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Encouraging HCWs to get vaccinated can play a vital role in stopping the transmission of pertussis, thereby reducing institutional outbreaks.
We sequenced the 2 earliest submitted samples positive for influenza A(H3N2) from each of 38 reported institutional outbreaks in long-term care facilities.
Multi-drug resistant tuberculosis (MDR-TB) has long been recognized to be associated with institutional outbreaks in HIV-infected patients [8].
While HIV infection and tuberculosis are intimately linked, there is currently no evidence supporting an association between MDR-TB and HIV outside of institutional outbreaks.
The associations between MDR-TB and HIV infection observed in many North American studies, which included in part patients involved in institutional outbreaks in New York City, support this possibility.
Astrovirus, rotavirus, and caliciviruses are important causes of healthcare associated infections and institutional outbreaks [ 11].
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Most (17, 89%) outbreaks with person-to-person transmission and a reported setting occurred in institutions; all except 1 institutional outbreak occurred in a childcare center.
We therefore believe that the LPHA managing an institutional outbreak should enter directly all outbreak-related data into the surveillance system.
To rule out the possibility of an institutional outbreak of Staphylococcus infections, we enlisted the help of the hospital's Infection Control team.
Before its emergence in New Zealand, the human S. Typhimurium DT160 infection had only been reported in the context of a 1979 institutional outbreak in the United Kingdom, linked to food contamination by sparrow droppings (13 ).
The set of INF-A/NONO ratios in Table 5 were derived from assays of serial samples of patients treated with oseltamivir for influenza A during the course of management of an institutional outbreak, demonstrating the potential for quantitation as a marker of sample quality (normalised NONO value) and perhaps of the course of infection (INF-A/NONO ratio).
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