caa a22 4500 606241035 CHVBK 20210128101311.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00508-014-0672-8 doi (NATIONALLICENCE)springer-10.1007/s00508-014-0672-8 An outbreak of acute gastroenteritis associated with group A Rotavirus in long-term care facility in Slovenia [Elektronische Daten] [Maja Šubelj, Veronika Učakar] Ausbruch einer akuten - mit A Rotavirus assoziierten - Gastroenteritis in einer Langzeitpflegeeinrichtung in Slowenien Summary: Background: In April 2013, an outbreak of acute gastroenteritis was reported in a residential long-term care facility (LTCF) in Ljubljana. We carried out an outbreak investigation to describe the outbreak, identify factors associated with contracting infection and to recommend control measures. Methods: We conducted descriptive epidemiology of the outbreak and a case-control study among residents; a case was a resident or staff member of the LTCF with acute diarrhoea and at least one of the following symptoms: fever, vomiting, nausea, fatigue, headache and abdominal pain between 11 and 23 April 2013. Controls had no gastrointestinal symptoms during the outbreak period. Stool specimens were tested for enteric pathogens, including Rotavirus. Results: Of 244, 33 (13.5 %) and 4 of 106 staff (3.8 %) were affected. Twenty-eight (84.8 %; median age 85 years; range 71-95 years) among affected residents and four (100 %; median age 35 years; range 30-45 years) among affected staff were women. The main symptoms besides acute diarrhoea were fatigue (54.1 %) and nausea (45.9 %). The average duration of gastroenteritis symptoms was 3.6 days in residents and 1.3 days in staff. None of the affected persons was hospitalized. Rotavirus group A was detected in a single stool specimen. In the multivariable analysis, being ambulant (aOR = 12.3; 95 % CI: 1.14-133.1), and having more than two comorbidities (aOR = 4.7; 95 % CI: 1.14-19.0) were significantly associated with acute gastroenterocolitis. Conclusions: Contact precautions of affected persons and controlled staff interactions between outbreak ward and unaffected ward are recommended in times of outbreak, with additional effort in targeting mobile residents and those with comorbidities. Springer-Verlag Wien, 2014 Control measures nationallicence Long-term care facility nationallicence Outbreak nationallicence Rotavirus nationallicence Ausbruch nationallicence Kontrollmaßnahmen nationallicence Langzeitpflegeeinrichtung nationallicence Šubelj Maja Centre for Communicable Diseases, National Institute of Public Health, Ljubljana, Slovenia aut Učakar Veronika European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden aut Wiener klinische Wochenschrift Springer Vienna 127/11-12(2015-06-01), 415-420 0043-5325 127:11-12<415 2015 127 508 https://doi.org/10.1007/s00508-014-0672-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00508-014-0672-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Šubelj Maja Centre for Communicable Diseases, National Institute of Public Health, Ljubljana, Slovenia aut NATIONALLICENCE 700 1- Učakar Veronika European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden aut NATIONALLICENCE 773 0- Wiener klinische Wochenschrift Springer Vienna 127/11-12(2015-06-01), 415-420 0043-5325 127:11-12<415 2015 127 508