Open Access, Peer-reviewed
pISSN 2508-4887
eISSN 2508-4895
    Korean J Perinatol. 2016 Mar;27(1):60-66. Korean.
    Published online Mar 31, 2016.
    https://doi.org/10.14734/kjp.2016.27.1.60
    Copyright © 2016 The Korean Society of Perinatology
    Original Article

    RSV Outbreak at a Single Postpartum Care Center in Gyeongsangbukdo

    Seung Jee Hong, M.D., Doo Kwun Kim, M.D., Dong Seok Lee, M.D., Seung Man Cho, M.D. and Sung Min Choi, M.D., Ph.D.
      • Department of Pediatrics, Dongguk University College of Medicine, Gyeongju, Korea.
    • Correspondence to: Sung Min Choi, M.D., Ph.D. Department of Pediatrics, Dongguk University Gyeongju Hospital, 87 Dongdae-ro ,Gyeongju, Kyeongbuk 780-350, Korea. Tel: +82-54-770-8252, Fax: +82-54-770-8500, Email: csm21@dongguk.ac.kr
    Received December 10, 2015; Revised March 03, 2016; Accepted March 03, 2016.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    We performed an analysis of the RSV outbreak in a postpartum center in Gyeongsangbukdo to provide preliminary data for health and hygiene management of postpartum care centers.

    Methods

    All of 22 newborns who were transferred to our hospital from a postpartum care center from December 2014 to January 2015 showed positive for RSV by viral culture and enrolled in the study group. To identify early symptoms in RSV infected newborn in the nursery 31 infants (1 month to 24 month of age) who were hospitalized in our hospital due to RSV infection during the same period were selected as control group and clinical symptoms were compared with the study group. A retrospective study was also performed on the newborns who were cared and not transferred to our hospital in the postpartum care center, as well as the facilities offered by the center.

    Results

    All of 22 neonatal patients who were transferred to our hospital had early symptoms of rhinorrhea and cough compared to control group. Rhinorrhea appeared 4.2±2.0 days before the admission, and cough occurred 1.0±1.1 days after rhinorrhea. The level of infection control specified by the law for general facilities relating to postpartum care centers was applied to the postpartum center, RSV infection was not controlled. Strict hand washing, individual equipment such as stethoscopes and exclusion of visitors with respiratory symptoms were done and infected neonates were segregated in separate air circulation system and cared by nurse-infant ratios from 1:1 to 1:2 depending on the needs of the individual neonates. Additional transmission was not observed after transfer to our hospital

    Conclusion

    Neonates with cough and rhinorrhea were initial symptom for RSV infection in the postpartum center and should be evaluated for RSV infection during high risk season. Current guideline or support for infection control in postpartum center should be reevaluated for RSV infection control.

    Keywords
    Neonates; Respiratory syncytial virus; Outbreaks

    Figures

    Fig. 1
    Weekly distribution of Respiratory Syncytial Virus infections. The horizontal (x) axis represents the weeks of December and January for Respiratory Syncytial Virus infected newborn (black bars) and infant (gray dashed bars); the vertical axis displays total number of cases identified per weeks during the study period.

    Tables

    Table 1
    Demographic Characteristics of Respiratory Syncytial Virus Positive Group and Respiratory Syncytial Virus Negative Group of Neonates at a Postpartum Care Center

    Table 2
    Comparison of Clinical Characteristics between Neonates and Infants with Respiratory Syncytial Virus infection

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    MeSH Terms
    Cough
    Disease Outbreaks
    Gyeongsangbuk-do*
    Hand Disinfection
    Humans
    Hygiene
    Infant
    Infant, Newborn
    Infection Control
    Jurisprudence
    Nurseries
    Postnatal Care*
    Postpartum Period*
    Respiratory Syncytial Viruses
    Retrospective Studies
    Seasons
    Stethoscopes
    Metrics
    Share
    Figures
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    Tables
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