CDC - 2010 Norovirus Guidelines: TOC - HICPAC

CDC - 2010 Norovirus Guidelines: TOC - HICPAC

Guideline for the Prevention and Control of Norovirus Gastroenteritis Outbreaks in Healthcare Settings, 2011

Download the complete PDF version Guideline for the Prevention and Control of Norovirus Gastroenteritis Outbreaks in Healthcare Settings, 2011  [PDF - 676 KB] and Appendices  [PDF - 3.48 MB].

Table of Contents

Abbreviations
Acknowledgements

1. Executive Summary
2. Summary of Recommendations
3. Implementation and Audit
4. Recommendations for Further Research
5. Background
6. Scope and Purpose
7. Methods
8. Evidence Review / Question 1: What host, viral or environmental characteristics increase or decrease the risk of norovirus infection in healthcare settings?
   • Question 2: What are the best methods to identify an outbreak of norovirus gastroenteritis in a healthcare setting?
   • Question 3: What interventions best prevent or contain outbreaks of norovirus gastroenteritis in the healthcare setting?
9. Appendices

1. Appendix
   1. Search Strategy For Guidelines
   2. Search Strategy For Systematic Reviews/Primary Literature
2. Evidence, Grade And Study Quality Assessment Tables
   1. Key Question 1 What person, virus or environmental characteristics increase or decrease the risk of norovirus infection in healthcare settings?
   2. Evidence Table Q1 - Demographic characteristics
      - Clinical characteristics
      - Laboratory Characteristics
      - Virus characteristics
      - Environmental characteristics
   3. GRADE Table Q1 - Demographic characteristics
      - Clinical characteristics
      - Laboratory characteristics
      - Virus characteristics
      - Environmental characteristics
   4. Key Question 2 What are the best methods to identify a norovirus outbreak in a healthcare setting?
   5. Evidence Table Q2 - Clinical criteria
      - Specimen collection
      - Diagnostic methods – Fecal specimens EIA/ELISA
      - EM
      - PCR
      - NASBA
      - Diagnostic methods – Food specimens PCR
      - Diagnostic methods – Water specimens
      - Concentration method
   6. GRADE Table Q2 What Are The Best Methods To Identify A Norovirus Outbreak In A Healthcare Setting?
   7. Key Question 3 What interventions best prevent or contain norovirus outbreaks in the healthcare setting?
   8. Evidence Table Q3- Virus shedding
      - Recovery of norovirus
      - Components of an outbreak prevention/containment program
      - Medications
   9. GRADE Table Q3 What patient interventions best prevent or contain norovirus outbreaks in the healthcare setting?
      - Recovery of norovirus
      - Components of an Outbreak Prevention/Containment Program Hand hygiene
      - PPE
      - Leave policies for staff
      - Isolation/cohorting of symptomatic patients
      - Staff cohorting
      - Ward closure
      - Visitor policies
      - Education
      - Surveillance
      - Policy Development and Communication
      - Patient Transfers and Discharges
      - Environmental Disinfection
      - Medications
3. Data Abstraction Tool
4. Quality Checklists