Norovirus Associated With Substantial Increased Risk Of Hospitalizations And Deaths Among Nursing Home Residents

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Norovirus Associated With Substantial Increased Risk Of Hospitalizations And Deaths Among Nursing Home Residents

INTRO:Throughout the year but especially during the winter months outbreaks of norovirus   commonly referred to as the “stomach flu” can occur. Symptoms may include abdominal cramps, vomiting and diarrhea. Outbreaks often occur in closed and crowded environments like nursing homes. A new study examined whether norovirus outbreaks were associated with increased risk of hospitalizations and death among nursing homes residents. Catherine Dolf explains in this week’s JAMA Report.

VIDEO

B-ROLL

Patient on gurney being brought to ED, inside ED, nurse closing curtain, Graphic with symptoms

AUDIO

vo

MANY ELDERLY NURSING HOMES RESIDENTS ARE FAMILIAR WITH HOSPITAL EMERGENCY DEPARTMENTS ESPECIALLY DURING THE WINTER MONTHS.  OUTBREAKS OF THE NOROVIRUS ARE OFTEN THE REASON. THIS INFECTION CAN CAUSE VOMITING, DIARRHEA AND DEHYDRATION.

AUDIO

SOT/FULL Super@:12 Tarak K. Trivedi, B.S. – University of Chicago Pritzker School of Medicine Runs:10

“In a setting of nursing home where individuals live in close quarters, once one case begins it can become very easy to spread from person to person.”

VIDEO

B-ROLL

Mr. Trivedi walking outside, graphic of map including states involved in study

AUDIO

TARAK (Tar-ECK)TRIVEDI (Trah-Veh-DEE), A FOURTH YEAR MEDICAL STUDENT AT THE UNIVERSITY OF CHICAGO PRITZKER SCHOOL OF MEDICINE AND CO-AUTHORS EXAMINED 308 NURSING HOMES IN WISCONSIN, PENNSYLVANIA AND OREGON. ALL OF THESE HOMES EXPERIENCED AT LEAST ONE NOROVIRUS OUTBREAK BETWEEN JANUARY 2009 AND DECEMBER OF 2010.

AUDIO

SOT/FULL Super@:39 Tarak K. Trivedi, B.S. – University of Chicago Pritzker School of Medicine Runs:12

“In nursing homes during times of norovirus outbreak we actually had an increase of about nine percent in the rates of hospitalization as compared to non-outbreak times.”

JAMA COVER

GXF FULL

AUDIO

VO

THE STUDY, RELEASED ONLINE FIRST, IS PUBLISHED IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO

SOT/FULL Super @ :56 Tarak K. Trivedi, B.S. – University of Chicago, Pritzker School of Medicine Runs :10

“There was an 11 percent increase in the number of deaths that were occurring in nursing homes during norovirus outbreaks as compared to all other time.”

VIDEO

B-ROLL

Nursing home patient in wheelchair

AUDIO

VO

RESEARCHERS ALSO EXAMINED WHETHER DAILY REGISTERED NURSE HOURS WERE RELATED TO THESE INCREASES.

AUDIO

SOT/FULL Super @ 1:20 Tarak K. Trivedi, B.S. – University of Chicago, Pritzker School of Medicine Runs :12

“When we looked at nursing homes that had higher number of nurse hours per patient per day we didn’t see these increased deaths during norovirus outbreaks. However, we didn’t see the same association with hospitalizations.”

(Video covering 1st half of bite: nursing home patient in wheelchair)
VIDEO

B-ROLL

Patients in wheelchairs, patient going into ED, person washing hands

AUDIO

VO

INCREASED RATES OF BOTH HOSPITALIZATON AND DEATH WERE CONCENTRATED IN THE FIRST AND SECOND WEEKS OF THE OUTBREAKS, SUGGESTING THAT IDENTIFYING THE VIRUS EARLY IS IMPORTANT. FOR HEALTH CARE WORKERS, THOROUGH HAND WASHING WITH SOAP AND WATER IS RECOMMENDED AFTER PATIENT CONTACT. THIS HELPS REDUCE THE SPREAD OF INFECTION.

AUDIO

SOT/FULL Super @ 1:38 Tarak K. Trivedi, B.S. – University of Chicago, Pritzker School of Medicine Runs :12

“For health care workers who become infected with norovirus we recommend that they stay home from work and not participate in patient care for at least 48 hours until after they’ve actually recovered from their illness.”

VIDEO

B-ROLL

Doctor going into patient room, doctor walking down hall, ED staff attending to patient, people walking in ED

AUDIO

VO

NURSING HOME RESIDENTS OFTEN HAVE OTHER UNDERLYING HEALTH ISSUES. RESEARCHERS SAY IT IS DIFFICULT TO ASSESS WHETHER THE OUTBREAK IS ACTUALLY CAUSING DEATH OR HOSPITALIZATION OR WHETHER IT IS HAPPENING SIMULTANEOUSLY DURING ANOTHER ILLNESS. CATHERINE DOLF, THE JAMA REPORT.

TAG:REASEARCHERS SAY BECAUSE DIAGNOSTIC TESTING OF SPORADIC ILLNESS IS LACKING, OUTBREAKS MAY PROVIDE THE BEST OPPORTUNITIES FOR IDENTIFYING THE ASSOCIATION BETWEEN NOROVIRUS AND DEATHS.

