ArticlePloS one2012
Outbreak of hepatitis B virus infections associated with assisted monitoring of blood glucose in an assisted living facility-Virginia, 2010.
Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
10 citing papers in PubMed, 22 citations in OpenAlex.
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- Recent Advances in Metagenomic Approaches, Applications, and Challenge.Current microbiology · 2023Review
- Article
- The Heat Stability of Hepatitis B Virus: A Chronological Review From Human Volunteers and Chimpanzees to Cell Culture Model Systems.Frontiers in cellular and infection microbiology · 2020Review
- Prevalence of serological markers for hepatitis and potential associated factors in patients with diabetes mellitus.Revista latino-americana de enfermagem · 2018Article
- Hepatitis C virus infection and chronic renal disease: A review.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018Review
- Demonstration of disinfection procedure for the development of accurate blood glucose meters in accordance with ISO 15197:2013.PloS one · 2017Article
- Article
- Is hepatitis B-virucidal validation of biocides possible with the use of surrogates?World journal of gastroenterology · 2014Review
- Infection prevention and control standards in assisted living facilities: are residents' needs being met?Journal of the American Medical Directors Association · 2014Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn January 2010, the Virginia Department of Health received reports of 2 hepatitis B virus (HBV) infections (1 acute, 1 chronic) among residents of a single assisted living facility (ALF). Both infected residents had diabetes and received assisted monitoring of blood glucose (AMBG) at the facility. An investigation was initiated in response.
objectiveTo determine the extent and mechanism of HBV transmission among ALF residents.
designRetrospective cohort study.
settingAn ALF that primarily housed residents with neuropsychiatric disorders in 2 adjacent buildings in Virginia.
participantsResidents of the facility as of March 2010. MEASUREMENTS: HBV serologic testing, relevant medical history, and HBV genome sequences. Risk ratios (RR) and 95% confidence intervals (CIs) were used to identify risk factors for HBV infection.
resultsHBV serologic status was determined for 126 (91%) of 139 residents. Among 88 susceptible residents, 14 became acutely infected (attack rate, 16%), and 74 remained uninfected. Acute HBV infection developed among 12 (92%) of 13 residents who received AMBG, compared with 2 (3%) of 75 residents who did not (RR = 35; 95% CI, 8.7, 137). Identified infection control breaches during AMBG included shared use of fingerstick devices for multiple residents. HBV genome sequencing demonstrated 2 building-specific phylogenetic infection clusters, each having 99.8-100% sequence identity. LIMITATIONS: Transfer of residents out of the facility prior to our investigation might have contributed to an underestimate of cases. Resident interviews provided insufficient information to fully assess behavioral risk factors for HBV infection.
conclusionsFailure to adhere to safe practices during AMBG resulted in a large HBV outbreak. Protection of a growing and vulnerable ALF population requires improved training of staff and routine facility licensing inspections that scrutinize infection control practices.
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