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  1. Viral meningitis in child care center staff and parents : An outbreak of echovirus 30 infections.

    Article - En anglais

    Objective

    A report of five cases of viral meningitis among adults with children enrolled in a child care center prompted an investigation of risk factors for viral transmission from children to adult household members.

    Methods

    To determine recent echovirus 30 (E30) infections, the authors conducted a sero ogic survey.

    To determine risk factors for infection among adult household members, they conducted a retrospective cohort study using written questionnaires.

    Results

    Recent E30 infections were found in 84% of children tested, 57% of adult household members tested, and 47% of staff members tested.

    Infected adults were more likely than infected children to have clinical meningitis.

    Among adult household members, changing diapers was a risk factor for recent infection.

    Women who changed >= 90 diapers per month had a higher infection rate than women who changed fewer diapers ; in contrast, men who changed >= 90 diapers per month had a lower infection rate than men who changed fewer diapers.

    Handwashing was protective : there was a negative correlation between handwashing after diaper changes and E30 infection among adults with infected children in diapers.

    Conclusions

    Because child care centers can be'a source of enteroviral infections among adult household members, adults with viral meningitis should be questioned about their children's day care or preschool attendance.

    The importance of handwashing should be stressed to adults with children in day care.

    Mots-clés Pascal : Méningite, Echovirus, Enterovirus, Picornaviridae, Virus, Facteur risque, Prévention, Contamination, Adulte, Homme, Enquête, Enfant, Rétrospective, Etude cohorte, Système nerveux pathologie, Système nerveux central pathologie

    Mots-clés Pascal anglais : Meningitis, Echovirus, Enterovirus, Picornaviridae, Virus, Risk factor, Prevention, Contamination, Adult, Human, Survey, Child, Retrospective, Cohort study, Nervous system diseases, Central nervous system disease

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

    Cote : 99-0336442

    Code Inist : 002B05C02A. Création : 16/11/1999.