Abstract
We describe an outbreak of simultaneous Clostridium difficile and norovirus infections in a long-term-care facility. Thirty patients experienced acute gastroenteritis, and four had co-infection with identical C. difficile 027 and genotype II.4 New Orleans norovirus strains. Co-occurring infection requires improved understanding of risk factors, clinical impact, and testing strategies.
Publication types
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Research Support, U.S. Gov't, Non-P.H.S.
MeSH terms
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Aged
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Aged, 80 and over
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Caliciviridae Infections / epidemiology*
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Caliciviridae Infections / virology
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California / epidemiology
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Clostridioides difficile / genetics
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Clostridioides difficile / physiology*
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Coinfection / epidemiology
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Coinfection / microbiology
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Coinfection / virology
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Cross Infection / epidemiology*
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Cross Infection / microbiology
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Cross Infection / virology
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Disease Outbreaks*
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Enterocolitis, Pseudomembranous / epidemiology*
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Enterocolitis, Pseudomembranous / microbiology
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Gastroenteritis / epidemiology*
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Gastroenteritis / microbiology
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Gastroenteritis / virology
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Health Facilities
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Humans
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Long-Term Care
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Middle Aged
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Norovirus / genetics
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Norovirus / physiology*
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Risk Factors