October 23, 2012

INTRO:Throughout the year but especially during the winter months outbreaks of norovirus   commonly referred to as the “stomach flu” can occur. Symptoms may include abdominal cramps, vomiting and diarrhea. Outbreaks often occur in closed and crowded environments like nursing homes. A new study examined whether norovirus outbreaks were associated with increased risk of hospitalizations and death among nursing homes residents. Catherine Dolf explains in this week’s JAMA Report.

VIDEO

B-ROLL

Patient on gurney being brought to ED, inside ED, nurse closing curtain, Graphic with symptoms

AUDIO

vo

MANY ELDERLY NURSING HOMES RESIDENTS ARE FAMILIAR WITH HOSPITAL EMERGENCY DEPARTMENTS ESPECIALLY DURING THE WINTER MONTHS.  OUTBREAKS OF THE NOROVIRUS ARE OFTEN THE REASON. THIS INFECTION CAN CAUSE VOMITING, DIARRHEA AND DEHYDRATION.

AUDIO

SOT/FULL Super@:12 Tarak K. Trivedi, B.S. – University of Chicago Pritzker School of Medicine Runs:10

“In a setting of nursing home where individuals live in close quarters, once one case begins it can become very easy to spread from person to person.”

VIDEO

B-ROLL

Mr. Trivedi walking outside, graphic of map including states involved in study

AUDIO

TARAK (Tar-ECK)TRIVEDI (Trah-Veh-DEE), A FOURTH YEAR MEDICAL STUDENT AT THE UNIVERSITY OF CHICAGO PRITZKER SCHOOL OF MEDICINE AND CO-AUTHORS EXAMINED 308 NURSING HOMES IN WISCONSIN, PENNSYLVANIA AND OREGON. ALL OF THESE HOMES EXPERIENCED AT LEAST ONE NOROVIRUS OUTBREAK BETWEEN JANUARY 2009 AND DECEMBER OF 2010.

AUDIO

SOT/FULL Super@:39 Tarak K. Trivedi, B.S. – University of Chicago Pritzker School of Medicine Runs:12

“In nursing homes during times of norovirus outbreak we actually had an increase of about nine percent in the rates of hospitalization as compared to non-outbreak times.”

JAMA COVER

GXF FULL

AUDIO

VO

THE STUDY, RELEASED ONLINE FIRST, IS PUBLISHED IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO

SOT/FULL Super @ :56 Tarak K. Trivedi, B.S. – University of Chicago, Pritzker School of Medicine Runs :10

“There was an 11 percent increase in the number of deaths that were occurring in nursing homes during norovirus outbreaks as compared to all other time.”

VIDEO

B-ROLL

Nursing home patient in wheelchair

AUDIO

VO

RESEARCHERS ALSO EXAMINED WHETHER DAILY REGISTERED NURSE HOURS WERE RELATED TO THESE INCREASES.

AUDIO

SOT/FULL Super @ 1:20 Tarak K. Trivedi, B.S. – University of Chicago, Pritzker School of Medicine Runs :12

“When we looked at nursing homes that had higher number of nurse hours per patient per day we didn’t see these increased deaths during norovirus outbreaks. However, we didn’t see the same association with hospitalizations.”

(Video covering 1st half of bite: nursing home patient in wheelchair)
VIDEO

B-ROLL

Patients in wheelchairs, patient going into ED, person washing hands

AUDIO

VO

INCREASED RATES OF BOTH HOSPITALIZATON AND DEATH WERE CONCENTRATED IN THE FIRST AND SECOND WEEKS OF THE OUTBREAKS, SUGGESTING THAT IDENTIFYING THE VIRUS EARLY IS IMPORTANT. FOR HEALTH CARE WORKERS, THOROUGH HAND WASHING WITH SOAP AND WATER IS RECOMMENDED AFTER PATIENT CONTACT. THIS HELPS REDUCE THE SPREAD OF INFECTION.

AUDIO

SOT/FULL Super @ 1:38 Tarak K. Trivedi, B.S. – University of Chicago, Pritzker School of Medicine Runs :12

“For health care workers who become infected with norovirus we recommend that they stay home from work and not participate in patient care for at least 48 hours until after they’ve actually recovered from their illness.”

VIDEO

B-ROLL

Doctor going into patient room, doctor walking down hall, ED staff attending to patient, people walking in ED

AUDIO

VO

NURSING HOME RESIDENTS OFTEN HAVE OTHER UNDERLYING HEALTH ISSUES. RESEARCHERS SAY IT IS DIFFICULT TO ASSESS WHETHER THE OUTBREAK IS ACTUALLY CAUSING DEATH OR HOSPITALIZATION OR WHETHER IT IS HAPPENING SIMULTANEOUSLY DURING ANOTHER ILLNESS. CATHERINE DOLF, THE JAMA REPORT.

TAG:REASEARCHERS SAY BECAUSE DIAGNOSTIC TESTING OF SPORADIC ILLNESS IS LACKING, OUTBREAKS MAY PROVIDE THE BEST OPPORTUNITIES FOR IDENTIFYING THE ASSOCIATION BETWEEN NOROVIRUS AND DEATHS.