About: Gastroenteritis and respiratory infection outbreaks in French nursing homes from 2007 to 2018: Morbidity and all-cause lethality according to the individual characteristics of residents

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About: Gastroenteritis and respiratory infection outbreaks in French nursing homes from 2007 to 2018: Morbidity and all-cause lethality according to the individual characteristics of residents Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Gastroenteritis and respiratory infection outbreaks in French nursing homes from 2007 to 2018: Morbidity and all-cause lethality according to the individual characteristics of residents
Creator	Ambert-Balay, Katia Pothier, Pierre Mosnier, Anne Ali-Brandmeyer, Olivia Larocca, Sabrina Rabaud, Christian Simon, Loic Aho-Glé Lé, Serge Atrice Heck, Bé Gaspard Id, Philippe
Source	Medline; PMC
abstract	BACKGROUND: Gastroenteritis (GE) and respiratory tract infection (RTI) outbreaks are a significant issue in nursing homes. This study aimed to describe GE and RTI outbreaks with infection and all-cause lethality rates according to the individual characteristics of nursing home residents. METHODS: Clinical and virological surveillance were conducted (2007 to 2018). Virus stratifications for the analysis were: outbreaks with positive norovirus or influenza identifications (respectively NoV+ or Flu+), episodes with no NoV or influenza identification or testing (respectively NoV- or Flu-). Associations between individual variables (sex, age, length of stay (LOS), autonomy status) and infection and lethality rates were tested with univariate and Mantel-Haenszel (MH) methods. RESULTS: 61 GE outbreaks and 76 RTI oubreaks (total 137 outbreaks) were recorded involving respectively 4309 and 5862 residents. In univariate analysis, higher infection rates and age were associated in NoV+, NoV-, and Flu+ contexts, and lower infection rates were associated with longer stays (NoV+ and NoV-). In MH stratified analysis (virus, sex (female/male)) adjusted for LOS (<4 or ≥4 years), the odds of being infected remained significant among older residents (≥86 years): NoV+/male (Odds ratio (OR(MH)): 1.64, 95% confidence interval (CI): 1.16–2.30) and Flu+/female and male (respectively OR(MH): 1.50, CI: 1.27–1.79 and 1.73, CI: 1.28–2.33). In univariate analysis, lower autonomy status (NoV+, Flu+ and Flu-) and increased age (Flu+) were associated with higher lethality. In MH adjusted analysis, significant OR(age) adjusted for autonomy was: Flu+/ ≥86 years compared with <86 years, 1.97 (1.19–3.25) and OR(autonomy) adjusted for age for the more autonomous group (compared with the less autonomous group) was: Flu+, 0.41 (0.24–0.69); Flu-, 0.42 (0.20, 0.90). CONCLUSION: The residents of nursing homes are increasingly elderly and dependent. The specific infection and lethality risks according to these two factors indicate that surveillance and infection control measures are essential and of high priority.
has issue date	2019-09-24(xsd:dateTime)
bibo:doi	10.1371/journal.pone.0222321
bibo:pmid	31550261
has license	cc-by
sha1sum (hex)	f1d456ea268266ff3c21317c4190e4fcb49b5e4f
schema:url	https://doi.org/10.1371/journal.pone.0222321
resource representing a document's title	Gastroenteritis and respiratory infection outbreaks in French nursing homes from 2007 to 2018: Morbidity and all-cause lethality according to the individual characteristics of residents
has PubMed Central identifier	PMC6759171
has PubMed identifier	31550261
schema:publication	PLoS One
resource representing a document's body	covid:f1d456ea268266ff3c21317c4190e4fcb49b5e4f#body_text
is schema:about of	named entity 'GASTROENTERITIS' named entity 'ISSUE' named entity 'RTI' named entity 'OUTBREAKS' named entity 'ACCORDING' named entity 'CAUSE' named entity 'outbreaks' named entity '2018' named entity 'OUTBREAKS' named entity 'NURSING HOMES' named entity 'INDIVIDUAL' named entity 'NURSING HOME' named entity 'TO DESCRIBE' named entity 'SIGNIFICANT' named entity 'CHARACTERISTICS' named entity 'STUDY' named entity 'RESPIRATORY TRACT INFECTION' named entity 'RESPIRATORY INFECTION' named entity 'FRENCH' named entity 'NURSING HOMES' named entity 'INDIVIDUAL' named entity 'LETHALITY' named entity 'GASTROENTERITIS' named entity 'CHARACTERISTICS' named entity 'ACCORDING' named entity 'LETHALITY' named entity 'MORBIDITY' named entity 'RATES' named entity 'INFECTION' covid:arg/f1d456ea268266ff3c21317c4190e4fcb49b5e4f named entity 'lethality' named entity 'This' named entity 'Gastroenteritis' named entity 'all-cause' named entity 'nursing homes' named entity 'Gastroenteritis' named entity 'epidemiology' named entity 'interquartile range' named entity 'influenza virus' named entity 'univariate analysis' named entity 'Flu' named entity 'clinical signs' named entity 'infection' named entity 'significant impact' named entity 'influenza' named entity 'older adults' named entity 'virus' named entity 'selection bias' named entity 'all-cause' named entity 'Flu' named entity 'univariate analysis' named entity 'significant impact' named entity 'RTI' named entity 'odds ratio' named entity 'health care' named entity 'length of stay' named entity 'length of stay' named entity 'myalgia' named entity '3.8' named entity 'epidemiological' named entity 'fever' named entity 'difficulty swallowing' named entity 'daily living' named entity 'virus' named entity 'RTI' named entity 'Dichotomous' named entity 'meal preparation' named entity 'oseltamivir' named entity 'odds ratio' named entity 'influenza' named entity 'noroviruses' named entity 'oseltamivir'

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