Hostname: page-component-745bb68f8f-hvd4g Total loading time: 0 Render date: 2025-01-25T06:17:30.476Z Has data issue: false hasContentIssue false
  • English
  • Français

Infections in Psychiatric Facilities, with an Emphasis on Outbreaks

Published online by Cambridge University Press:  02 January 2015

Yuriko Fukuta  and
Robert R. Muder
Yuriko Fukuta
Affiliation:
Division of Infectious Diseases, University of Pittsburgh, Pittsburgh, Pennsylvania
Robert R. Muder*
Affiliation:
Division of Infectious Diseases, University of Pittsburgh, Pittsburgh, Pennsylvania Infectious Disease Section, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania
*
Infectious Disease Section, VA Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA 15240 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Outbreaks of infectious diseases in psychiatric units are very different from those in intensive care units or acute medical-surgical units. Outbreaks in psychiatric units are most often caused by agents circulating in the community. Infection control in psychiatric units also faces unique challenges due to the characteristics of the patients and facilities.

Type
Review Article
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 1 , January 2013 , pp. 80 - 88
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Smith, PW, Bennett, G, Bradley, S, et al. SHEA/APIC guideline: infection prevention and control in the long-term care facility. Am J Infect Control 2008;36:504–535.10.1016/j.ajic.2008.06.001Google Scholar
2. Goff, DC, Cather, C, Evins, AE, et al. Medical morbidity and mortality in schizophrenia: guidelines for psychiatrists. J Clin Psychiatry 2005;66:183–194.10.4088/JCP.v66n0205Google Scholar
3. Rothbard, AB, Blank, MB, Staab, JP, et al. Previously undetected metabolic syndromes and infectious diseases among psychiatric inpatients. Psychiatr Serv 2009;60:534–537.10.1176/ps.2009.60.4.534Google Scholar
4. Tabibian, JH, Wirshing, DA, Pierre, JM, et al. Hepatitis B and C among veterans on a psychiatric ward. Dig Dis Sci 2008;53: 1693–1698.10.1007/s10620-007-0045-5Google Scholar
5. Huang, FL, Chen, PY, Shi, ZY, Chan, CH, Huang, SK. An unusual respiratory syncytial virus nosocomial outbreak in an adult psychiatry ward. Jpn J Infect Dis 2009;62:61–62.Google Scholar
6. Sanchez, MP, Erdman, DD, Torok, TJ, Freeman, CJ, Matyas, BT. Outbreak of adenovirus 35 pneumonia among adult residents and staff of a chronic care psychiatric facility. J Infect Dis 1997; 176:760–763.10.1086/517295Google Scholar
7. Klinger, JR, Sanchez, MP, Curtin, LA, Durkin, M, Matyas, B. Multiple cases of life-threatening adenovirus pneumonia in a mental health care center. Am J Respir Crit Care Med 1998;157:645–649.10.1164/ajrccm.157.2.9608057Google Scholar
8. Tu, CC, Chen, LK, Lee, YS, et al. An outbreak of human meta-pneumovirus infection in hospitalized psychiatric adult patients in Taiwan. Scand J Infect Dis 2009;41:363–367.10.1080/00365540902849375Google Scholar
9. Cheng, VC, Wu, AK, Cheung, CH, et al. Outbreak of human metapneumovirus infection in psychiatric inpatients: implications for directly observed use of alcohol hand rub in prevention of nosocomial outbreaks. J Hosp Infect 2007;67:336–343.Google Scholar
10. Strihavkova, M, Havlícková, M, Tůmová, B. An epidemic of type B influenza in the geriatric psychiatry department of a psychiatric hospital. Cas Lek Cesk 1990;129:1129–1132.Google Scholar
11. Risa, KJ, McAndrew, JM, Muder, RR. Influenza outbreak management on a locked behavioral health unit. Am J Infect Control 2009;37:76–78.10.1016/j.ajic.2008.05.008Google Scholar
12. Brandeis, GH, Berlowitz, DR, Coughlin, N. Mortality associated with an influenza outbreak on a dementia care unit. Alzheimer Dis Assoc Disord 1998;12:140–145.10.1097/00002093-199809000-00004Google Scholar
13. Sugaya, N, Kusumoto, N, Suzuki, Y. Large sequential outbreaks caused by influenza A (H3N2) and B viruses in an institution for the mentally handicapped. J Med Virol 1996;50:120–125.10.1002/(SICI)1096-9071(199610)50:2<120::AID-JMV4>3.0.CO;2-C3.0.CO;2-C>Google Scholar
