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Article: Outbreak of human metapneumovirus infection in psychiatric inpatients: implications for directly observed use of alcohol hand rub in prevention of nosocomial outbreaks

TitleOutbreak of human metapneumovirus infection in psychiatric inpatients: implications for directly observed use of alcohol hand rub in prevention of nosocomial outbreaks
Authors
Issue Date2007
PublisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/jhin
Citation
Journal Of Hospital Infection, 2007, v. 67 n. 4, p. 336-343 How to Cite?
AbstractNosocomial outbreaks of infectious diseases in psychiatric facilities are not uncommon but the implementation of infection control measures is often difficult. Here, we report an outbreak of an acute respiratory illness in a psychiatric ward between 29 July and 20 August 2005 involving 31 patients. Human metapneumovirus was detected in seven (23%) patients by reverse transcription-polymerase chain reaction and nucleotide sequencing. A review of outbreak surveillance records showed that six nosocomial outbreaks occurred in the year 2005, of which four (67%) were confirmed or presumably related to a respiratory viral infection. Directly observed deliveries of alcohol hand rub 4-hourly during daytime to all psychiatric patients was instituted in December 2005. Only one nosocomial respiratory viral outbreak occurred in the following year. The total number of patients and staff involved in nosocomial outbreaks due to presumed or proven respiratory virus infections decreased significantly from 60 to six (P < 0.001), whereas those due to all types of nosocomial outbreaks also decreased from 70 to 24 (P = 0.004). Alcohol hand rub has been shown to have potent bactericidal and virucidal activity against a wide range of nosocomial pathogens. Regular use of directly observed alcohol hand rub may decrease the incidence and scale of nosocomial outbreaks due to enveloped respiratory viruses especially in mentally incapacitated patients. © 2007 The Hospital Infection Society.
Persistent Identifierhttp://hdl.handle.net/10722/79009
ISSN
2015 Impact Factor: 2.655
2015 SCImago Journal Rankings: 1.349
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorCheng, VCCen_HK
dc.contributor.authorWu, AKLen_HK
dc.contributor.authorCheung, CHYen_HK
dc.contributor.authorLau, SKPen_HK
dc.contributor.authorWoo, PCYen_HK
dc.contributor.authorChan, KHen_HK
dc.contributor.authorLi, KSMen_HK
dc.contributor.authorIp, IKSen_HK
dc.contributor.authorDunn, ELWen_HK
dc.contributor.authorLee, RAen_HK
dc.contributor.authorYam, LYCen_HK
dc.contributor.authorYuen, KYen_HK
dc.date.accessioned2010-09-06T07:49:29Z-
dc.date.available2010-09-06T07:49:29Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Hospital Infection, 2007, v. 67 n. 4, p. 336-343en_HK
dc.identifier.issn0195-6701en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79009-
dc.description.abstractNosocomial outbreaks of infectious diseases in psychiatric facilities are not uncommon but the implementation of infection control measures is often difficult. Here, we report an outbreak of an acute respiratory illness in a psychiatric ward between 29 July and 20 August 2005 involving 31 patients. Human metapneumovirus was detected in seven (23%) patients by reverse transcription-polymerase chain reaction and nucleotide sequencing. A review of outbreak surveillance records showed that six nosocomial outbreaks occurred in the year 2005, of which four (67%) were confirmed or presumably related to a respiratory viral infection. Directly observed deliveries of alcohol hand rub 4-hourly during daytime to all psychiatric patients was instituted in December 2005. Only one nosocomial respiratory viral outbreak occurred in the following year. The total number of patients and staff involved in nosocomial outbreaks due to presumed or proven respiratory virus infections decreased significantly from 60 to six (P < 0.001), whereas those due to all types of nosocomial outbreaks also decreased from 70 to 24 (P = 0.004). Alcohol hand rub has been shown to have potent bactericidal and virucidal activity against a wide range of nosocomial pathogens. Regular use of directly observed alcohol hand rub may decrease the incidence and scale of nosocomial outbreaks due to enveloped respiratory viruses especially in mentally incapacitated patients. © 2007 The Hospital Infection Society.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/jhinen_HK
dc.relation.ispartofJournal of Hospital Infectionen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAlcohols - therapeutic useen_HK
dc.subject.meshChina - epidemiologyen_HK
dc.subject.meshCross Infection - epidemiology - prevention & controlen_HK
dc.subject.meshDirectly Observed Therapy - methodsen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHandwashing - methodsen_HK
dc.subject.meshHumansen_HK
dc.subject.meshInfection Control - methodsen_HK
dc.subject.meshInfectious Disease Transmission, Patient-to-Professional - prevention & controlen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMental Disordersen_HK
dc.subject.meshMetapneumovirus - classification - pathogenicityen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshParamyxoviridae Infections - prevention & controlen_HK
dc.subject.meshPsychiatric Department, Hospitalen_HK
dc.subject.meshSentinel Surveillanceen_HK
dc.titleOutbreak of human metapneumovirus infection in psychiatric inpatients: implications for directly observed use of alcohol hand rub in prevention of nosocomial outbreaksen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0195-6701&volume=67&spage=336&epage=343&date=2007&atitle=Outbreak+of+human+metapneumovirus+infection+in+psychiatric+inpatients:+implications+for+directly+observed+use+of+alcohol+hand+rub+in+prevention+of+nosocomial+outbreaksen_HK
dc.identifier.emailLau, SKP:skplau@hkucc.hku.hken_HK
dc.identifier.emailWoo, PCY:pcywoo@hkucc.hku.hken_HK
dc.identifier.emailYuen, KY:kyyuen@hkucc.hku.hken_HK
dc.identifier.authorityLau, SKP=rp00486en_HK
dc.identifier.authorityWoo, PCY=rp00430en_HK
dc.identifier.authorityYuen, KY=rp00366en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jhin.2007.09.010en_HK
dc.identifier.pmid18022285-
dc.identifier.scopuseid_2-s2.0-36448960836en_HK
dc.identifier.hkuros149553en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-36448960836&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume67en_HK
dc.identifier.issue4en_HK
dc.identifier.spage336en_HK
dc.identifier.epage343en_HK
dc.identifier.isiWOS:000251929200006-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridCheng, VCC=23670479400en_HK
dc.identifier.scopusauthoridWu, AKL=7402998681en_HK
dc.identifier.scopusauthoridCheung, CHY=35361304900en_HK
dc.identifier.scopusauthoridLau, SKP=7401596211en_HK
dc.identifier.scopusauthoridWoo, PCY=7201801340en_HK
dc.identifier.scopusauthoridChan, KH=35338760600en_HK
dc.identifier.scopusauthoridLi, KSM=24759122500en_HK
dc.identifier.scopusauthoridIp, IKS=55234456900en_HK
dc.identifier.scopusauthoridDunn, ELW=8610805000en_HK
dc.identifier.scopusauthoridLee, RA=7408203830en_HK
dc.identifier.scopusauthoridYam, LYC=7102764741en_HK
dc.identifier.scopusauthoridYuen, KY=36078079100en_HK

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