title: An adenovirus 4 outbreak amongst staff in a pediatric ward manifesting as keratoconjunctivitis-a possible failure of contact and aerosol infection control.
abstract: An adenovirus serotype 4 outbreak was identified on a pediatric ward involving 4 members of the health care staff. Two inpatients on the ward at the time (1 immunocompromised) were shedding this virus from their respiratory tracts and could have acted as independent index cases for the staff infections. Significantly, upon investigation, it was found that staff members were unaware that adenoviruses are not completely eliminated by alcohol gel handrubs and that soap and water handwashing is also required.
authors.affiliation: Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Hoyle
authors.affiliation: Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.
authors.forename: Joanne C
authors.initials: JC
authors.lastname: Erez
authors.affiliation: Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.
authors.forename: Helen R
authors.initials: HR
authors.lastname: Kirk-Granger
authors.affiliation: Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Collins
authors.affiliation: Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom. Electronic address: jwtang49@hotmail.com.
authors.forename: Julian W
authors.initials: JW
authors.lastname: Tang
mesh_terms: D000256:Adenoviridae / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D000258:Adenovirus Infections, Human / Q000453:epidemiology* / Q000635:transmission / Q000821:virology; D000391:Air Microbiology; D002675:Child, Preschool; D003428:Cross Infection / Q000453:epidemiology* / Q000635:transmission / Q000821:virology; D004196:Disease Outbreaks; D018562:Disease Transmission, Infectious; D005260:Female; D005838:Genotype; D006282:Health Personnel; D006801:Humans; D007223:Infant; D017053:Infection Control / Q000379:methods*; D007637:Keratoconjunctivitis / Q000453:epidemiology* / Q000821:virology; D008297:Male
keywords: Alcohol gel; Fans; Hand-washing; Isolation; Non-enveloped viruses; Transmission