An outbreak of norovirus gastroenteritis in an Austrian hospital, winter 2006-2007.

Abstract:

BACKGROUND:Norovirus is easily spread from person to person by the fecal-oral route and through aerosols or by vehicles such as contaminated food or water. The virus is able to survive in the environment for many days, which enables outbreaks to be prolonged. We describe a norovirus outbreak and its control measures in an Austrian secondary-level hospital during December 2006 - February 2007. METHODS:A descriptive-epidemiological investigation of the outbreak was undertaken. We also determined outbreak costs, including the estimated lost revenue associated with department closures and the cost of sick leave and cleaning expenses. Selected stool specimens were tested for norovirus RNA. RESULTS:In the hospital, 90 persons with symptoms and signs consistent with norovirus gastroenteritis with clinical onset between December 1, 2006 and February 13, 2007 were identified. Out of these, 56 patients and 14 persons among the hospital staff fulfilled the definition of an outbreak case (77.8%), and 20 cases (22.2%) were identified as non-outbreak cases including 13 community-acquired cases of norovirus gastroenteritis and 7 clinical-suspected cases of norovirus gastroenteritis associated with health care facilities other than the affected hospital. The Department of Internal Medicine was the mainly affected department (46 patient-cases and 6 staff-cases). Considering hospital patients, who have been hospitalised between December 1, 2006 and February 13, 2007 as cohort at risk of nosocomial norovirus infection, the nosocomial hospital outbreak attack-rate was 5.9% (56/947). A total of 120 hospital staff members worked in the period from December 1 to February 13, which makes an attack-rate among the hospital staff of 11.7% (14/120). Norovirus strain GII.4 variant 2006b was detected, which has been circulating widely in Europe since 2006. The total cost of the outbreak for the Department of Internal Medicine was 80,138. CONCLUSIONS:The significant disruption of patient care and the cost of this single nosocomial outbreak support strict implementations of adequate and timely control measures based on evidence-based recommendations.

journal_name

Wien Klin Wochenschr

authors

Fretz R,Schmid D,Jelovcan S,Tschertou R,Krassnitzer E,Schirmer M,Hell M,Allerberger F

doi

10.1007/s00508-008-1135-x

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

137-43

issue

3-4

eissn

0043-5325

issn

1613-7671

journal_volume

121

pub_type

杂志文章
  • Clinical characteristics associated with bradycardia and asystole in patients with syncope undergoing long-term electrocardiographic monitoring with implantable loop recorder.

    abstract:BACKGROUND:The aim of this retrospective single center cohort study was to assess the occurrence of bradycardia during implantable loop recorder (ILR) monitoring in patients with unexplained syncope and negative conventional testing and to identify clinical predictors of bradycardia and pacemaker implantation. METHODS...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-017-1197-8

    authors: Mitro P,Šimurda M,Müller E

    更新日期:2017-07-01 00:00:00

  • [Haemodialysis in children (author's transl)].

    abstract::Thirty four children, aged 2 to 15 years, were treated by haemodialysis between 1967 and 1978. Eleven children suffered from acute renal failure. Twenty three children with end-stage chronic renal disease were treated over periods ranging from 1 week to 19 months. All children were dialysed in a renal unit for adult p...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Wolf A,Balzar E,Pinggera WF,Stummvoll HK

    更新日期:1980-01-18 00:00:00

  • [Satellite associations in trisomy 21 (author's transl)].

    abstract::Satellite associations and cell-cycle kinetics were investigated in short-term blood cultures from selected pairs of chromosomally normal persons and patients with trisomy 21. The cell-cycle duration was found to be longer in patients with trisomy than in normal persons. The frequency of satellite associations and the...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Wachtler F,Andrle M,Rett A

    更新日期:1981-01-09 00:00:00

  • Near infrared spectroscopy: methodological principles and clinical application in preterm infants.

    abstract::Neonatal encephalopathy, plausibly related to hypoxia and ischaemia, remains one of the main problems in perinatal medicine. Efforts are necessary to find new non-invasive methods for assessing brain oxygenation. Near infrared spectroscopy (NIRS) provides information on the concentrations of the oxygenated and deoxyge...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Bernert G,von Siebenthal K,Kohlhauser C,Casaer P

