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Identification of a norovirus outbreak on a hematopoietic stem cell transplant unit and development and implementation of a novel infection prevention algorithm for controlling transmission

Published online by Cambridge University Press:  24 February 2020

Westyn Branch-Elliman*
Affiliation:
Section of Infectious Diseases, Department of Medicine, Veterans’ Affairs (VA) Boston Healthcare System, West Roxbury, Massachusetts, United States VA Boston Center for Healthcare Organization and Implementation Research, Boston, Massachusetts, United States Harvard Medical School, Boston, Massachusetts, United States
Roger V. Araujo-Castillo
Affiliation:
Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
Graham M. Snyder
Affiliation:
Department of Infection Prevention and Control, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
Bernadette F. Sullivan
Affiliation:
Division of Infection Control/Hospital Epidemiology, Silverman Institute for Health Care Quality and Safety, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States
Carolyn D. Alonso
Affiliation:
Harvard Medical School, Boston, Massachusetts, United States Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States
Sharon B. Wright
Affiliation:
Harvard Medical School, Boston, Massachusetts, United States Division of Infection Control/Hospital Epidemiology, Silverman Institute for Health Care Quality and Safety, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States
*
Author for correspondence: Westyn Branch-Elliman MD, MMSc, Email: wbranche@bidmc.harvard.edu

Abstract

Controlling norovirus transmission in units with immunocompromised patients is challenging. We present a cluster of norovirus cases that occurred on a stem-cell transplant unit and the prevention efforts that were implemented to limit the outbreak. Protocols developed to control this cluster may provide a model for other facilities.

Type
Concise Communication
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved

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