Assessing the incidence of gastroenteritis among elderly people living in long term care facilities

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dc.contributor.authorHall, Gillian
dc.contributor.authorVeitch, Mark
dc.contributor.authorBecker, Niels
dc.contributor.authorKirk, Martyn
dc.date.accessioned2015-12-08T22:36:03Z
dc.date.issued2010
dc.date.updated2016-02-24T11:16:02Z
dc.description.abstractWe conducted a systematic review and meta-analysis of the literature in order to estimate the incidence of gastroenteritis in long term care facility (LTCF) residents from published accounts of infection surveillance. PubMed, Web of Science and Google Scholar were searched using keywords 'long-term care facility', 'nursing home', 'gastroenteritis', 'surveillance', and 'incidence'. We manually searched reference lists of all articles included. The number of cases of gastroenteritis and bed-days under surveillance was recorded so as to calculate incidence and assess the influence of the study country and case definition using random effects meta-analysis and regression. We included one trial and 14 surveillance studies in the analysis, with 47% (7/15) conducted after 1995. One study focused only on gastroenteritis in residents; the remainder considered a range of infections. There were 2 071 330 combined bed-days under surveillance and 717 cases of gastroenteritis. In all, 194 cases were associated with 10 outbreaks during these studies. We observed heterogeneity between studies, which may have been due to unreported clustering of gastroenteritis cases. The mean incidence of gastroenteritis in LTCF residents was 0.40 (95% confidence interval: 0.27-0.56) episodes per 1000 bed-days. Investigators conducting studies in the USA reported incidence three times lower than investigators in other countries. Use of a case definition developed specifically for LTCFs was not associated with a higher incidence of gastroenteritis. From our analysis, residents could expect to experience gastroenteritis once every 5-10 years, which is a lower rate than that estimated from point prevalence surveys. New studies are needed to better assess the incidence and causes of gastroenteritis in LTCF residents.
dc.identifier.issn0195-6701
dc.identifier.urihttp://hdl.handle.net/1885/35092
dc.publisherW B Saunders Co
dc.sourceJournal of Hospital Infection
dc.subjectKeywords: aged; clinical trial; gastroenteritis; health care facility; hospital personnel; human; long term care; meta analysis; morbidity; outcome assessment; review; systematic review; treatment duration; Aged; Cross Infection; Disease Outbreaks; Gastroenteritis; Diarrhoea; Elderly; Gastroenteritis; Meta-analysis; Nursing home
dc.titleAssessing the incidence of gastroenteritis among elderly people living in long term care facilities
dc.typeJournal article
local.bibliographicCitation.issue76
local.bibliographicCitation.lastpage17
local.bibliographicCitation.startpage12
local.contributor.affiliationKirk, Martyn, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationHall, Gillian, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationVeitch, Mark, University of Melbourne
local.contributor.affiliationBecker, Niels, College of Medicine, Biology and Environment, ANU
local.contributor.authoremailu3853379@anu.edu.au
local.contributor.authoruidKirk, Martyn, u3853379
local.contributor.authoruidHall, Gillian, u4014066
local.contributor.authoruidBecker, Niels, u9707783
local.description.embargo2037-12-31
local.description.notesImported from ARIES
local.identifier.absfor111706 - Epidemiology
local.identifier.ariespublicationu4637548xPUB120
local.identifier.citationvolumeSeptember 2010
local.identifier.doi10.1016/j.jhin.2010.04.009
local.identifier.scopusID2-s2.0-77955519182
local.identifier.thomsonID000281403700002
local.identifier.uidSubmittedByu4637548
local.type.statusPublished Version

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