14. Toovey, S, Rayner, C, Prinssen, E, et al. Assessment of neuropsychiatrie adverse events in influenza patients treated with osel-tamivir: a comprehensive review. Drug Saf 2008;31:1097–1114.10.2165/0002018-200831120-00006Google Scholar
15. Dworkin, MS, Park, L, Barringer, J, Curtis, R. An outbreak of noninvasive group A streptococcal disease in a facility for the developmentally disabled. Am J Infect Control 2006;34:296–300.10.1016/j.ajic.2005.10.006Google Scholar
16. Dowsett, EG, Herson, RN, Maxted, WR, Widdowson, JP. Outbreak of idiopathic erysipelas in a psychiatric hospital. Br Med J 1975; 1:500–502.10.1136/bmj.1.5956.500Google Scholar
17. Pritchard, VG, Kerry, CS. Streptococcal outbreak. J Gerontol Nurs 1988;14:19–23.10.3928/0098-9134-19880201-06Google Scholar
18. McNutt, LA, Casiano-Colon, AE, Coles, FB, et al. Two outbreaks of primarily noninvasive group A streptococcal disease in the same nursing home, New York, 1991. Infect Control Hosp Epidemiol 1992;13:748–751.Google Scholar
19. Jordan, HT, Richards, CL Jr, Burton, DC, Thigpen, MC, Van Beneden, CA. Group A streptococcal disease in long-term care facilities: descriptive epidemiology and potential control measures. Clin Infect Dis 2007;45:742–752.Google Scholar
20. Cavanaugh, JS, Powell, K, Renwick, OJ, et al. An outbreak of tuberculosis among adults with mental illness. Am J Psychiatry 2012;169:569–575.10.1176/appi.ajp.2011.11081311Google Scholar
21. Lemaître, N, Sougakoff, W, Coëtmeur, D, Vaucel, J, Jarlier, V, Grosset, J. Nosocomial transmission of tuberculosis among mentally-handicapped patients in a long-term care facility. Tuber Lung Dis 1996;77:531–536.10.1016/S0962-8479(96)90051-9Google Scholar
22. Ota, M, Isshiki, M. An outbreak of tuberculosis in a long-term care unit of a mental hospital. Kekkaku 2004;79:579–586.Google Scholar
23. Harris, JP, Lopman, BA, O'Brien, SJ. Infection control measures for norovirus: a systematic review of outbreaks in semi-enclosed settings. Hosp Infect 2010;74:1–9.10.1016/j.jhin.2009.07.025Google Scholar
24. Johnston, CP, Qiu, H, Ticehurst, JR, et al. Outbreak management and implications of a nosocomial norovirus outbreak. Clin Infect Dis 2007;45:534–540.10.1086/520666Google Scholar
25. Gilbride, SJ, Lee, BE, Taylor, GD, Forgie, SE. Successful contain ment of a norovirus outbreak in an acute adult psychiatric area. Infect Control Hosp Epidemiol 2009;30:289–291.10.1086/595733Google Scholar
26. Weber, DJ, Sickbert-Bennett, EE, Vinjé, J, et al. Lessons learned from a norovirus outbreak in a locked pediatric inpatient psychiatric unit. Infect Control Hosp Epidemiol 2005;26:841–843.10.1086/502504Google Scholar
27. Tseng, CY, Chen, CH, Su, SC, et al. Characteristics of norovirus gastroenteritis outbreaks in a psychiatric centre. Epidemiol Infect 2011;139:275–285.10.1017/S0950268810000634Google Scholar
28. Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention. Updated norovirus outbreak management and disease prevention guidelines. MMWR Recomm Rep 2011;4(RR-3):1–18.Google Scholar
29. Goh, KT, Teo, SH, Tay, L, Monteiro, EH. Epidemiology and control of an outbreak of typhoid in a psychiatric institution. Epidemiol Infect 1992;108:221–229.10.1017/S0950268800049700Google Scholar
30. Grein, T, O'Flanagan, D, McCarthy, T, Prendergast, T. An outbreak of Salmonella enteritidis food poisoning in a psychiatric hospital in Dublin, Ireland. Euro Surveill 1997;2:84–86.10.2807/esm.02.11.00188-enGoogle Scholar
31. Evans, MR, Hutchings, PG, Ribeiro, CD, Westmoreland, D. A hospital outbreak of salmonella food poisoning due to inadequate deep-fat frying. Epidemiol Infect 1996;116:155–160.10.1017/S0950268800052389Google Scholar
32. Galloway, A, Roberts, C, Hunt, EJ. An outbreak of Salmonella typhimurium gastroenteritis in a psychiatric hospital. J Hosp Infect 1987;10:248–254.10.1016/0195-6701(87)90005-3Google Scholar
33. Ahmad, F, Bray, G, Prescott, RW, Aquilla, S, Lightfoot, NF. Use of ciprofloxacin to control a Salmonella outbreak in a long-stay psychiatric hospital. J Hosp Infect 1991;17:171–178.10.1016/0195-6701(91)90228-ZGoogle Scholar
