An outbreak of epidemic keratoconjunctivitis in a regional ophthalmology clinic in New South Wales

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dc.contributor.authorViney, Kerri
dc.contributor.authorKehoe, P. J.
dc.contributor.authorDoyle, B.
dc.contributor.authorSheppeard, V.
dc.contributor.authorRoberts-Witteveen, April
dc.contributor.authorSemirli, H.
dc.contributor.authorMcPhie, K. A.
dc.contributor.authorDwyer, Dominic E.
dc.contributor.authorMcAnulty, Jeremy M.
dc.date.accessioned2015-12-13T22:18:02Z
dc.date.issued2008
dc.date.updated2015-12-11T07:41:02Z
dc.description.abstractThe objective of the study was to identify the extent and cause of an outbreak of epidemic keratoconjunctivitis (EKC). The study design was active case finding and a case-control study of clinic patients who developed symptoms of EKC between 31 December 2005 and 31 March 2006. The main outcome measures were clinical procedures carried out and clinicians seen during clinic visit. Significantly more cases than controls had tonometry with instillation of anaesthetic drops (OR 16.95% CI 3.9-145.1, P <0.01), optical coherence tomography (OR 4.7, 95% CI 1.2-21.9, P=0.01), or instillation of dilating drops by an orthoptist (OR 2.3, 95% CI 1.-4., P=0.01). Significantly more cases than controls were seen by one orthoptist (OR 21.8, 95% CI 8.2-60.0, P <0.01). Transmission of EKC within the clinic was probably due to contamination of either or both the anaesthetic drops and the tonometer head in the room used by an orthoptist. A comprehensive suite of strategies is required to prevent healthcare-associated EKC.
dc.identifier.issn0950-2688
dc.identifier.urihttp://hdl.handle.net/1885/71452
dc.publisherCambridge University Press
dc.sourceEpidemiology and Infection
dc.subjectKeywords: anesthetic agent; vasodilator agent; Adenovirus; adolescent; adult; aged; article; Australia; case control study; case finding; child; confidence interval; consultation; controlled study; disease severity; disease transmission; epidemic; equipment; female
dc.titleAn outbreak of epidemic keratoconjunctivitis in a regional ophthalmology clinic in New South Wales
dc.typeJournal article
local.bibliographicCitation.issue9
local.bibliographicCitation.lastpage1206
local.bibliographicCitation.startpage1197
local.contributor.affiliationViney, Kerri, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationKehoe, P J, NSW Department of Health
local.contributor.affiliationDoyle, B, NSW Department of Health
local.contributor.affiliationSheppeard, V, NSW Department of Health
local.contributor.affiliationRoberts-Witteveen (previously Roberts), April, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationSemirli, H, Royal Victorian Eye and Ear Hospital
local.contributor.affiliationMcPhie, K A , Westmead Hospital
local.contributor.affiliationDwyer, Dominic E, Westmead Hospital
local.contributor.affiliationMcAnulty , Jeremy.M, New South Wales Health Department
local.contributor.authoremailu4903353@anu.edu.au
local.contributor.authoruidViney, Kerri, u4903353
local.contributor.authoruidRoberts-Witteveen (previously Roberts), April, u4278127
local.description.embargo2037-12-31
local.description.notesImported from ARIES
local.identifier.absfor111700 - PUBLIC HEALTH AND HEALTH SERVICES
local.identifier.ariespublicationU3488905xPUB2722
local.identifier.citationvolume136
local.identifier.doi10.1017/S0950268807009843
local.identifier.scopusID2-s2.0-48249147814
local.identifier.uidSubmittedByU3488905
local.type.statusPublished Version

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