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Viral meningitis in child care center staff and parents: an outbreak of echovirus 30 infections.
- Source :
-
Public health reports (Washington, D.C. : 1974) [Public Health Rep] 1999 May-Jun; Vol. 114 (3), pp. 249-56. - Publication Year :
- 1999
-
Abstract
- Objective: A report of five cases of viral meningitis among adults with children enrolled in a child care center prompted an investigation of risk factors for viral transmission from children to adult household members.<br />Methods: To determine recent echovirus 30 (E30) infections, the authors conducted a serologic survey. To determine risk factors for infection among adult household members, they conducted a retrospective cohort study using written questionnaires.<br />Results: Recent E30 infections were found in 84% of children tested, 57% of adult household members tested, and 47% of staff members tested. Infected adults were more likely than infected children to have clinical meningitis. Among adult household members, changing diapers was a risk factor for recent infection. Women who changed > or = 90 diapers per month had a higher infection rate than women who changed fewer diapers; in contrast, men who changed > or = 90 diapers per month had a lower infection rate than men who changed fewer diapers. Handwashing was protective: there was a negative correlation between handwashing after diaper changes and E30 infection among adults with infected children in diapers.<br />Conclusions: Because child care centers can be a source of enteroviral infections among adult household members, adults with viral meningitis should be questioned about their children's day care or preschool attendance. The importance of handwashing should be stressed to adults with children in day care.
- Subjects :
- Adult
Antibodies, Viral blood
California epidemiology
Child
Child, Preschool
Cohort Studies
Echovirus Infections classification
Echovirus Infections transmission
Female
Humans
Infant
Infant Care
Male
Meningitis, Viral classification
Meningitis, Viral transmission
Retrospective Studies
Risk Factors
Seroepidemiologic Studies
Severity of Illness Index
Child Day Care Centers
Disease Outbreaks
Echovirus Infections epidemiology
Enterovirus B, Human isolation & purification
Hand Disinfection
Meningitis, Viral epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 0033-3549
- Volume :
- 114
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Public health reports (Washington, D.C. : 1974)
- Publication Type :
- Academic Journal
- Accession number :
- 10476994
- Full Text :
- https://doi.org/10.1093/phr/114.3.249