Document Detail

Use of alcohol-based hand sanitizers as a risk factor for norovirus outbreaks in long-term care facilities in northern New England: December 2006 to March 2007.
MedLine Citation:
PMID:  21411187     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: During December 2006 to March 2007, a substantial increase in norovirus illnesses was noted in northern New England. We sought to identify institutional risk factors for norovirus outbreaks in northern New England long-term care facilities (LTCFs).
METHODS: State health departments in Maine, New Hampshire, and Vermont distributed surveys to infection preventionists at all LTCFs in their respective states. We collected information regarding facility attributes, routine staff use of alcohol-based hand sanitizer (ABHS) versus soap and water, facility cleaning practices, and occurrence of any acute gastroenteritis outbreaks during December 2006 to March 2007. Norovirus confirmation was conducted in public health laboratories. Data were analyzed with univariate and logistic regression methods.
RESULTS: Of 160 facilities, 91 (60%) provided survey responses, with 61 facilities reporting 73 outbreaks; 29 were confirmed norovirus. Facilities reporting that staff were equally or more likely to use ABHS than soap and water for routine hand hygiene had higher odds of an outbreak than facilities with staff less likely to use ABHS (adjusted odds ratio, 6.06; 95% confidence interval: 1.44-33.99).
CONCLUSION: This study suggests that preferential use of ABHS over soap and water for routine hand hygiene might be associated with increased risk of norovirus outbreaks in LTCFs.
David D Blaney; Elizabeth R Daly; Kathryn B Kirkland; Jon Eric Tongren; Patsy Tassler Kelso; Elizabeth A Talbot
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Publication Detail:
Type:  Journal Article     Date:  2011-03-16
Journal Detail:
Title:  American journal of infection control     Volume:  39     ISSN:  1527-3296     ISO Abbreviation:  Am J Infect Control     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-02     Completed Date:  2011-08-09     Revised Date:  2012-04-05    
Medline Journal Info:
Nlm Unique ID:  8004854     Medline TA:  Am J Infect Control     Country:  United States    
Other Details:
Languages:  eng     Pagination:  296-301     Citation Subset:  IM    
Copyright Information:
Published by Mosby, Inc.
Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
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MeSH Terms
Alcohols / administration & dosage*
Caliciviridae Infections / epidemiology*,  virology
Cross Infection / epidemiology*,  virology
Disease Outbreaks*
Disinfectants / administration & dosage*
Handwashing / methods*
Health Facilities
Infection Control / methods
Long-Term Care
New England / epidemiology
Norovirus / isolation & purification*
Risk Factors
Reg. No./Substance:
0/Alcohols; 0/Disinfectants
Comment In:
Am J Infect Control. 2012 Mar;40(2):191; author reply 192   [PMID:  21831479 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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