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  1. A rhinovirus outbreak among residents of a long-term care facility.

    Article - En anglais

    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 and nursing surveillance reports..

    Setting 

    A 685-bed, long-term care facility for veterans and their spouses.

    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 was observed.

    Of those persons with rhinovirus infections, 100% had upper respiratory 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 pulmonary disease had more severe illnesses :

    • Five (29%) required glucocorticoid or 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.

    Mots-clés Pascal : Rhinovirus, Etats Unis, Maison repos, Epidémiologie, Homme, Interne(étudiant), Picornaviridae, Virus, Amérique du Nord, Amérique, Virose, Infection, ORL pathologie

    Mots-clés Pascal anglais : Rhinovirus, United States, Convalescent home, Epidemiology, Human, Resident, Picornaviridae, Virus, North America, America, Viral disease, Infection, ENT disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0571519

    Code Inist : 002B30A01A2. Création : 01/03/1996.