    更新日期:1995-01-01 00:00:00

  • [Infrarenal aortic aneurysm: results of surgical treatment].

    abstract::Between 1976 and 1987 93 patients with an infrarenal aortic aneurysm underwent surgical correction. In 62 patients the procedure was performed electively, whilst 13 displayed an unstable aneurysm and in 18 cases a ruptured aneurysm was present at operation. During the past 5 years the mortality was lowered to 2% in el...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Deutsch M,Holzinger C,Krisch B,Magometschnigg H,Fasol R,Zilla P,Schwarz C,Staudacher M

    更新日期:1989-01-20 00:00:00

  • Influence of cataract surgery on macular thickness: a 6-month follow-up.

    abstract:PURPOSE:To determine long-term changes in macular thickness after cataract surgery. METHODS:Research work included 27 patients (27 eyes) who underwent uneventful cataract surgery with phacoemulsification and IOL implantation on one eye. Optical coherence tomography was used to obtain data of macular thickness before s...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-015-0702-1

    authors: Šiško K,Knez NK,Pahor D

    更新日期:2015-12-01 00:00:00

  • [The urological spiral. A real alternative to the indwelling catheter? Experience in 23 patients].

    abstract::Our experiences are reported with the "intraprostatic spiral" in 23 high-risk patients with prostatic adenoma. The intraprostatic spiral was used only in selected patients for medical indications. Patients confined to bed as well as those with detrusor instability or secondary dilatation of the upper urinary tract wer...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Tomschi W,Lüftenegger W

    更新日期:1990-11-09 00:00:00

  • [Functional reaction of a fibroblast surface protein (author's transl)].

    abstract::Cold-insoluble globulin (CIG) of plasma represents the soluble form of a fibroblast surface protein. As shown by affinity chromatography it is selectively adsorbed from plasma on immobilized collagen of various types. The following sequence of binding strength between CIG and collagen was evaluated by means of fractio...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Hörmann H,Jilek F

    更新日期:1977-11-11 00:00:00

  • [Lipolysis in human adipose tissue (author's transl)].

    abstract::Lipolytic activity was measured under different conditions in isolated fat cells and homogenates of human adipose tissue of the greater omentum. It was demonstrated that lipolysis took place in isolated fat cells at an optimum pH of 7.4 and was markedly stimulated by noradrenaline, but not by blood serum. By contrast ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Lisch HJ,Schwammberger K,Sailer S

    更新日期:1976-01-23 00:00:00

  • [Ethical questions in neonatology].

    abstract::Rapid scientific progress in the fields of prenatal diagnostics, obstetrics and neonatology has enabled severe malformations and hereditary diseases to be detected at a very early fetal stage and has also led to the survival of very immature newborn infants in increasing numbers. Parents, doctors and nurses must all p...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Popow C

    更新日期:1996-01-01 00:00:00

  • [Bárány's discovery and its reception by his contemporaries].

    abstract::Bárány's main achievement is that he unified known, but apparently contradictory facts into one perspective. The concept of a method for examining each ear individually by means of the caloric test fundamentally advanced diagnostics. In 1914 he was honoured with the Nobel Prize, but in his home town of Vienna he was d...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Wyklicky H

    更新日期:1986-09-26 00:00:00

  • Dabigatran in patients with atrial fibrillation: perioperative and periinterventional management.

    abstract::In any type of invasive surgery, the patient's individual risk of thromboembolism has to be weighed against the risk of bleeding. Based on various everyday situations in clinical routine, the purpose of the present expert recommendations is to provide appropriate perioperative and periinterventional management for pat...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-012-0166-5

    authors: Weltermann A,Brodmann M,Domanovits H,Eber B,Gottsauner-Wolf M,Halbmayer WM,Hiesmayr JM,Kyrle PA,Längle F,Roithinger FX,Watzke H,Windhager R,Wolf C,Zweiker R

    更新日期:2012-05-01 00:00:00

  • Current concepts of respiratory diseases in childhood: the significance of physiological development.

    abstract::Recent advances in pulmonary physiology have led to new concepts in the understanding of childhood respiratory disorders. The functional development of the respiratory system appears responsible for most of the age-related attributes of pediatric lung diseases. Increased understanding of the altered physiology of thes...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Polgar G

