Abstract
This prospective study analyses infections with varicella-zoster virus (VZV) in Addenbrooke's Hospital, Cambridge during 1987-92 and examines the spread of infection. In total, 93 patients and staff experienced VZV infection. Twenty-one patients had varicella and 49 experienced zoster. None of 101 patients and 1 of 625 staff members in contact with varicella cases acquired infection. By contrast, 2 of 227 patients, and 5 of 1039 staff in contact with zoster cases acquired varicella. One out of 28 (3.6%) VZV antibody-negative patients and staff in contact with varicella acquired infection, compared with 5 out of 29 (17.2%) VZV antibody-negative patients and staff in contact with zoster. Thus, zoster was found to be a more frequent cause of nosocomial infection than varicella. Fourteen members of staff had VZV infection during the study period. One of 99 patients and none of 389 staff members in contact with these cases developed varicella. The cost of dealing with infection control for VZV infections in our hospital is estimated to be Pounds 714 per patient case and a total of Pounds 13,204 per year.
Full text
PDF






Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bradley J. R., Wreghitt T. G., Evans D. B. Chickenpox in adult renal transplant recipients. Nephrol Dial Transplant. 1987;1(4):242–245. [PubMed] [Google Scholar]
- Breuer J., Jeffries D. J. Control of viral infections in hospitals. J Hosp Infect. 1990 Oct;16(3):191–221. doi: 10.1016/0195-6701(90)90109-2. [DOI] [PubMed] [Google Scholar]
- Ellis M. E., Neal K. R., Webb A. K. Is smoking a risk factor for pneumonia in adults with chickenpox? Br Med J (Clin Res Ed) 1987 Apr 18;294(6578):1002–1002. doi: 10.1136/bmj.294.6578.1002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Evans E. B., Pollock T. M., Cradock-Watson J. E., Ridehalgh M. K. Human anti-chickenpox immunoglobulin in the prevention of chickenpox. Lancet. 1980 Feb 16;1(8164):354–356. doi: 10.1016/s0140-6736(80)90897-1. [DOI] [PubMed] [Google Scholar]
- Joseph C. A., Noah N. D. Epidemiology of chickenpox in England and Wales, 1967-85. Br Med J (Clin Res Ed) 1988 Mar 5;296(6623):673–676. doi: 10.1136/bmj.296.6623.673. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Krasinski K., Holzman R. S., LaCouture R., Florman A. Hospital experience with varicella-zoster virus. Infect Control. 1986 Jun;7(6):312–316. doi: 10.1017/s019594170006433x. [DOI] [PubMed] [Google Scholar]
- Leclair J. M., Zaia J. A., Levin M. J., Congdon R. G., Goldmann D. A. Airborne transmission of chickenpox in a hospital. N Engl J Med. 1980 Feb 21;302(8):450–453. doi: 10.1056/NEJM198002213020807. [DOI] [PubMed] [Google Scholar]
- Meurisse V., Miller E., Kensit J. Varicella in maternity units. Lancet. 1990 May 5;335(8697):1100–1101. doi: 10.1016/0140-6736(90)92677-a. [DOI] [PubMed] [Google Scholar]
- Miller E., Cradock-Watson J. E., Ridehalgh M. K. Outcome in newborn babies given anti-varicella-zoster immunoglobulin after perinatal maternal infection with varicella-zoster virus. Lancet. 1989 Aug 12;2(8659):371–373. doi: 10.1016/s0140-6736(89)90547-3. [DOI] [PubMed] [Google Scholar]
- Miller E., Vardien J., Farrington P. Shift in age in chickenpox. Lancet. 1993 Jan 30;341(8840):308–309. doi: 10.1016/0140-6736(93)92663-e. [DOI] [PubMed] [Google Scholar]
- Murray A., Kangro H. O., Heath R. B. Screening hospital staff for antibodies to varicella-zoster virus. Lancet. 1990 Jul 21;336(8708):192–192. doi: 10.1016/0140-6736(90)91728-s. [DOI] [PubMed] [Google Scholar]
- Quinnan G. V., Jr, Masur H., Rook A. H., Armstrong G., Frederick W. R., Epstein J., Manischewitz J. F., Macher A. M., Jackson L., Ames J. Herpesvirus infections in the acquired immune deficiency syndrome. JAMA. 1984 Jul 6;252(1):72–77. [PubMed] [Google Scholar]
- Straus S. E., Ostrove J. M., Inchauspé G., Felser J. M., Freifeld A., Croen K. D., Sawyer M. H. NIH conference. Varicella-zoster virus infections. Biology, natural history, treatment, and prevention. Ann Intern Med. 1988 Feb;108(2):221–237. doi: 10.7326/0003-4819-108-2-221. [DOI] [PubMed] [Google Scholar]
- Weber D. J., Rutala W. A., Parham C. Impact and costs of varicella prevention in a university hospital. Am J Public Health. 1988 Jan;78(1):19–23. doi: 10.2105/ajph.78.1.19. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wreghitt T. G., Tedder R. S., Nagington J., Ferns R. B. Antibody assays for varicella-zoster virus: comparison of competitive enzyme-linked immunosorbent assay (ELISA), competitive radioimmunoassay (RIA), complement fixation, and indirect immunofluorescence assays. J Med Virol. 1984;13(4):361–370. doi: 10.1002/jmv.1890130407. [DOI] [PubMed] [Google Scholar]
- Wreghitt T. G., Whipp P. J., Bagnall J. Transmission of chickenpox to two intensive care unit nurses from a liver transplant patient with zoster. J Hosp Infect. 1992 Feb;20(2):125–126. doi: 10.1016/0195-6701(92)90116-4. [DOI] [PubMed] [Google Scholar]
