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[A nosocomial outbreak of epidemic keratoconjunctivitis]. / Brote de queratoconjuntivitis epidémica en un Servicio de Oftalmología.
Nercelles M, Patricio; Peirano N, Luisa; Herrera O, Rosa; Rivero B, Pamela; Márquez P, Leonor.
Afiliação
  • Nercelles M P; Unidad de Calidad y Seguridad del Paciente, Hospital Carlos Van Burén, Valparaíso, Chile. patricio.nercelles@uv.cl
Rev Chilena Infectol ; 27(6): 534-8, 2010 Dec.
Article em Es | MEDLINE | ID: mdl-21279291
We describe a nosocomial outbreak of keratoconjunctivitis at the Ophthalmology Clinic in Hospital Carlos Van Buren, that affected 150 patients, during August and September of 2006. This outbreak was concomitant with a community outbreak produced by the same agent in the city of Valparaiso that affected 681 other patients. Although adenovirus was not isolated in the nosocomial cases, positive cultures were obtained from community cases, so the diagnosis was based on clinical and epidemiological criteria. The infection rate within the Clinic patients was 5.2% considering the population that attended the Clinic in this period. The evaluation of patient care practices showed that common risk factors among affected cases were measurement of ocular tension with a tonometer in the Ophthalmology Clinic (without disinfection of the tonometer between patients), contamination of work surfaces (equipment, furniture), and poor compliance of hand hygiene. Control measures adopted were cleaning, disinfection of tonometer, equipment and work surfaces, and reinforcement of hand hygiene measures. With these measures, it was possible to control the nosocomial outbreak, despite the continued outpatient care of community-acquired cases.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por Adenovirus Humanos / Infecção Hospitalar / Surtos de Doenças / Ceratoconjuntivite Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: Es Revista: Rev Chilena Infectol Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por Adenovirus Humanos / Infecção Hospitalar / Surtos de Doenças / Ceratoconjuntivite Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: Es Revista: Rev Chilena Infectol Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile