title: An outbreak of adenovirus type 8 keratoconjunctivitis in a nursing home in Madrid.
abstract: This work describes and analyses an outbreak of epidemic keratoconjunctivitis which occurred in 2001 and 2002 in a nursing home for the elderly in Leganes (an area of Madrid). This is the first such published case in Spain with these characteristics and this serotype identification. Sociodemographic characteristics, epidemic curve and attack rates are described. Comparisons of the data were carried out using a chi2 test for qualitative variable and t-test for quantitative. Factors associated with the illness are explored by means of contingency tables and logistic regression models. One hundred and two cases were detected, with an attack rate of 36.4% for residents, and 12.9% for workers, not considering spatial or professional differences. The epidemic curve showed an interpersonal transmission pattern. Multivariate analysis identified the following risk factors in the residents: able to wander freely through the building, urinary incontinence and use of shared bathroom. In 34.6% of the conjunctival samples, adenovirus serotype 8 was detected with identical genomic sequence. Establishment of hygienic sanitary guidance adapted for the cleaning of such establishments and contact with residents as well as early diagnosis and good coordination of human and material resources are key factors in the prevention and control of these outbreaks in closed communities.
authors.affiliation: Sección de Epidemiología, Servicio de Salud Pública Area IX, Comunidad de Madrid, Leganés, Madrid, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: Sendra-Gutiérrez
authors.forename: D
authors.initials: D
authors.lastname: Martín-Rios
authors.forename: I
authors.initials: I
authors.lastname: Casas
authors.forename: P
authors.initials: P
authors.lastname: Sáez
authors.forename: A
authors.initials: A
authors.lastname: Tovar
authors.forename: C
authors.initials: C
authors.lastname: Moreno
mesh_terms: D000258:Adenovirus Infections, Human / Q000453:epidemiology* / Q000635:transmission / Q000821:virology; D000260:Adenoviruses, Human / Q000235:genetics / Q000302:isolation & purification; D000328:Adult; D000369:Aged, 80 and over; D004279:DNA, Viral / Q000032:analysis; D004196:Disease Outbreaks; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional; D017757:Infectious Disease Transmission, Professional-to-Patient; D007637:Keratoconjunctivitis / Q000453:epidemiology* / Q000821:virology; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D009735:Nursing Homes; D013030:Spain
chemical_list: D004279:DNA, Viral