title: Possible consequences of shaking hands with your patients with epidemic keratoconjunctivitis.
abstract: OBJECTIVE
  We evaluated patients' hands as a possible vector for the spread of epidemic kerato-conjunctivitis.
  
  
  METHODS
  The hands and conjunctivitis of 26 patients with epidemic keratoconjunctivitis and the hands of 26 uninfected control patients were cultured for infectious adenovirus.
  
  
  RESULTS
  In 12 (46%) of 26 patients with epidemic keratoconjunctivitis, cultures from the hands were positive for adenovirus, whereas cultures from the hands of all uninfected control patients were negative.
  
  
  CONCLUSIONS
  Simultaneous coinfection of patients' hands and eyes with adenovirus may contribute to office epidemics. Ophthalmologists and coworkers should not shake the hands of patients suspected of having epidemic keratoconjunctivitis unless properly gloved.
authors.affiliation: Department of Ophthalmology, University of Pittsburgh Medical Center, PA 15213, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Azar
authors.forename: D K
authors.initials: DK
authors.lastname: Dhaliwal
authors.forename: K S
authors.initials: KS
authors.lastname: Bower
authors.forename: R P
authors.initials: RP
authors.lastname: Kowalski
authors.forename: Y J
authors.initials: YJ
authors.lastname: Gordon
mesh_terms: D000258:Adenovirus Infections, Human / Q000517:prevention & control* / Q000635:transmission / Q000821:virology; D000260:Adenoviruses, Human / Q000302:isolation & purification; D002353:Carrier State; D003228:Conjunctiva / Q000821:virology*; D004196:Disease Outbreaks / Q000517:prevention & control; D015828:Eye Infections, Viral / Q000517:prevention & control* / Q000635:transmission / Q000821:virology; D006225:Hand / Q000821:virology*; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control; D007637:Keratoconjunctivitis / Q000453:epidemiology / Q000517:prevention & control* / Q000821:virology; D012307:Risk Factors; D014776:Virus Cultivation