Surveillance of lower respiratory tract infections outbreaks in nursing homes in France |
| |
Authors: | Sophie Vaux Isabelle Poujol Isabelle Bonmarin Daniel Lévy-Bruhl and Jean-Claude Desenclos |
| |
Institution: | (1) Département des maladies infectieuses, Institut de Veille Sanitaire (InVS) (French Institute for Public Health Surveillance), 12 rue du Val d’Osne, 94415 Saint-Maurice Cedex, France |
| |
Abstract: | Lower respiratory tract infections (LRTI) are the leading cause of infectious deaths in nursing homes. An early reporting
procedure of LRTI outbreaks to local public health authorities was set up in France in 2006 in order to reduce the morbidity
and the mortality related to these events. Local public health authorities reported these outbreaks to the French institute
for Public Health Surveillance through a web application allowing a real-time exchange of information. Between August 2006
and July 2007, 64 outbreaks were reported. In more than 30% of the episodes, influenza virus was detected. On average, attacks
rates were 22% for the residents and 7% for the staff. Staff members were affected in at least 56% of outbreaks. Average influenza
vaccine uptake was 91% for the residents and 38% for the staff. The time for control measures implementation was 6.7 days
on average and control measures were implemented after reporting in 36% of outbreaks. When control measures were implemented
more than 2 days after the onset of the first case, the duration of outbreaks was longer (16.4 days vs. 8.3 days, P < 0.005) and residents had an increased rate of LRTI (P < 0.001) than when these measures were implemented earlier. These data show that the influenza immunization coverage for
staff working in nursing homes is limited. The implementation of control measures is often delayed, although recommendations
stress that they should start upon diagnosis of the first case. Reporting creates a dialog between nursing homes and public
health professionals which facilitates outbreak management. |
| |
Keywords: | Disease outbreaks Frail elderly Nursing homes Respiratory tract infections |
本文献已被 SpringerLink 等数据库收录! |
|