Outbreak of adenovirus genome type 7d2 infection in a pediatric chronic-care facility and tertiary-care hospital

被引:59
作者
Gerber, SI
Erdman, DD
Pur, SL
Diaz, PS
Segreti, J
Kajon, AE
Belkengren, RP
Jones, RC
机构
[1] Westside Ctr Dis Control, Chicago Dept Publ Hlth, Chicago, IL 60612 USA
[2] Ctr Dis Control & Prevent, Resp & Enter Viruses Branch, Atlanta, GA USA
[3] Univ Georgia, Athens, GA 30602 USA
[4] Rush Presbyterian St Lukes Med Ctr, Chicago, IL 60612 USA
关键词
D O I
10.1086/319210
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
An outbreak of adenovirus infection that involved residents of a pediatric chronic-care facility, staff of a tertiary-care hospital, and a nosocomial hospital case was studied. In the pediatric facility, 31 (33%) of 93 residents had adenovirus infection, and 8 died. Risk factors for illness were an age of <7 years (P =.004) presence of a tracheostomy (P=.015), and residence on a particular floor (P<.001). In the tertiary-care hospital, 36 health care workers had adenovirus infection; 26 (72%) had failed to follow strict contact and droplet precautions, and 30 (83%) continued to care for patients while they had symptoms. A 5-month-old patient with underlying lung disease acquired severe adenovirus infection in this hospital. All isolates were adenovirus type 7 (Ad7). DNA restriction analysis revealed the band patterns of all isolates to be identical and characteristic of the genome type d2. Thus, Ad7d2 caused significant morbidity and mortality in persons in the pediatric chronic-care facility and tertiary-care hospital. This is the first published description of Ad7d2 strains in the United States.
引用
收藏
页码:694 / 700
页数:7
相关论文
共 70 条
[61]   SIMULTANEOUS ADMINISTRATION OF LIVE, ENTERIC-COATED ADENOVIRUS TYPES-4, TYPES-7, AND TYPES-21 VACCINES - SAFETY AND IMMUNOGENICITY [J].
TAKAFUJI, ET ;
GAYDOS, JC ;
ALLEN, RG ;
TOP, FH .
JOURNAL OF INFECTIOUS DISEASES, 1979, 140 (01) :48-53
[62]   IMMUNIZATION WITH LIVE TYPE-7 AND TYPE-4 ADENOVIRUS VACCINES .1. SAFETY, INFECTIVITY, ANTIGENICITY, AND POTENCY OF ADENOVIRUS TYPE-7 VACCINE IN HUMANS [J].
TOP, FH ;
GROSSMAN, RA ;
BARTELLONI, PJ ;
SEGAL, HE ;
DUDDING, BA ;
RUSSELL, PK ;
BUESCHER, EL .
JOURNAL OF INFECTIOUS DISEASES, 1971, 124 (02) :148-+
[63]   IMMUNIZATION WITH LIVE TYPE-7 AND TYPE-4 ADENOVIRUS VACCINES .2. ANTIBODY RESPONSE AND PROTECTIVE EFFECT AGAINST ACUTE RESPIRATORY DISEASE DUE TO ADENOVIRUS TYPE-7 [J].
TOP, FH ;
BUESCHER, EL ;
BANCROFT, WH ;
RUSSELL, PK .
JOURNAL OF INFECTIOUS DISEASES, 1971, 124 (02) :155-&
[64]  
TOP FH, 1975, YALE J BIOL MED, V48, P185
[65]   MOLECULAR EPIDEMIOLOGY OF ADENOVIRUSES - ALTERNATING APPEARANCE OF 2 DIFFERENT GENOME TYPES OF ADENOVIRUS 7 DURING EPIDEMIC OUTBREAKS IN EUROPE FROM 1958 TO 1980 [J].
WADELL, G ;
DEJONG, JC ;
WOLONTIS, S .
INFECTION AND IMMUNITY, 1981, 34 (02) :368-372
[66]   MOLECULAR EPIDEMIOLOGY OF ADENOVIRUSES - GLOBAL DISTRIBUTION OF ADENOVIRUS-7 GENOME TYPES [J].
WADELL, G ;
COONEY, MK ;
LINHARES, AD ;
DESILVA, L ;
KENNETT, ML ;
KONO, R ;
REN, GF ;
LINDMAN, K ;
NASCIMENTO, JP ;
SCHOUB, BD ;
SMITH, CD .
JOURNAL OF CLINICAL MICROBIOLOGY, 1985, 21 (03) :403-408
[67]   EPIDEMIC OUTBREAKS OF ADENOVIRUS-7 WITH SPECIAL REFERENCE TO THE PATHOGENICITY OF ADENOVIRUS GENOME TYPE-7B [J].
WADELL, G ;
VARSANYI, TM ;
LORD, A ;
SUTTON, RNP .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1980, 112 (05) :619-628
[68]   DEMONSTRATION OF 3 DIFFERENT SUBTYPES OF ADENOVIRUS TYPE-7 BY DNA RESTRICTION SITE MAPPING [J].
WADELL, G ;
VARSANYI, TM .
INFECTION AND IMMUNITY, 1978, 21 (01) :238-246
[69]   NOSOCOMIAL ADENOVIRUS INFECTION IN A PEDIATRIC RESPIRATORY UNIT [J].
WESLEY, AG ;
PATHER, M ;
TAIT, D .
JOURNAL OF HOSPITAL INFECTION, 1993, 25 (03) :183-190
[70]   Trend of adenovirus type 7 infection, an emerging disease in Japan [J].
Yamadera, S ;
Yamashita, K ;
Akatsuka, M ;
Kato, N ;
Inouye, S .
JAPANESE JOURNAL OF MEDICAL SCIENCE & BIOLOGY, 1998, 51 (01) :43-51