A foodborne norovirus outbreak in a nursing home and spread to staff and their household contacts

On 16 March 2018, a nursing home notified a possible acute gastroenteritis outbreak that affected 11 people. Descriptive and case-control studies and analysis of clinical and environmental samples were carried out to determine the characteristics of the outbreak, its aetiology, the transmission mech...

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Detalles Bibliográficos
Autores: Parrón, Ignacio|||0000-0002-4875-0236, Álvarez, Josep, Jané i Checa, Mireia|||0000-0002-1302-6723, Cornejo-Sánchez, Thais|||0000-0002-1350-0413, Razquin, Efrén, Guix, Susana|||0000-0002-1588-3198, Camps, G., Pérez, Cristina, Domínguez, Ángela|||0000-0003-0219-1907, Sabater-Lleal, Maria|||0000-0002-0128-379X, De Andrés, Anna|||0000-0001-6980-2050, Forns, Maria Lluïsa, Rius i Gibert, Maria Cristina|||0000-0001-5189-6503
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:286275
Acceso en línea:https://ddd.uab.cat/record/286275
https://dx.doi.org/urn:doi:10.1017/S0950268819001146
Access Level:acceso abierto
Palabra clave:Acute gastroenteritis
Household contacts
Norovirus
Nursing home
Outbreaks
Descripción
Sumario:On 16 March 2018, a nursing home notified a possible acute gastroenteritis outbreak that affected 11 people. Descriptive and case-control studies and analysis of clinical and environmental samples were carried out to determine the characteristics of the outbreak, its aetiology, the transmission mechanism and the causal food. The extent of the outbreak in and outside the nursing home was determined and the staff factors influencing propagation were studied by multivariate analysis. A turkey dinner on March 14 was associated with the outbreak (OR 4.22, 95% CI 1.11-16.01). Norovirus genogroups I and II were identified in stool samples. The attack rates in residents, staff and household contacts of staff were 23.49%, 46.22% and 22.87%, respectively. Care assistants and cleaning staff were the staff most frequently affected. Cohabitation with an affected care assistant was the most important factor in the occurrence of cases in the home (adjusted OR 6.37, 95% CI 1.13-36.02). Our results show that staff in close contact with residents and their household contacts had a higher risk of infection during the norovirus outbreak.

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