34. Kitahashi, T, Tanaka, T, Ishikawa, Y, Hasegawa, S. An outbreak caused by hepatitis A virus in an institution for the mentally handicapped-detection of hepatitis A virus RNA using CTAB method. Kansenshogaku Zasshi 1998;72:794–800.Google Scholar
35. Hofmann, H, David, H, Frisch-Niggemeyer, W, Kunz, C. Gamma globulin as a prophylactic measure in an outbreak of hepatitis A in an institution for mentally retarded children. Wien Klin Wochenschr 1981;93:584–587.Google Scholar
36. Helmsing, PJ, Duermeyer, W, van Hattem, GC, Wielaard, F. An outbreak of hepatitis A in an institution for the mentally retarded. J Med Viro 1980;5:143–150.10.1002/jmv.1890050208Google Scholar
37. Fiore, AE, Wasley, A, Bell, BP; Advisory Committee on Immunization Practices. Prevention of hepatitis A through active or passive immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2006;55(RR-7):1–23.Google Scholar
38. Yan, H, Abe, T, Phan, TG, et al. Outbreak of acute gastroenteritis associated with group A rotavirus and genogroup I sapovirus among adults in a mental health care facility in Japan. J Med Virol 2005;75:475–481.10.1002/jmv.20292Google Scholar
39. Hunter, PR, Hutchings, PG. Outbreak of Shigella sonnei dysentery on a long stay psychogeriatric ward. J Hosp Infect 1987;10:73–76.10.1016/0195-6701(87)90035-1Google Scholar
40. Goh, KT, Teo, SH, Lam, S, Ling, MK. Person-to-person transmission of cholera in a psychiatric hospital. J Infect 1990;20: 193–200.10.1016/0163-4453(90)90994-JGoogle Scholar
41. Giacometti, A, Cirioni, O, Balducci, M, et al. Epidemiologic features of intestinal parasitic infections in Italian mental institutions. Eur J Epidemiol 1997;13:825–830.10.1023/A:1007306630301Google Scholar
42. Cheng, HS, Wang, LC. Intestinal parasites may not cause nosocomial infections in psychiatric hospitals. Parasitol Res 2005;95: 358–362.10.1007/s00436-005-1310-1Google Scholar
43. Gatti, S, Lopes, R, Cevini, C, et al. Intestinal parasitic infections in an institution for the mentally retarded. Ann Trop Med Parasitol 2000;94:453–460.10.1080/00034983.2000.11813564Google Scholar
44. Nishise, S, Fujishima, T, Kobayashi, S, et al. Mass infection with Entamoeba histolytica in a Japanese institution for individuals with mental retardation: epidemiology and control measures. Ann Trop Med Parasitol 2010;104:383–390.10.1179/136485910X12743554760388Google Scholar
45. Allen, KD, Green, HT. An outbreak of Trichuris trichiura in a mental handicap hospital. J Hosp Infect 1989;13:161–166.10.1016/0195-6701(89)90022-4Google Scholar
46. Vorou, R, Remoudaki, HD, Maltezou, HC. Nosocomial scabies. J Hosp Infect 2007;65:9–14.10.1016/j.jhin.2006.08.012Google Scholar
47. Bouvresse, S, Chosidow, O. Scabies in healthcare settings. Curr Opin Infect Dis 2010;23:111–118.Google Scholar
48. David, MZ, Daum, RS. Community-associated methicillin-resistant Staphylococcus aureus: epidemiology and clinical consequences of an emerging epidemic. Clin Microbiol Rev 2010;23: 616–687.10.1128/CMR.00081-09Google Scholar
49. Borer, A, Gilad, J, Yagupsky, P, et al. Community-acquired methicillin-resistant Staphylococcus aureus in institutionalized adults with developmental disabilities. Emerg Infect Dis 2002;8:966–970.10.3201/eid0809.020300Google Scholar
50. Cohen, SH, Gerding, DN, Johnson, S, et al. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infect Control Hosp Epidemiol 2010;31:431–455.10.1086/651706Google Scholar
51. Ford, E, Rosenberg, M, Holsten, M, Boudreaux, T. Managing sexual behavior on adult acute care inpatient psychiatric units. Psychiatr Serv 2003;54:346–350.10.1176/appi.ps.54.3.346Google Scholar
52. Sansone, RA, Sansone, LA. Sexual behavior in borderline personality: a review. Innov Clin Neurosci 2011;8:14–18.Google Scholar
53. De Genna, NM, Feske, U, Angiolieri, T, Gold, MA. Race and sexually transmitted diseases in women with and without borderline personality disorder. J Womens Health 2011;20:333–340.Google Scholar
54. Vlajinac, H, Sipetic, S, Bjekic, M, Savcic, G, Marinkovic, J. Outbreak of early syphilis in an institution for the care of adults with mental disorders. Epidemiol Infect 2006;134:585–588.10.1017/S0950268805005558Google Scholar