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Health Care–Associated Rotavirus Illness in Pediatric Inpatients in Germany, Austria, and Switzerland

Published online by Cambridge University Press:  21 June 2016

Ivo M. Foppa*
Affiliation:
Department of Epidemiology and Biostatistics, Arnold School of Public Health, Columbia, South Carolina
Wilfried Karmaus
Affiliation:
Department of Epidemiology and Biostatistics, Arnold School of Public Health, Columbia, South Carolina
Birgit Ehlkenm
Affiliation:
Medical Economics Research Group, Munich, Institut für Hygiene und Umwelt, Hamburg, Germany
Martin Frühwirth
Affiliation:
Department of Pediatrics, Medical University Innsbruck, Innsbruck, Austria, Basel, Switzerland
Ulrich Heininger
Affiliation:
Department of Clinical Microbiology and Hygiene, Institut für Hygiene und Umwelt, Hamburg, Germany
Anita Plenge-Bönig
Affiliation:
University Children's Hospital, Basel, Switzerland
Johannes Forster
Affiliation:
Department of Pediatrics, St. Josefskrankenhaus, Freiburg, Germany
*
Department of Epidemiology and Biostatistics, Arnold School of Public Health, 800 Sumter St., Columbia, SC 29208 (ifoppa@sc.edu)

Abstract

A longitudinal study of health care-associated transmission of rotaviruses (RVs) in pediatric inpatients 0-48 months old in Austria, Germany, and Switzerland showed that almost one third of all cases occurred in patients 2 months old or younger. The effectiveness of vaccination against RV from 2 months of age onward remains to be evaluated.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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References

1.Ehlken, B, Laubereau, B, Karmaus, W, Petersen, G, Rohwedder, A, Forster, J. Prospective population-based study on rotavirus disease in Germany. Acta Paediatr 2002; 91:769775.CrossRefGoogle Scholar
2.Widdowson, MA, van Doornum, GJ, van der Poel, WH, et al. An outbreak of diarrhea in a neonatal medium care unit caused by a novel strain of rotavirus: investigation using both epidemiologic and microbiological methods. Infect Control Hosp Epidemiol 2002; 23:665770.Google Scholar
3.Ratner, AJ, Neu, N, Jakob, K, et al. Healthcare associated rotavirus in a pediatric hospital. Infect Control Hosp Epidemiol 2001; 22:299301.CrossRefGoogle Scholar
4.Berner, R, Schumacher, RF, Hameister, S, Forster, J. Occurrence and impact of community-acquired and healthcare associated rotavirus infections— a hospital-based study over 10 y. Acta Paediatr Suppl 1999; 88:4852.Google Scholar
5.Pacini, DL, Brady, MT, Budde, CT, Connell, MJ, Hamparian, W, Hughes, JH. Healthcare associated rotaviral diarrhea: pattern of spread on wards in a children's hospital. J Med Virol 1987; 23:359366.Google Scholar
6.Ringenbergs, ML, Davidson, GP, Spence, J, Morris, S. Prospective study of healthcare associated rotavirus infection in a paediatric hospital. Aust Paediatr J 1989; 25:156160.Google Scholar
7.Pickering, LK, ed. Red Book: 2003 Report of the Committee of Infectious Diseases, 26th ed. Elk Grove, IL: American Academy of Pediatrics, 2003: 534536.Google Scholar
8.Ulm, K. A simple method to calculate the confidence interval of a standardized mortality ratio (SMR). Am J Epidemiol 1990; 131:373375.Google Scholar
9.Agresti, A. Categorical Data Analysis. New York: John Wiley & Sons, 1990.Google Scholar
10.Glasgow, JF, McClure, BG, Connolly, JH, O'Neill, HJ. Healthcare associated rotavirus gastroenteritis in a neonatal nursery. Ulster Med J 1978; 47:5056.Google Scholar
11.Gerna, G, Forster, J, Parea, M, et al. Healthcare associated outbreak of neonatal gastroenteritis caused by a new serotype 4, subtype 4B human rotavirus. J Med Virol 1990; 31:175182.CrossRefGoogle Scholar
12.Widdowson, MA, van Doornum, GJ, van der Poel, WH, de Boer, AS, Mahdi, U, Koopmans, M. Emerging group-A rotavirus and a healthcare associated outbreak of diarrhoea. Lancet 2000; 356:11611162.Google Scholar
13.Ford-Jones, EL, Mindorff, CM, Gold, R, Petric, M. The incidence of viral-associated diarrhea after admission to a pediatric hospital. Am J Epidemiol 1990; 131:711718.Google Scholar
14.Vial, PA, Kotloff, KL, Losonsky, GA. Molecular epidemiology of rotavirus infection in a room for convalescing newborns. J Infect Dis 1988; 157: 668673.Google Scholar
15.Harrington, M, Butler, K, Cafferkey, M. Rotavirus infection in hospitalised children: incidence and impact on healthcare resources. Ir J Med Sci 2003; 172:3336.Google Scholar
16.Mastretta, E, Longo, P, Laccisaglia, A, Balbo, L, Russo, R, Mazzaccara, A, Gianino, P. Effect of Lactobacillus GG and breast-feeding in the prevention of rotavirus healthcare associated infection. J Pediatr Gastroenterol Nutr 2002; 35:527531.Google Scholar
17.Fischer, TK, Bresee, JS, Glass, RL. Rotavirus vaccines and the prevention of hospital-acquired diarrhea in children. Vaccine 2004; 22(Suppl 1):S49S54.Google Scholar