title: Lessons learned from a norovirus outbreak in a locked pediatric inpatient psychiatric unit.
abstract: We report an outbreak of norovirus in a locked pediatric inpatient psychiatric unit with attack rates of 75% among 4 patients and 26% among 38 staff. Factors contributing to the outbreak included environmental contamination, close staff-patient contact including sharing meals, and inability to confine the index patient with the use of contact precautions.
authors.affiliation: Department of Hospital Epidemiology, University of North Carolina Health Care System, USA. dweber@unch.unc.edu
authors.forename: David J
authors.initials: DJ
authors.lastname: Weber
authors.forename: Emily E
authors.initials: EE
authors.lastname: Sickbert-Bennett
authors.forename: Jan
authors.initials: J
authors.lastname: Vinjé
authors.forename: Vickie M
authors.initials: VM
authors.lastname: Brown
authors.forename: Jennifer K
authors.initials: JK
authors.lastname: MacFarquhar
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Engel
authors.forename: William A
authors.initials: WA
authors.lastname: Rutala
mesh_terms: D017250:Caliciviridae Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000821:virology; D002648:Child; D003428:Cross Infection / Q000453:epidemiology / Q000517:prevention & control* / Q000821:virology; D004196:Disease Outbreaks / Q000517:prevention & control*; D005759:Gastroenteritis / Q000453:epidemiology / Q000517:prevention & control* / Q000821:virology; D006757:Hospital Units; D006801:Humans; D017053:Infection Control; D001523:Mental Disorders / Q000150:complications; D029322:Norovirus / Q000302:isolation & purification; D009657:North Carolina / Q000453:epidemiology; D011567:Psychiatric Department, Hospital; D012637:Security Measures