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Noninfluenza Respiratory Virus Infection in Long-Term Care Facilities

Published online by Cambridge University Press:  21 June 2016

Ann R. Falsey
Ann R. Falsey*
Affiliation:
Department of Medicine, The Rochester General Hospital, and The University of Rochester School of Medicine and Dentistry, Rochester, New York
*
Infectious Disease Unit, Rochester General Hospital, 1425 Portland Ave., Rochester, NY 14621
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Extract

Acute respiratory infections are a common problem in the general population, particularly during the winter months. Nonbacterial causes such as viruses, mycoplasma, and Chlamydia predominate,’ but with the exception of influenza virus, comprehensive studies are lacking that define the impact of these agents on the elderly. The institutionalized elderly represent a special subgroup of older persons who are prone to excess morbidity and mortality with respiratory infections. Each year, many residents of long-term care facilities become ill with respiratory illnesses not proven to be influenza, either by culture or serology. Recent studies have demonstrated the importance of a variety of viruses, including respiratory syncytial virus and parainfluenza, which can cause significant disease in this high-risk population. This article will review several of these epidemiologic studies and discuss in detail a number of viruses that are emerging as significant pathogens in the long-term care facility, with attention to modes of transmission and infection control.

Type
Topics in Long-Term Care
Information
Infection Control & Hospital Epidemiology , Volume 12 , Issue 10 , October 1991 , pp. 602 - 608
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1991

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