Conservative management of an echovirus 11 outbreak in a neonatal unit

Two babies in a neonatal unit presented on the same day with meningitis due to echovirus 11, which was thought to have been introduced by staff. At this time echovirus 11 was also isolated from the stools of eight other babies; five of them did not have signs of infection. No intervention was made e...

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Veröffentlicht in:The Lancet (British edition) 1989-03, Vol.1 (8637), p.543-545
Hauptverfasser: ISAACS, D, WILKINSON, A. R, EGLIN, R, DOBSON, S. R. M, HOPE, P. L, MOXON, E. R
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container_end_page 545
container_issue 8637
container_start_page 543
container_title The Lancet (British edition)
container_volume 1
creator ISAACS, D
WILKINSON, A. R
EGLIN, R
DOBSON, S. R. M
HOPE, P. L
MOXON, E. R
description Two babies in a neonatal unit presented on the same day with meningitis due to echovirus 11, which was thought to have been introduced by staff. At this time echovirus 11 was also isolated from the stools of eight other babies; five of them did not have signs of infection. No intervention was made except to emphasise the importance of handwashing. There was evidence of secondary spread to two babies who were both clinically well. The attack rate was twelve (29%) of forty-one babies exposed. Seven of the twelve infected babies were born before 30 weeks' gestation and would have had little or no maternal antibody, yet only two of the seven babies had signs of infection. Despite lack of special measures, all babies recovered. Most cases of horizontally acquired neonatal echovirus infection are mild: extreme measures in the management of outbreaks are unnecessary.
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Anti-Bacterial Agents - therapeutic use
Biological and medical sciences
Cross Infection - epidemiology
Cross Infection - therapy
Cross Infection - transmission
Disease Outbreaks
Echovirus Infections - epidemiology
Echovirus Infections - therapy
Echovirus Infections - transmission
England
Enterovirus B, Human - isolation & purification
Evaluation Studies as Topic
Female
Hand Disinfection
Human viral diseases
Humans
Infant, Newborn
Infant, Premature, Diseases - epidemiology
Infant, Premature, Diseases - therapy
Infant, Premature, Diseases - transmission
Infectious diseases
Intensive Care Units, Neonatal
Male
Medical sciences
Viral diseases
Viral diseases of the nervous system
title Conservative management of an echovirus 11 outbreak in a neonatal unit
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