Evidence map›Paper›PMID 34225537›Full record

SynthesisExpert review of anti-infective therapy2022

Associations of infection control measures and norovirus outbreak outcomes in healthcare settings: a systematic review and meta-analysis.

Carly Adams, Shenita R Peterson, Aron J Hall, Umesh Parashar, Benjamin A Lopman

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Expert review of anti-infective therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Knowledge, Awareness, and Prevention of Norovirus Infection among Kindergarten Parents in Chengdu, China.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Carly AdamsDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.ORCID 0000-0002-9220-7169
Shenita R PetersonWoodruff Health Science Center Library, Emory University, Atlanta, GA, USA.
Aron J HallDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Umesh ParasharDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Benjamin A LopmanDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Emory University · USCenters for Disease Control and Prevention · US

Funding

Preparing for the SARS-CoV2 vaccine: Modeling of transmission pathways, viral evolution and vaccination strategiesR01GM124280 · NIGMS · EMORY UNIVERSITY · PI LOPMAN, BENJAMIN A · 2018 to 2022
$2.2M
Building the Evidence Base for Vomit Clean-Up Procedures in Long-term Care FacilitiesR01HS025987 · AHRQ · CLEMSON UNIVERSITY · PI FRASER, ANGELA MARIE · 2018 to 2020
$1.4M
AHRQ HHS R01 HS025987NIGMS NIH HHS R01 GM124280
6 · The paper itself

Abstract

backgroundAlthough most norovirus outbreaks in high-income countries occur in healthcare facilities, information on associations between control measures and outbreak outcomes in these settings is lacking.

methodsWe conducted a systematic review/meta-analysis to assess associations between norovirus outbreak control measures and outcomes in hospitals and long-term care facilities (LTCFs), globally. Using regression analyses stratified by setting (hospital/LTCF), we compared durations, attack rates, and case counts for outbreaks in which control measures were reportedly implemented to those in which they were not.

resultsWe identified 102 papers describing 162 norovirus outbreaks. Control measures were reportedly implemented in 118 (73%) outbreaks and were associated with 0.6 (95% CI: 0.3-1.1) times smaller patient case counts and 0.7 (95% CI: 0.4, 1.0) times shorter durations in hospitals but 1.5 (95% CI: 1.1-2.2), 1.5 (95% CI: 1.0-2.1) and 1.6 (95% CI: 1.0-2.6) times larger overall, resident and staff case counts, respectively, and 1.4 (95% CI: 1.0-2.0) times longer durations in LTCFs.

conclusionsReported implementation of control measures was associated with smaller/shorter outbreaks in hospitals but larger/longer outbreaks in LTCFs. Control measures were likely implemented in response to larger/longer outbreaks in LTCFs, rather than causing them. Prospective observational or intervention studies are needed to determine effectiveness.

Indexed as

Caliciviridae InfectionsCross InfectionNorovirusDelivery of Health CareDisease OutbreaksHumansInfection ControlObservational Studies as TopicControl measuresgastrointestinal infectionhealthcarehospitalsinfection controllong-term care facilitiesmeta-analysisnorovirusoutbreakssystematic review

Identifiers

PMID34225537
PMCPMC8810727
OpenAlexW3182311173

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.