
GRACE VARANO ◽  
NIGEL JACKMAN ◽  
JOSEPH BIED ◽  
...  
Keyword(s):  
Nursing Home ◽  
Acute Nonbacterial Gastroenteritis

An Outbreak of Acute Nonbacterial Gastroenteritis in a Nursing Home

1993 ◽  
Vol 14 (2) ◽  
pp. 87-94 ◽  
Author(s):  
David A. Pegues ◽  
Charles H. Woernle
Keyword(s):  
Nursing Home ◽  
Clustering Analysis ◽  
Attack Rate ◽  
Clinical Symptoms ◽  
Direct Transmission ◽  
Modes Of Transmission ◽  
Temporal Clustering ◽  
Intravenous Rehydration ◽  
Temporal Clustering Analysis ◽  
Acute Nonbacterial Gastroenteritis

AbstractObjective:To determine risk factors for and modes of transmission of an outbreak of acute nonbacterial gastroenteritis among residents and staff in a nursing home.Design:Cohort study of residents and questionnaire survey of employees.Setting:One hundred twenty-bed nursing home in Alabama.Patients:From July 11,1991, through July 25,1991,77 of 120 residents (attack rate = 64%) and at least 14 of 49 employees (minimum attack rate = 29%) developed acute gastroenteritis characterized by vomiting and diarrhea; few residents developed fever > 100°F. Nine residents required intravenous rehydration, and 2 residents died.Results:The risk of developing illness was greater for female residents (64/92 versus 13/28; relative risk [RR] = 1.5; 95% confidence interval [CI95 ]=1.0-2.3) and for employees who reported handling residents' soiled linen, stools, or vomitus more frequently (>5 times a shift versus ≥ 5 times a shift: 7/13 versus 7/31; RR=2.4; CI95 = 1.1-5.4). Direct transmission of infection, probably via person-to-person spread, sustained the outbreak. Temporal clustering analysis demonstrated that the risk of becoming ill 1 or 2 days after a roommate became ill was significantly greater than that of becoming ill at other times during the outbreak (RR= 2.2; CI95 = 1.3-3.8). No Salmonella or Shigella species, ova, or parasites were identified from 12 fecal specimens obtained from ill residents.Conclusions:Although stool and serum specimens were not available for viral studies, the clinical symptoms and incubation period were consistent with illness due to Norwalk-like viral agents. This outbreak emphasizes the severity of acute nonbacterial gastroenteritis among elderly and debilitated residents of nursing homes and the need for prompt use of enteric precautions in controlling outbreaks of gastroenteritis in these facilities.

Erratum: Hearing Levels among Elderly Nursing Home Residents

1980 ◽  
Vol 45 (2) ◽  
Author(s):  
Ronald L. Schow ◽  
Michael A. Nerbonne
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Male And Female

In the February 1980 issue of this journal, the report by Ronald L. Schow and Michael A. Nerbonne ("Hearing Levels Among Elderly Nursing Home Residents") contains an error. On page 128, the labels "Male" and "Female" in Table 2 should be reversed.

Medicare Changes Nursing Home Rules

ASHA Leader ◽  
2009 ◽  
Vol 14 (12) ◽  
pp. 3-3
Author(s):  
Mark Kander
Keyword(s):  
Nursing Home
Sign in / Sign up

Export Citation Format

Share Document