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Epidemiology of human metapneumovirus in a pediatric long-term care facility.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Neu, Natalie Plaskett, Theresa Hutcheon, Gordon Murray, Meghan Southwick, Karen L. Saiman, Lisa
Spatial Coverage	New York City
Description	Country affiliation: United States Author Affiliation: Neu N ( Department of Pediatrics, Columbia University, New York, New York, USA. nn45@columbia.edu)
Abstract	BACKGROUND: Viral respiratory pathogens cause outbreaks in pediatric long-term care facilities (LTCFs), but few studies have used viral diagnostic testing to identify the causative pathogens. We describe the use of such testing during a prolonged period of respiratory illness and elucidate the epidemiology of human metapneumovirus (hMPV) at our LTCF. DESIGN: Retrospective study of influenza-like illness (ILI). SETTING: A 136-bed pediatric LTCF from January 1 through April 30, 2010. METHODS: The ILI case definition included fever, cough, change in oropharyngeal secretions, increase in oxygen requirement, and/or wheezing. RESULTS: During the study period, 69 episodes of ILI occurred in 61 (41%) of 150 residents. A viral pathogen was detected in 27 (39%) of the episodes, including respiratory syncytial virus (RSV) (n = 3), influenza A virus (not typed; n = 2), parainfluenza virus (n =2), adenovirus (n = 1), and hMPV (n = 19). Twenty-seven of the residents with ILI (44%) required transfer to acute care hospitals (mean length of hospitalization, 12 days; range, 3-47 days). Residents with tracheostomies were more likely to have ILI (adjusted odds ratio [OR], 3.99 [95% confidence interval {CI}, 1.87-8.53]; P = .0004). The mortality rate for residents with ILI was 1.6%. Residents with hMPV were younger (P = .03), more likely to be transferred to an acute care facility (OR, 3.73 [95% CI, 1.17-11.95]; P = .02), and less likely to have a tracheostomy (adjusted OR, 0.19 [95% CI, 0.047-0.757]; P = .02 ). DISCUSSION: Diverse pathogens, most notably hMPV, caused ILI in our pediatric LTCF during a prolonged period of time. Viral testing was helpful in characterizing the epidemiology of ILI in this population.
File Format	HTM / HTML
ISSN	0899823X
Issue Number	6
Volume Number	33
e-ISSN	15596834
Journal	Infection Control & Hospital Epidemiology
Language	English
Publisher	Cambridge University Press
Publisher Date	2012-06-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Communicable Diseases Discipline Epidemiology Cross Infection Epidemiology Disease Outbreaks Metapneumovirus Isolation & Purification Paramyxoviridae Infections Residential Facilities Adenoviridae Infections Diagnosis Prevention & Control Adolescent Child Child, Preschool Statistics & Numerical Data Female Humans Infant Infection Control Influenza A Virus Influenza, Human Male New York City Patient Transfer Respiratory Syncytial Virus Infections Retrospective Studies Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Epidemiology Microbiology (medical)

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