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Titolo:
A RHINOVIRUS OUTBREAK AMONG RESIDENTS OF A LONG-TERM-CARE FACILITY
Autore:
WALD TG; SHULT P; KRAUSE P; MILLER BA; DRINKA P; GRAVENSTEIN S;
Indirizzi:
UNIV WISCONSIN,SCH MED,INST AGING,1300 UNIV AVE,ROOM 2245 MSC MADISONWI 53706 UNIV WISCONSIN,SCH MED,INST AGING MADISON WI 53706 WILLIAM S MIDDLETON MEM VET ADM MED CTR MADISON WI 00000 UNIV WISCONSIN,WISCONSIN STATE LAB HYG MADISON WI 53706 WISCONSIN VET HOME KING WI 54946
Titolo Testata:
Annals of internal medicine
fascicolo: 8, volume: 123, anno: 1995,
pagine: 588 - 593
SICI:
0003-4819(1995)123:8<588:AROARO>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
ILLNESS; INFECTIONS; PRECIPITANTS; VIRUSES; ASTHMA;
Keywords:
RHINOVIRUS; NURSING HOMES; RESPIRATORY TRACT INFECTIONS; DISEASE OUTBREAKS; LUNG DISEASES, OBSTRUCTIVE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
T.G. Wald et al., "A RHINOVIRUS OUTBREAK AMONG RESIDENTS OF A LONG-TERM-CARE FACILITY", Annals of internal medicine, 123(8), 1995, pp. 588-593

Abstract

Objective: To describe the epidemiology of and clinical findings associated with a rhinovirus outbreak that occurred among institutionalized elderly persons. Design: Retrospective review of medical records andnursing surveillance reports. Setting: A 685-bed, long-term care facility for veterans and their spouses. Patients: 33 persons from whom rhinovirus was cultured. Measurements: Throat and nasopharyngeal virus culture; review of medical records to determine under-lying diseases, signs and symptoms of respiratory illness, illness duration, and interventions during illness; and review of nursing surveillance reports to determine room locations of ill persons. Results: Between 14 August and 2 September 1993, the number of respiratory illnesses increased. Throat and nasopharyngeal virus cultures were taken from 67 ill residents; 33 cultures yielded rhinovirus, and no other respiratory virus was isolated. Geographic clustering of persons infected with rhinovirus wasobserved. Of those persons with rhinovirus infections, 100% had upperrespiratory symptoms, 34% had gastrointestinal symptoms, 71% had systemic symptoms, 66% had lower respiratory symptoms (including productive cough), and 52% had new abnormalities on lung auscultation. The 17 persons with rhinovirus infection who had chronic obstructive pulmonarydisease had more severe illnesses: Five (29%) required glucocorticoidor bronchodilator therapy for illness-associated bronchospasm; 2 required transfer out of the facility; 1 developed a radiographically documented infiltrate; and 1 died of respiratory failure. Conclusions: Rhinovirus may cause epidemic, clinically important respiratory illness in nursing home residents. A large proportion of residents may become ill, and infection may be severe in persons with underlying lung disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/10/20 alle ore 12:16:50