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national guidelines on the management of outbreaks of norovirus ...

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Nati<strong>on</strong>al Guidelines <strong>on</strong> <strong>the</strong> Management <strong>of</strong> Outbreaks <strong>of</strong> Norovirus Infecti<strong>on</strong> in Healthcare Settings NDSC<br />

1. Introducti<strong>on</strong><br />

Acute gastroenteritis is a very comm<strong>on</strong> illness. A recently published study<br />

into <strong>the</strong> problem in Ireland North and South showed that 4.5% <strong>of</strong> Irish<br />

people are affected by gastroenteritis every m<strong>on</strong>th. 1 Norovirus (Winter<br />

Vomiting Disease) is <strong>the</strong> comm<strong>on</strong>est cause <strong>of</strong> <strong>outbreaks</strong> <strong>of</strong> acute<br />

gastroenteritis in <strong>the</strong> community; inter<str<strong>on</strong>g>nati<strong>on</strong>al</str<strong>on</strong>g> evidence suggests that<br />

between <strong>on</strong>e and three percent <strong>of</strong> people can expect to become infected with <strong>norovirus</strong> each year. 2,3<br />

Key Message<br />

Norovirus is <strong>the</strong> comm<strong>on</strong>est<br />

cause <strong>of</strong> <strong>outbreaks</strong> <strong>of</strong> acute<br />

gastroenteritis in <strong>the</strong><br />

community<br />

Since <strong>norovirus</strong> is a community infecti<strong>on</strong>, <strong>outbreaks</strong> in settings where people c<strong>on</strong>gregate such as hospitals<br />

are simply a reflecti<strong>on</strong> <strong>of</strong> circulati<strong>on</strong> <strong>of</strong> <strong>the</strong> virus in <strong>the</strong> wider community. Hospitals and residential instituti<strong>on</strong>s<br />

are comm<strong>on</strong> locati<strong>on</strong>s for <strong>outbreaks</strong> <strong>of</strong> infecti<strong>on</strong>, particularly during winter.<br />

The extent <strong>of</strong> <strong>the</strong>se <strong>outbreaks</strong> can place a c<strong>on</strong>siderable burden <strong>on</strong> <strong>the</strong><br />

health system.<br />

The virus was first identified retrospectively, in 1972 from an outbreak <strong>of</strong><br />

n<strong>on</strong>-bacterial gastroenteritis in a school in <strong>the</strong> town <strong>of</strong> Norwalk, Ohio. 4<br />

Key Message<br />

Hospitals and residential<br />

instituti<strong>on</strong>s are comm<strong>on</strong><br />

locati<strong>on</strong>s for <strong>outbreaks</strong> <strong>of</strong><br />

infecti<strong>on</strong> with <strong>norovirus</strong>es<br />

which can cause<br />

extensive disrupti<strong>on</strong><br />

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