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Current Geriatrics Reports

, Volume 6, Issue 1, pp 26–33 | Cite as

Norovirus Disease in Older Adults Living in Long-Term Care Facilities: Strategies for Management

Infectious Diseases in the Elderly (M Schilling, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Infectious Diseases in the Elderly

Abstract

Purpose of Review

Noroviruses are the most common cause of gastroenteritis outbreaks in long-term care facility (LTCFs). This review summarizes the most up-to-date knowledge on norovirus infection in LTCFs with the aim of identifying potential strategies for management.

Recent Findings

LTCF residents are at greater risk of norovirus infection. Early identification of norovirus infection and prompt initiation of appropriate supportive therapy are required to reduce morbidity and mortality. Measures to prevent outbreaks and reduce the risk of norovirus infection in LTCFs include timely diagnosis and implementation of infection control interventions to limit virus transmission.

Summary

Current guidelines for prevention and control are based on generic principles of infection control. Real-time reverse transcription-quantitative polymerase chain reaction assays have been the gold standard for the rapid and sensitive detection of noroviruses. With the recent breakthroughs of human norovirus in vitro culture, doors are now opened to evaluate the efficacy of environmental disinfectants and hand hygiene options. Additionally, development of licensed vaccines against noroviruses may provide another important tool for infection prevention among high-risk individuals.

Keywords

Norovirus Older adults Long-term care facilities Management 

Notes

Compliance with Ethical Standards

Conflict of Interest

Yingxi Chen, Aron Hall and Martyn Kirk declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Human and Animal Rights

All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

Disclaimer

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

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Copyright information

© Springer Science+Business Media New York (outside the USA) 2017

Authors and Affiliations

  1. 1.National Centre for Epidemiology and Population Health, Research School of Population HealthAustralian National UniversityCanberraAustralia
  2. 2.Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and PreventionAtlantaUSA

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