American journal of infection control · 2025
Investigation of Strongyloides stercoralis in an intermediate care facility for developmentally disabled individuals, New York, November to December 2023.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Barrett Kelly A, Clavines Rowena, Meek Haillie, Jenkins Wallace, Quinn Monica, Huang Ada, Reidenberg Bruce, Hirsch Karyn, Lutterloh Emily, Sood Geetika
Аннотация
BACKGROUND: Strongyloidiasis is a parasitic infection caused by the nematode Strongyloides stercoralis and can often be asymptomatic.
METHODS: An investigation was initiated by the local health department following notification of 3 cases of Strongyloides in a facility for individuals with developmental disabilities in November 2023. Residents and staff were tested using immunoglobulin G antibody by a commercial laboratory. A site visit was conducted, and staff were interviewed.
RESULTS: Among 62 residents and 140 staff tested, 11 (17.7%) residents and 6 (4.3%) staff were positive for Strongyloides immunoglobulin G antibodies. Age ranged from 29 to 68 years. Most affected residents were male (72%) and located on the third floor (82%) (odds ratio 2.88 [CI 0.49, 30.23]). Almost all residents were nonambulatory. Infection control practices were assessed; a compliance rate of 4% was observed for staff hand hygiene opportunities and 14% for environmental cleaning in resident rooms. Positive cases were treated, and the last case was reported in December 2023.
DISCUSSION: This was a large outbreak of strongyloidiasis in a long-term care setting in which transmission was likely attributable to workers and/or environmental contamination.
CONCLUSIONS: The source of Strongyloides remains unknown; however, adherence to appropriate infection control practices may help to mitigate future outbreaks.
METHODS: An investigation was initiated by the local health department following notification of 3 cases of Strongyloides in a facility for individuals with developmental disabilities in November 2023. Residents and staff were tested using immunoglobulin G antibody by a commercial laboratory. A site visit was conducted, and staff were interviewed.
RESULTS: Among 62 residents and 140 staff tested, 11 (17.7%) residents and 6 (4.3%) staff were positive for Strongyloides immunoglobulin G antibodies. Age ranged from 29 to 68 years. Most affected residents were male (72%) and located on the third floor (82%) (odds ratio 2.88 [CI 0.49, 30.23]). Almost all residents were nonambulatory. Infection control practices were assessed; a compliance rate of 4% was observed for staff hand hygiene opportunities and 14% for environmental cleaning in resident rooms. Positive cases were treated, and the last case was reported in December 2023.
DISCUSSION: This was a large outbreak of strongyloidiasis in a long-term care setting in which transmission was likely attributable to workers and/or environmental contamination.
CONCLUSIONS: The source of Strongyloides remains unknown; however, adherence to appropriate infection control practices may help to mitigate future outbreaks.