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Mortality Following Isolation of Various Respiratory Viruses in Nursing Home Residents

Published online by Cambridge University Press:  02 January 2015

Paul J. Drinka ,
Stefan Gravenstein ,
Elizabeth Langer ,
Peggy Krause  and
Peter Shult
Paul J. Drinka*
Affiliation:
Wisconsin Veterans' Home, King, Wisconsin University of Wisconsin, Madison, Wisconsin Medical College of Wisconsin, Milwaukee, Wisconsin
Stefan Gravenstein
Affiliation:
Glennan Center for Geriatrics and Gerontology, Eastern Virginia Medical School, Norfolk, Virginia
Elizabeth Langer
Affiliation:
Wisconsin Veterans' Home, King, Wisconsin
Peggy Krause
Affiliation:
Wisconsin Veterans' Home, King, Wisconsin
Peter Shult
Affiliation:
Communicable Diseases Division, State Laboratory of Hygiene, Madison, Wisconsin
*
Medical Director, Wisconsin Veterans' Home, King, WI 54946-0620
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Abstract

Objective:

To compare mortality following isolation of influenza A to mortality following isolation of other respiratory viruses in a nursing home.

Setting:

The Wisconsin Veterans Home, a 688-bed skilled nursing facility for veterans and their spouses.

Participants:

All residents with respiratory viral isolates obtained between 1988 and 1999.

Design:

Thirty-day mortality was determined following each culture-proven illness.

Results:

Thirty-day mortality following isolation of viral respiratory pathogens was 4.7% (15/322) for influenza A 5.4% (7/129) for influenza B; 6.1% (3/49) for parainfluenza type 1; 0% (0/26) for parainfluenza types 2,3, and 4; 0% (0/26) for respiratory syncytial virus (RSV); and 1.6% (1/61) for rhinovirus.

Conclusions:

Mortality following isolation of certain other respiratory viruses may be comparable to that following influenza A (although influenza A mortality might be higher without vaccination and antiviral agents). The use of uniform secretion precautions for all viral respiratory illness deserves consideration in nursing homes.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 20 , Issue 12 , December 1999 , pp. 812 - 815
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

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