    更新日期:1983-01-07 00:00:00

  • [Treatment of acute diabetic metabolic crises in adults (Update 2019) : Hyperglycemic hyperosmolar state and ketoacidotic metabolic disorders].

    abstract::Diabetic ketoacidosis (DKA) and the hyperglycemic hyperosmolar state (HHS) represent potentially life-threatening situations in adults. Therefore, rapid comprehensive diagnostic and therapeutic measures with close monitoring of vital and laboratory parameters are required. The treatment of DKA and HHS is essentially t...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:10.1007/s00508-018-1423-z

    authors: Kaser S,Sourij H,Clodi M,Schneeweiß B,Laggner AN,Luger A

    更新日期:2019-05-01 00:00:00

  • Effect of airborne hydrogen peroxide on spores of Clostridium difficile.

    abstract:BACKGROUND:Contamination of surfaces by spores of Clostridium difficile is a major factor influencing the spread of healthcare-associated C. difficile infection. The aim of this study was to test the effect of an automated room disinfection system that provides an aerosol of 7.5 % hydrogen peroxide (H2O2) disinfectant,...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-014-0682-6

    authors: Steindl G,Fiedler A,Huhulescu S,Wewalka G,Allerberger F

    更新日期:2015-06-01 00:00:00

  • Subclinical hypothyroidism and mortality in a large Austrian cohort: a possible impact on treatment?

    abstract:BACKGROUND:Clinical implications of subclinical hypothyroidism (SCH) are still matter of intense debate, resulting in the controversial discussion whether subclinical hypothyroidism should be treated. We performed a cohort study to evaluate the impact of subclinical hypothyroidism on vascular and overall mortality. ME...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-015-0846-z

    authors: Kovar FM,Fang IF,Perkmann T,Haslacher H,Slavka G,Födinger M,Endler G,Wagner OF

    更新日期:2015-12-01 00:00:00

  • [The development of infants subjected to aided respiration in the newborn period (author's transl)].

    abstract::22 children who required respiratory aid (LPPV, CPAP) in the newborn period were followed up to the age of 12 to 36 months. The birth weight ranged between 1050 and 4100 g and the duration of artificial ventilation ranged between 36 and 698 hours. Neurological development of 17 children was completely normal, whilst f...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Haidvogl M,Rosegger H,Schröfl S,Müller WD

    更新日期:1976-09-17 00:00:00

  • Metastasizing ectopic thymoma arising in the right thoracic cavity and mimicking diffuse pleural mesothelioma--an autopsy study of a case with review of literature.

    abstract::A case of metastasizing ectopic thymoma arising in the right thoracic cavity and infiltrating the right lung and pleura in a fashion reminiscent of diffuse pleural mesothelioma is presented. An involuted, non-neoplastic thymus was demonstrated microscopically in the anterior mediastinum. No case of thymoma showing the...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Honma K,Shimada K

    更新日期:1986-01-10 00:00:00

  • [Regression of florid proliferative diabetic retinopathy through achievement of normoglycaemic over five months by means of a portable insulin-dosage apparatus (author's transl)].

    abstract::A portable insulin-infusion device (Siemens-Erlangen) was used by 24-year-old juvenile onset-type diabetic woman for a period of 5 months in order to achieve normoglycaemic conditions. The patient suffered from rapidly deteriorating florid proliferative retinopathy and was practically blind. Kidney function was seriou...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Irsigler K,Kirtz H,Najemnik C,Freyler H

    更新日期:1980-04-11 00:00:00

  • [Duration of spiral after-effects in psychosomatic patients (a psychophysiologic study and analysis of data using multivariate procedures)].

    abstract::In a psychophysiological study the spiral after-effect, as measured by means of the Archimedes spiral, was investigated in 182 patients with psychosomatic disorders including duodenal ulcers, ulcerative colitis, anorexia nervosa, asthma and heart neurosis and compared with the results obtained in a control group of he...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Grünberger J,Linzmayer L,Gathmann P,Saletu B

    更新日期:1984-08-03 00:00:00

  • High prevalence of chronic venous disease in hospital employees.

