A serious outbreak of parainfluenza type 3 on a nursing unit.
A serious outbreak of parainfluenza type 3 on a nursing unit.
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护理单位爆发严重的 3 型副流感疫情。
DOI：
10.1111/j.1532-5415.2000.tb02593.x
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发表时间：
2000
影响因子：
6.3
通讯作者：
Shult,P
中科院分区：
文献类型：
--
作者：
ToddFaulks,J;Drinka,PJ;Shult,P
目的：报告疗养院爆发的严重呼吸道疾病，其中 4 例分离出 3 型副流感。设计：从有症状的居民样本中进行病毒呼吸道培养，并进行回顾性图表审查。地点：专业护理机构中每层 50 个床位的护理病房。参与者：护理病房的所有居民。测量：呼吸道病毒培养和临床图表审查。结果：25 例1999年9月2日至9月25日期间，49名居民出现新的呼吸道症状。其中10例（40%）的鼓室温度为100°F或更高。 18 例 (72%) 进行了胸部 X 光检查，发现 11 例 (44%) 有新的浸润。十六人 (64%) 接受了抗生素治疗。出现症状后 1 至 9 天内，3 例住院，4 例死亡（16%）。 10 种病毒培养物中有 4 种产生副流感 3 型。结论：副流感 3 型可能导致暴发并发肺炎和致命结果。临床医生应考虑采取统一的分泌预防措施，以遏制疗养院中的所有病毒 URI。
OBJECTIVE: To report a serious outbreak of respiratory illness in a nursing home, with isolation of parainfluenza type 3 in four cases.DESIGN: Viral respiratory cultures from a sample of symptomatic residents, and retrospective chart review.SETTING: A 50‐bed nursing unit/floor in a skilled nursing facility.PARTICIPANTS: All residents of the nursing unit.MEASUREMENTS: Respiratory viral cultures and clinical chart review.RESULTS: Twenty‐five of 49 residents developed new respiratory symptoms between September 2 and September 25, 1999. Ten cases (40%) had a tympanic temperature of 100°F or greater. Eighteen (72%) had a chest X‐ray with 11 (44%) new infiltrates. Sixteen (64%) were treated with antibiotics. Three cases were hospitalized and four died (16%) within 1 to 9 days after onset of symptoms. Four of 10 viral cultures yielded parainfluenza type 3.CONCLUSIONS: Parainfluenza type 3 may cause outbreaks complicated by pneumonia and fatal outcome. Clinicians should consider uniform secretion precautions to contain all viral URIs in nursing homes.