DOI: 10.1111/j.1532-5415.1992.tb01929.x. Viral Respiratory Infections in the Institutionalized Elderly: Clinical and Epidemiologic Findings

Viral Respiratory Infections in the Institutionalized Elderly: Clinical and Epidemiologic Findings

10.1111/j.1532-5415.1992.tb01929.x

Crossref journal-article

Wiley

Journal of the American Geriatrics Society (311)

Abstract

ObjectiveTo prospectively evaluate the incidence and impact of viral respiratory infection in the institutionalized elderly during a winter season.DesignProspective descriptive study, without intervention.MethodPatients with respiratory illnesses were evaluated by a directed history and physical examination. Nasopharyngeal secretions for viral culture were obtained, and acute and convalescent serum samples were obtained for analysis. Serologic evidence of infection with respiratory syncytial virus (RSV) and parainfluenza were determined by enzyme immunoassay (EIA), and influenza by hemagglutination‐inhibition assay and EIA.SettingA 591‐bed nursing home.ParticipantsResidents with signs or symptoms of acute respiratory illness (nasal congestion, pharyngitis, cough, wheezing, or respiratory difficulty) were eligible for study.ResultsA viral etiology was documented in 62 out of 149 illnesses (42%). RSV was the most common virus associated with illness; it was documented in 27% of respiratory illnesses, followed by rhinovirus (9%), parainfluenza (6%), and influenza (1%). RSV was associated with significantly more severe disease when compared with rhinovirus. Clustering of specific viral infections occurred, suggesting nosocomial transmission.ConclusionsViruses are an important cause of acute respiratory infections in the institutionalized elderly during the winter months.

Bibliography

Falsey, A. R., Treanor, J. J., Betts, R. F., & Walsh, E. E. (1992). Viral Respiratory Infections in the Institutionalized Elderly: Clinical and Epidemiologic Findings. Journal of the American Geriatrics Society, 40(2), 115â119. Portico.

Authors 4

Ann R. Falsey (first)
John J. Treanor (additional)
Robert F. Betts (additional)
Edward E. Walsh (additional)

References 28 Referenced 153

10.1001/jama.1974.03230150016004 / JAMA / Acute respiratory illness in an American community: The Tecumseh study by Monto AS (1974)
10.1093/clinids/2.5.801
10.1038/clpt.1983.159
10.1016/S0022-3476(05)82443-6
10.1093/infdis/157.4.640
10.1128/jcm.18.6.1345-1350.1983 / J Clin Microbiol / Serum antibody responses in naturally occurring influenza‐A virus infection determined by enzyme‐linked immunosabsorbent assay, hemagglutination‐inhibition, and complement fixation by Madore HP (1983)
{'key': 'e_1_2_7_8_1', 'first-page': '489', 'volume-title': 'Principles and Practices of Infectious Diseases', 'author': 'Gwaltney JM', 'year': '1990'} / Principles and Practices of Infectious Diseases by Gwaltney JM (1990)
10.1001/archinte.1988.00380030065014
10.1016/0196-6553(88)90026-0
10.1017/S0950268800048251
10.1093/oxfordjournals.aje.a114355
10.1097/00000441-198803000-00011
10.1001/archinte.1987.00370040173031
10.1002/jmv.1890300208
{'key': 'e_1_2_7_16_1', 'first-page': '659', 'article-title': 'An outbreak of an influenza‐like illness in a nursing home', 'volume': '36', 'author': 'Garvie DG', 'year': '1990', 'journal-title': 'J Am Geriatr Soc'} / J Am Geriatr Soc / An outbreak of an influenza‐like illness in a nursing home by Garvie DG (1990)
10.1016/S0163-4453(84)94075-1
10.1016/S0163-4453(84)90530-9
10.7326/0003-4819-93-1-49
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{'key': 'e_1_2_7_23_1', 'first-page': '1399', 'volume-title': 'Principles and Practices of Infectious Disease', 'author': 'Gwaltney J', 'year': '1990'} / Principles and Practices of Infectious Disease by Gwaltney J (1990)
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{'key': 'e_1_2_7_28_1', 'first-page': '475', 'article-title': 'Parainfluenza outbreaks in extended care facilities—United States', 'volume': '27', 'author': 'Centers for Disease Control.', 'year': '1978', 'journal-title': 'MMWR'} / MMWR / Parainfluenza outbreaks in extended care facilities—United States by Centers for Disease Control. (1978)
{'key': 'e_1_2_7_29_1', 'first-page': '1619', 'article-title': 'Parainfluenza infections in the elderly', 'volume': '287', 'author': 'Public Health Laboratory Science Communicable Disease Surveillance Centre.', 'year': '1983', 'journal-title': 'Br Med J'} / Br Med J / Parainfluenza infections in the elderly by Public Health Laboratory Science Communicable Disease Surveillance Centre. (1983)

Dates

Type	When
Created	10 years, 3 months ago (April 29, 2015, 12:50 a.m.)
Deposited	1 year, 10 months ago (Oct. 23, 2023, 5:19 p.m.)
Indexed	4 weeks, 2 days ago (July 25, 2025, 6:14 a.m.)
Issued	33 years, 6 months ago (Feb. 1, 1992)
Published	33 years, 6 months ago (Feb. 1, 1992)
Published Online	10 years, 3 months ago (April 27, 2015)
Published Print	33 years, 6 months ago (Feb. 1, 1992)

Funders 0

None

BibTeX

@article{Falsey_1992, title={Viral Respiratory Infections in the Institutionalized Elderly: Clinical and Epidemiologic Findings}, volume={40}, ISSN={1532-5415}, url={http://dx.doi.org/10.1111/j.1532-5415.1992.tb01929.x}, DOI={10.1111/j.1532-5415.1992.tb01929.x}, number={2}, journal={Journal of the American Geriatrics Society}, publisher={Wiley}, author={Falsey, Ann R. and Treanor, John J. and Betts, Robert F. and Walsh, Edward E.}, year={1992}, month=feb, pages={115–119} }

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