    abstract:OBJECTIVES:Chronic venous disease (CVD), which comprises primary/idiopathic abnormalities of the venous system, and secondary sequels after deep venous thrombosis are major health issues in Western countries. The present study was conducted to prove the hypothesis that the development of CVD might be triggered by exoge...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 评论,杂志文章

    doi:10.1007/BF03040451

    authors: Ziegler S,Eckhardt G,Stöger R,Machula J,Rüdiger HW

    更新日期:2003-09-15 00:00:00

  • [Preliminary findings with oral whooping cough vaccination in young infants (author's transl)].

    abstract::A preliminary report is presented on oral vaccination against whooping cough. 23 babies younger than, and 2 older than nine weeks and 12 newborn infants were vaccinated orally. No side effects were observed. Serum antibody titres did not increase markedly, but no child was seronegative after vaccination. An evident an...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Maurer H,Höfler KH,Hilbe W,Huber EG

    更新日期:1979-11-09 00:00:00

  • [Significance of quantitative enzyme-cytochemical studies for hematologic cytology].

    abstract::Enzyme-cytophotometrical investigations allow evaluation of enzyme activity within single, morphologically classified cells. Special problems like development of blood cells, bone marrow cells or of macrophages may thus be studied. Knowledge about the kinetics of granulopoiesis allows a better understanding of altered...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Schmalzl F,Wiedermann CJ

    更新日期:1983-03-04 00:00:00

  • [Sterilization of the female with special reference to laparoscopic tubal sterilization].

    abstract::Within recent years female sterilization has gained a place of great importance as an effective contraceptive method. Nowadays sterilization is hardly subject to any formal restrictions, but is solely the responsibility of the woman concerned, the couple or the physician. The indications for sterilization may be divid...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Burmucic R

    更新日期:1987-11-06 00:00:00

  • [Advances in the surgery of hip-joint fractures since W. Denk's era (author's transl)].

    abstract::On the occasion of the centenary of Prof. Dr. W. Denk's birth, a short survey is given of the advances in the surgical management of fractures in the region of the hip joint in the post-Denk era. It was Denk who encouraged his colleagues to undertake the first nailing of a collum femoris fracture according to Smith-Pe...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 历史文章,杂志文章

    doi:

    authors: Galle P

    更新日期:1982-04-02 00:00:00

  • [The cooperation of paediatrician and dentist in the field of nutrition as a prophylactic measure in the achievement of dental health in children (author's transl)].

    abstract::The value of cooperation between the paediatrician and the dentist in the field of nutrition and dietary instruction to maintain the health of children's dentition is stressed. The influence of the diet on the development of the dentition and the role of carbohydrates in the production of caries and parodontic disease...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Tschamer H

    更新日期:1975-04-18 00:00:00

  • [Cryptosporidia associated gastroenteritis: epidemiologic study of children in Tyrol and Vorarlberg].

    abstract::Stool samples from 523 children aged between 3 months and 6 years were examined for Cryptosporidium parvum by means of the direct immunofluorescence technique in March 1996. The specimens were sent to the Federal Public Health Laboratory in Innsbruck from general practitioners and pediatricians and from hospitals in T...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Lederer W,Allerberger F,Dierich MP

    更新日期:1996-01-01 00:00:00

  • [The significance of radioimmunological HPL determination in obstetrics (author's transl)].

    abstract::The serum HPL level was studied in normal and high-risk pregnancies. 30 patients with premature labour showed significantly decreased levels. In 24 patients with monosymptomatic toxaemia, HPL patterns showed a statistically significant deviation from the normal standard curve; a highly significant decrease was observe...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Scholz K,Gant H,Ladurner D,Geir W

    更新日期:1975-09-05 00:00:00

  • Consumer participation and organizational development in health care: a systematic review.

    abstract:OBJECTIVE:To provide an overview of published data on user participation in Health Care. BACKGROUND:Active and passive involvement of consumers into agendas associated with Health Care is still an exception. Data on the success of user participation projects in various areas of Health Care are lacking. DESIGN:Systema...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:10.1007/s00508-011-0008-x

    authors: Tempfer CB,Nowak P

    更新日期:2011-07-01 00:00:00

  • [Noninvasive ventilation].

    abstract::Non invasive ventilation is defined as mechanical ventilation without the use of endotracheal intubation and has been increasingly established within intensive care units during the last decades. Negative pressure ventilation and non invasive positive pressure ventilation have been successfully applied, first in chron...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Heindl W

    更新日期:1999-10-15 00:00:00