A 2009 varicella outbreak in a Connecticut residential facility for adults with intellectual disability
Auteur Jessica Leung
Auteur Kathy Kudish
Auteur Chengbin Wang
Auteur Latetia Moore
Auteur Paul Gacek
Auteur Kay Radford
Auteur Adriana Lopez
Auteur Lynn Sosa
Auteur D Scott Schmid
Auteur Matthew Cartter
Auteur Stephanie Bialek
Résumé We investigated a varicella outbreak in a residential facility for adults with intellectual disabilities. A case of varicella was defined as a generalized maculopapular rash that developed in a facility resident or employee. Immunoglobulin M testing was conducted on serologic samples, and polymerase chain reaction testing was performed on environmental and skin lesion samples. Eleven cases were identified among 70 residents and 2 among ∼145 staff. An unrecognized case of herpes zoster was the likely source. Case patients first entered any residential facility at a younger age than non-case residents (9.5 vs 15.0 years; P < .01). Varicella zoster virus DNA was detected 2 months after the outbreak in environmental samples obtained from case patients’ residences. This outbreak exemplifies the potential for at-risk pockets of varicella-susceptible adults, especially among those who have lived in residential facilities from a young age. Evidence of immunity should be verified for all adults and healthcare staff in similar residential settings.
Publication The Journal of Infectious Diseases
Volume 202
Numéro 10
Pages 1486-1491
Date Nov 15, 2010
Chercher cette référence sur : Google Scholar, Worldcat
doi:10.1086/656773
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