title: Hepatitis B outbreak associated with a home health care agency serving multiple assisted living facilities in Texas, 2008-2010.
abstract: We investigated a multifacility outbreak of acute hepatitis B virus infection involving 21 residents across 10 assisted living facilities in Texas during the period January 2008 through July 2010. Epidemiologic and laboratory data suggested that these infections belonged to a single outbreak. The only common exposure was receipt of assisted monitoring of blood glucose from the same home health care agency. Improved infection control oversight and training of assisted living facility and home health care agency personnel providing assisted monitoring of blood glucose is needed.
authors.affiliation: Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA; Epidemic Intelligence Service, Scientific Education and Professional Development Program Office, Centers for Disease Control and Prevention, Atlanta, GA.
authors.forename: Yenlik A
authors.initials: YA
authors.lastname: Zheteyeva
authors.affiliation: Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA; Epidemic Intelligence Service, Scientific Education and Professional Development Program Office, Centers for Disease Control and Prevention, Atlanta, GA.
authors.forename: Pritish
authors.initials: P
authors.lastname: Tosh
authors.affiliation: Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA.
authors.forename: Priti R
authors.initials: PR
authors.lastname: Patel
authors.affiliation: Harris County Public Health and Environmental Services, Houston, TX.
authors.forename: Diana
authors.initials: D
authors.lastname: Martinez
authors.affiliation: Harris County Public Health and Environmental Services, Houston, TX.
authors.forename: Cindy
authors.initials: C
authors.lastname: Kilborn
authors.affiliation: City of Houston Department of Health and Human Services, Houston, TX.
authors.forename: Debo
authors.initials: D
authors.lastname: Awosika-Olumo
authors.affiliation: City of Houston Department of Health and Human Services, Houston, TX.
authors.forename: Salma
authors.initials: S
authors.lastname: Khuwaja
authors.affiliation: Montgomery County Public Health Department, Conroe, TX.
authors.forename: Syed
authors.initials: S
authors.lastname: Ibrahim
authors.affiliation: Fort Bend County Health and Human Services, Rosenberg, TX.
authors.forename: Anthony
authors.initials: A
authors.lastname: Ryder
authors.affiliation: Epidemic Intelligence Service, Scientific Education and Professional Development Program Office, Centers for Disease Control and Prevention, Atlanta, GA; Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
authors.forename: Rania A
authors.initials: RA
authors.lastname: Tohme
authors.affiliation: Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
authors.forename: Yury
authors.initials: Y
authors.lastname: Khudyakov
authors.affiliation: Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
authors.forename: Hong
authors.initials: H
authors.lastname: Thai
authors.affiliation: Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
authors.forename: Jan
authors.initials: J
authors.lastname: Drobeniuc
authors.affiliation: Texas Department of State Health Services, Austin, TX.
authors.forename: Gary
authors.initials: G
authors.lastname: Heseltine
authors.affiliation: Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA. Electronic address: ggt4@cdc.gov.
authors.forename: Alice Y
authors.initials: AY
authors.lastname: Guh
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D040561:Assisted Living Facilities; D001774:Blood Chemical Analysis / Q000009:adverse effects / Q000379:methods; D001786:Blood Glucose / Q000032:analysis; D004196:Disease Outbreaks; D005260:Female; D006509:Hepatitis B / Q000453:epidemiology*; D006515:Hepatitis B virus / Q000302:isolation & purification*; D018574:Home Care Agencies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013781:Texas / Q000453:epidemiology
chemical_list: D001786:Blood Glucose
keywords: Blood glucose monitoring; Infection control; Patient safety