Norovirus Case Studies

The article Infection Control in Home Care was given by Emily Rhinehart in April 2001. This article is about the home care and infection control in the United States of America. This article stated that, in the past decades, the scope and intensity of home care have increased, whereas the strategies and prevention solutions of infection surveillance and control efforts have fallen behind (Rhinehart, 2001). Lack of applicable and consistent methods for surveillance and acute-care practices of prevention are needed to control infections. The article provides an understanding about the appropriate strategy and need of training to assess the infectious disease and their risk. In addition, the author has also stated the

There was a local hatchery farm who was commonly known for breeding and raising poultry for food. There were many complaints against the facility about the living conditions for the animals as well as the safety for the staff. Inspector Joe was called in to investigate the accusations against this farm hatchery. Upon arrival, the inspector was greeted by the manager of the hatchery and then he explained to the manager why he was there. Although the manager was reluctant to have an inspector investigate he proceeded to guide him to where the chickens were located. As soon as the inspector walked in he saw the animals were being housed in wire crates with feces all over them. It looked like they had not been cleaned fully for weeks. He took a closer look at the individual cages and noticed that in some of the drip pans there was greenish discolored diarrhea. This concerned him a lot. Then he proceeded to observe the chickens. There was discharge coming from their noses and there were some chickens that were even gasping for air. He even saw a few with a twisted neck and paralysis as well. He had seen these signs in a few cases before. The inspector had a strong feeling it was Newcastle disease.

The prototype of norovirus was identified in 1968 by electron microscopy as a cause of Gastroenteritis in Norwalk, Ohio. Human noroviruses are a major cause of Epidemic Gastroenteritis, and Epidemic Gastroenteritis is a major cause of foodborne illness. Outbreaks occur throughout the year, but it is most common in the winter. Causes 19-21 million cases of acute gastroenteritis, and contributes to 56,000-71,000 hospitalizations and 570-800 deaths, mostly among young children and older adults. Responsible for 58% of domestically-acquired foodborne illnesses, and about 50% of foodborne disease outbreaks due to known agents.

Many instances have been noted that healthcare providers are bringing the infection to the patients and not the patients bring the infection to the staff. Furthermore, It is well documented that nosocomial infection occurs (Rice, 2010) and hospitalized individuals face more complications and greater mortality from influenza. Healthcare providers are indirectly causing undo harm to patients that are more susceptible to infections such as influenza. “In nursing home settings, vaccination of healthcare workers has been shown to decrease morbidity and mortality among nursing home residents” (Babcock, et al., 2010, p. 459). One study suggests that there is a higher rate of occurrence of influenza among healthcare providers than residents. “In elder-care settings, influenza among staff precedes illness among residents, suggesting that health care workers introduce the virus into the setting” (Anikeeva, Braunack-Mayer, & Rogers, 2009, p. 25).

As we know, older residents are susceptible to infections because of multi-morbidity, greater severity of illness, functional impairment, cognitive impairment, incontinence, and the presence of frequent short-term and long-term indwelling device use such as urinary catheters and feeding tubes. For infection prevention control program, an effective infection prevention program includes a method of surveillance for infections and antimicrobial-resistant pathogens, an outbreak control plan for epidemics, isolation and standard precautions, hand hygiene, staff education, an employee health program, a resident health program, policy formation and periodic review with audits, and a policy

4.2: The potential risks of infection within the workplace can be very high in a care home as you are constantly coming into contact with people who may have infections, handling waste material which could be contaminated and working in an environment and with equipment which could be contaminated. This is why it is extremely important to wear the correct PPE and use the correct hand washing procedure and use the correct cleaning products.

In addition, risk assessments should be undertaken for example; each person who has a catheter; PEG feed; pressure sore; or other factor which makes them more susceptible to the risk of infection. Ultimately anyone within the home who can cause infection are subject to risk assessment under the COSHH Regulations and Management of Health and Safety at Work Regulation 1992. It is important that infected residents are isolated and infected staff excluded from work, until 48 hours after the symptoms have settled. Management of cases should be planned following a risk assessment, which should consider continence, personal hygiene, overall health, likelihood of physical contact with other residents or their food, the facilities available and the vulnerability of other residents. The local HPU can advise on this process. Infected residents should, if possible, have sole use of a designated toilet or commode as long as their symptoms persist. In the case of a likely norovirus infection, they should keep a designated toilet facility for 48 hours after their symptoms have settled.

Viruses such as colds and the flu can spread rapidly in the social care settings

The first part requires the nursing homes to establish an Infection Control Program. The second part focuses on preventing the spread of infection by isolate residents to prevent infection and by “prohibiting employees with communicable diseases for direct contact with residents or their food,” and requiring hand washing after each direct contact with residents. Third, nursing homes are required to handle, store, process, and transport linens to prevent the spread of

To increase patient and hcw safety, health care workers should be mandate to get vaccination. Hcw are more at risk to get infection because of their contact with patient and then to spread it to patients, specially patients who are susceptible to the infection (CITATION). Influenza symptoms appears within 1-4 days. Before even hcw workes know that they have influenza infection and they are contagious, they may spread the infection to patient . Also, if hcw are infected, it will cause impact on their mental and physical functioning. Two randomly conducted studies have supported that mandatory influenza vaccination for hcw helped in decreasing death rate upto 44% in nursing home residents (Ottenberg, 2011). Potter et. al. identified that because of increased staff vaccination mortality rate reduced from 17% to 10% (Suillivan, 2010). The other fact which can effect patient safety due to low rate of vaccination is absenteeism of hcw during influenza epidemic.

Implementation of patient care practices for infection control is the role of the nursing staff. Nurses are responsible for maintaining hygiene, consistent with hospital policies and good nursing practice on the ward and monitoring aseptic techniques, including hand-washing and use of isolation. It is also in their scope of practice to promptly report to the attending physician any evidence of infection in patients under the nurse’s care and initiating patient isolation and ordering culture specimens from any patient showing signs of a communicable disease, when the physician is not immediately available. Limiting patient exposure to infections from visitors, hospital staff, other patients, or equipment used for diagnosis or treatment and maintaining

To prevent and control the infection and the measures that are to be taken by the facility to limit the spread of norovirus is that the organisation should have signs saying that there are some infected patients. Making sure of having a proper hand hygiene and wash the laundry thoroughly and make sure to disinfect the clothes. Usage of proper Personal Protection Equipment and sterilize the suspected

What is the disease that can affect 23 million people and kill 800 people in the

There is no single intervention for prevention of norovirus; therefore an early intervention and rapid implementation of infection control measures are key to controlling norovirus disease transmission. Hand hygiene is a primary prevention behavior and practical intervention that is effective in controlling the outbreak of the disease, the protocol include the switching to an exclusive use of soap when washing the hands and blend the washing with alcohol-based hand sanitizers (Neha, 2013, p. 63). Other measures include ensuring there is personal protective equipment, isolation of patients that have norovirus disease symptoms, educating the public and disinfection of the environment. Medication cannot reduce the risk of illness and those under antipsychotic drugs are not likely to become symptomatic and the medication can act as a surrogate maker for biologically plausible protective factor.

     Person to person transmission can occur through poor hygiene habits or by handling human waste. Daycares and nursing homes are at a high risk for person to person transmission because of the high risk of handling infected feces. Family outbreaks are common, as are outbreaks among children at nurseries (Donnelly & Stentiford, 1997).