Surveillance for outbreaks of gastroenteritis in elderly long-term care facilities in France, November 2010 to May 2012

Abstract

reported through the surveillance system for gastroenteritis outbreaks in LTCF. A total of 1,072 outbreaks were reported, causing 26,551 episodes of illness and 60 deaths. The median attack rate (AR) among residents was 32%. Norovirus and person-to-person transmission were the most frequently reported aetiology and mode of transmission. Control measures were implemented in 1,054 (98%) outbreaks and for 928 outbreaks, the timing of such measures could be inferred. Of these, 799 (86%) had put control measures into effect within three days of the occurrence of the first case. Outbreaks of gastroenteritis in LTCF cause substantial morbidity and mortality among elderly people in France. LTCF are encouraged to develop infection prevention and control plans and to notify any gastroenteritis outbreak to health authorities to ensure rapid control.

Gastroenteritis and respiratory infection outbreaks in French nursing homes from 2007 to 2018: Morbidity and all-cause lethality according to the individual characteristics of residents

“…The infection rates observed here were similar to those found in previous studies of NoV and Influenza outbreaks (odds of being infected during a Flu+ outbreak were around 40% less than during a NoV+ outbreak). Reported infection rates were close to 30.0% in influenza outbreaks and 40.0% in NoV outbreaks [18][19][20].…”

A systematic review on the causes of the transmission and control measures of outbreaks in long-term care facilities: Back to basics of infection control

“…Characteristics of the outbreaks are presented in Tables 2-4. Fifteen studies reported outbreaks caused by bacteria [15-17, 20, 22, 24, 27, 32-39] and 22 studies were outbreaks by viruses [14,18,19,21,23,25,26,[28][29][30][31][40][41][42][43][44][45][46][47][48][49][50]. The largest number of a single pathogen was influenza viruses [40][41][42][43][44][45], followed by group A streptococcus (GAS) [17,20,24,37,38].…”

“…The largest number of a single pathogen was influenza viruses [40][41][42][43][44][45], followed by group A streptococcus (GAS) [17,20,24,37,38]. The most affected site was respiratory tract (n = 12) [32, 35, 36, 39-45, 48, 50], followed by gastrointestinal (GI) tract (n = 10) [14,16,23,26,27,31,33,46,47,49]. Other sites including skin and soft tissue and eyes were affected.…”

Impact of hand hygiene on the infectious risk in nursing home residents: A systematic review

“…Among the 46 remaining studies, 33 investigated multifaceted interventions which covered other aspects of infection control besides HH, 39,43,46,50,52,53,56,59,61,63,65 whereas 13 described interventions based on HH only. 10,45,[47][48][49]51,54,55,57,58,60,62,64 The interventions on HH were diverse and included educational programs for the staff and the residents (in 57% of the 46 studies describing interventions), 10,14,20,21,23,27,29,39,43,45,47,48,50,51,53,55-65 implementation of new guidelines (28% of studies), [10][11][12][13]15,17,19,20,22,26,…”