A 2009 varicella outbreak in a Connecticut residential facility for adults with intellectual disability.

نویسندگان

  • Jessica Leung
  • Kathy Kudish
  • Chengbin Wang
  • Latetia Moore
  • Paul Gacek
  • Kay Radford
  • Adriana Lopez
  • Lynn Sosa
  • D Scott Schmid
  • Matthew Cartter
  • Stephanie Bialek
چکیده

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.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Aggressive behavior in individuals with moderate to borderline intellectual disabilities who live in a residential facility: an evaluation of functional variables.

We explored functional variables for aggressive behavior in 87 individuals with moderate to borderline intellectual disability who lived in a residential facility. For this purpose we used the Questions About Behavioral Function scale (QABF; Matson, J., & Vollmer, T. (1995). Questions About Behavioral Function (QABF). Baton Rouge, LA: Scientific Publications). Results show that in most clients ...

متن کامل

Residential transitions among adults with intellectual disability across 20 years.

The present study addresses critical gaps in the literature by examining residential transitions among 303 adults with intellectual disability (ID) over 10 years (Part 1) and 75 adults with Down syndrome over 20 years (Part 2). All adults lived at home at the start of the study, but many moved to a variety of settings. Several characteristics of the adults with ID differed across settings, most...

متن کامل

Brief report: Aggressive challenging behaviour in adults with intellectual disability following community resettlement.

BACKGROUND Aggressive challenging behaviour is common in adults with intellectual disability (ID) in long-term care facilities. The government's commitment to the closure of all facilities in England has led to concerns over how to manage this behaviour in the community. The aim of this study was to assess changes in aggressive challenging behaviour and psychotropic drug use in adults with ID f...

متن کامل

Outcomes in different residential settings for people with intellectual disability: a systematic review.

Large-scale reviews of research in deinstitutionalization and community living were last conducted about 10 years ago. Here we surveyed research from 1997 to 2007. Articles were included if the researchers based the study on original research, provided information on the participants and methodology, compared residential arrangements for adults with intellectual disability, and were published i...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Journal of infectious diseases

دوره 202 10  شماره 

صفحات  -

تاریخ انتشار 2010