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Swab Sampling Method for the Detection of Human Norovirus on Surfaces
Published on: February 6, 2017
An outbreak of norovirus infection in a long-term-care unit in Spain
Gemma Navarro1, Rosa M Sala, Ferran Segura
1Unitat d'Epidemiologia I Avaluacio, Corporacio Parc Tauli, Parc Tauli s/n, 08208 Sabadell, Barcelona, Spain. gnavarro@cspt.es
Background:
Norovirus belongs to the Caliciviridae family and causes outbreaks of infectious enteritis by fecal-oral transmission. In Spain, there have been few outbreaks reported due to this virus. We describe an outbreak on a long-term-care hospital ward.
Methods:
Cases were classified as probable, confirmed, and secondary. Stool cultures were performed. Polymerase chain reaction detection of norovirus was also performed.
Results:
The outbreak occurred from December 7 to 28, 2001, involving 60 cases (32 patients, 19 staff members, 8 patients' relatives, and 1 relative of a staff member). Most (82%) of the cases were female. The most frequently involved ages were 20 to 39 years for staff members and 70 to 89 years for patients. The incubation period of secondary cases in patients' families had a median of 48 hours (range, 1 to 7 days). Clinical symptoms included diarrhea (85%), vomiting (75%), fever (37%), nausea (23%), and abdominal pain (12%). Median duration of the disease was 48 hours (range, 1 to 7 days). All cases resolved and the outbreak halted with additional hygienic measures. Stool cultures were all negative for enteropathogenic bacteria and rotaviruses. In 16 of 23 cases, the norovirus genotype 2 antigen was detected.
Conclusion:
This outbreak of gastroenteritis due to norovirus genotype 2 affected patients, staff members, and their relatives in a long-term-care facility and was controlled in 21 days.
Insights
A norovirus genotype 2 outbreak in a Spanish long-term-care facility infected 60 individuals, including patients and staff. Enhanced hygiene measures controlled the infectious gastroenteritis outbreak within 21 days.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Epidemiology
Background:
- Norovirus, a Caliciviridae family member, causes infectious enteritis via fecal-oral transmission.
- Outbreaks are infrequently reported in Spain.
- This report details a norovirus outbreak in a long-term-care hospital ward.
Purpose of the Study:
- To describe a norovirus outbreak in a long-term-care facility.
- To identify the affected population and transmission dynamics.
- To report on control measures and outcomes.
Main Methods:
- Cases were classified as probable, confirmed, and secondary.
- Stool samples were collected for analysis.
- Polymerase chain reaction (PCR) was used for norovirus detection.
Main Results:
- The outbreak involved 60 cases (patients, staff, relatives) from December 7-28, 2001.
- Most cases (82%) were female; age distributions varied between staff and patients.
- Norovirus genotype 2 antigen was detected in 16 of 23 tested cases; symptoms included diarrhea and vomiting.
Conclusions:
- Norovirus genotype 2 caused gastroenteritis in patients, staff, and relatives.
- The outbreak was successfully controlled within 21 days using enhanced hygiene measures.
- This highlights the vulnerability of long-term-care facilities to norovirus outbreaks.
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