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Published on: December 4, 2015
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.
Objective:
To report a serious outbreak of respiratory illness in a nursing home, with isolation of parainfluenza type 3 in four cases.
Design:
Viral respiratory cultures from a sample of symptomatic residents, and retrospective chart review.
Setting:
A 50-bed nursing unit/floor in a skilled nursing facility.
Participants:
All residents of the nursing unit.
Measurements:
Respiratory viral cultures and clinical chart review.
Results:
Twenty-five of 49 residents developed new respiratory symptoms between September 2 and September 25, 1999. Ten cases (40%) had a tympanic temperature of 100 degrees F or greater. Eighteen (72%) had a chest X-ray with 11 (44%) new infiltrates. Sixteen (64%) were treated with antibiotics. Three cases were hospitalized and four died (16%) within 1 to 9 days after onset of symptoms. Four of 10 viral cultures yielded parainfluenza type 3.
Conclusions:
Parainfluenza type 3 may cause outbreaks complicated by pneumonia and fatal outcome. Clinicians should consider uniform secretion precautions to contain all viral URIs in nursing homes.
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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