A serious outbreak of parainfluenza type 3 on a nursing unit

J Todd Faulks1, P J Drinka, P Shult

  • 1Wisconsin Veterans Home, King 54946-0620, USA.

Abstract

Insights

A nursing home outbreak of respiratory illness was linked to parainfluenza type 3. This virus caused severe symptoms, pneumonia, and fatalities, highlighting the need for infection control.

Area of Science:

  • Infectious Disease Epidemiology
  • Respiratory Virology
  • Geriatric Medicine

Background:

  • Nursing homes are susceptible to outbreaks of respiratory illness.
  • Identifying causative agents is crucial for effective control measures.

Purpose of the Study:

  • To report a significant respiratory illness outbreak in a nursing home.
  • To identify the specific viral agent responsible for the outbreak.

Main Methods:

  • Conducted viral respiratory cultures on symptomatic residents.
  • Performed a retrospective chart review of affected individuals.
  • Focused on a 50-bed skilled nursing facility unit.

Main Results:

  • 25 out of 49 residents developed respiratory symptoms.
  • Parainfluenza type 3 was isolated in four cases.
  • The outbreak resulted in hospitalizations and four deaths (16% mortality).

Conclusions:

  • Parainfluenza type 3 can cause severe outbreaks in nursing homes, leading to pneumonia and death.
  • Implementing uniform secretion precautions is recommended to control viral upper respiratory infections (URIs) in these settings.

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