To describe the epidemiology of and clinical findings associated with a rhinovirus outbreak that occurred among institutionalized elderly persons..
Retrospective review of medical records and nursing surveillance reports..
A 685-bed, long-term care facility for veterans and their spouses.
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..
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0571519
Code Inist : 002B30A01A2. Création : 01/03/1996.