Influenza Subtypes and Laboratory Diagnosed Respiratory Viruses for Winter 2017–2018, the Corporal Michael J. Crescenz Veteran Affairs Medical Center (CMCVAMC) Experience

Abstract Five-year retrospective analysis of respiratory viruses in children less than 18 years old at Tripler Army Medical Center and outlying clinics in Oahu. Respiratory syncytial virus and influenza A showed pronounced seasonality with peaks from September to December and December to March, respectively. Results provide a better understanding of the timing of viral preventive strategies in Oahu.

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The emergence of enterovirus D68 in a Dutch University Medical Center and the necessity for routinely screening for respiratory viruses

Journal of Clinical Virology ◽

10.1016/j.jcv.2014.11.011 ◽

2015 ◽

Vol 62 ◽

pp. 1-5 ◽

Cited By ~ 62

Author(s):

Randy Poelman ◽

Elisabeth H. Schölvinck ◽

Renze Borger ◽

Hubert G.M. Niesters ◽

Coretta van Leer-Buter

Keyword(s):

Medical Center ◽

Respiratory Viruses ◽

Enterovirus D68

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P1-018 Impact of implementation of a memory disorders clinic on the diagnosis rates of Alzheimer's disease in veteran affairs medical center patients

Neurobiology of Aging ◽

10.1016/s0197-4580(04)80332-4 ◽

2004 ◽

Vol 25 ◽

pp. S98-S99

Author(s):

Valerie Smith-Gamble ◽

Tamara S. Evans ◽

Ellen M. Schellhase

Keyword(s):

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Medical Center ◽

Memory Disorders ◽

Veteran Affairs

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Legionella Test Reporting at a Regional Veteran Affairs Medical Center

American Journal of Clinical Pathology ◽

10.1093/ajcp/aqaa161.304 ◽

2020 ◽

Vol 154 (Supplement_1) ◽

pp. S139-S139

Author(s):

J M Petersen ◽

D Jhala

Keyword(s):

Quality Assurance ◽

Medical Center ◽

Disease Incidence ◽

The United States ◽

Health Care Facilities ◽

Quality Assurance Program ◽

Regulatory Requirement ◽

Veteran Affairs ◽

Antigen Tests ◽

Prompt Action

Abstract Introduction/Objective The appropriate reporting and monitoring of legionella antigen and culture test volumes and results is a veteran affairs quality assurance regulatory requirement. Legionnaires disease incidence has been noted to be increasing in the United States, and it has also been documented that health care facilities are especially high- risk settings for the transmission of Legionella bacteria from the building water systems to the occupants. However, studies of Legionella test epidemiology for non-veteran hospitals is sparse in the literature. To provide perspective, here we report the total legionella antigen and culture tests from quarter 1 2016 to quarter 4 2019 to provide a regional perspective. Methods Quality assurance data on both the total number of Legionella antigen and culture tests and the recorded number of positive cases were reviewed from quarter 1 2016 to quarter 4 2019 and tabulated. This data is collected routinely as per veteran affairs regulatory directives. Results There were a total of 1613 legionella antigen tests and 1287 legionella cultures. None of the Legionella cultures were positive during the study period. Nonetheless, there were 3 positive urinary antigen tests for a total calculated percentage of 0.00002%. Conclusion The presence of positive Legionella antigen tests at a regional veteran affairs medical center indicates that a robust quality assurance program is tremendous benefit to monitoring Legionella at a major medical institution in order to prompt action to prevent hospital-based spread.

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Respiratory syncytial and influenza virus detecting rapid tests in children younger than 5 years of age in Armenia

The Journal of Infection in Developing Countries ◽

10.3855/jidc.11386 ◽

2019 ◽

Vol 13 (05.1) ◽

pp. 075S-080S ◽

Cited By ~ 1

Author(s):

Hrachuhi Ghazaryan ◽

Ara Babloyan ◽

Ashot Sarkissian ◽

Karapet Davtyan ◽

Christoph Berger

Keyword(s):

Respiratory Infections ◽

Medical Center ◽

Respiratory Viruses ◽

Polymerase Chain Reaction Method ◽

Cross Sectional Study ◽

Cross Sectional ◽

Rapid Tests ◽

Using Data ◽

Antigen Tests ◽

The Impact

Introduction: Acute respiratory infections (ARIs) are major causes of morbidity in early childhood. They are mainly caused by viruses, including influenza (INF) and respiratory syncytial viruses (RSV). We aimed to investigate the role of RSV and INF in children hospitalized for ARIs and to show the impact of RSV/INF rapid testing on management of patients. Methodology: Cross-sectional study using data of inpatient care of children younger than five years hospitalized in Arabkir Medical Center due to ARI from November 1, 2013 to April 1, 2014. Nasopharyngeal swabs were tested for RSV and INF types A and B by direct antigen detection tests. Results: A total of 915 patients, 583 (63.7%) boys and 332 (36.3%) girls were included in the study with the mean age of 18.8 ± 16.3 months. Among them, 390 (42.6%) were tested positive, 3 (0.3%) subjects tested positive both for RSV and INF: 269 (29.4%) for RSV and 124 (13.6%) for INF (A – 121, B – 3). Out of 915 children, 209 (23%) were pretreated with antibiotics, most often with oral amoxicillin/clavulanic acid (n = 54, 25.8%), sulfamethoxazole/trimethoprim (n = 46, 22%), and amoxicillin (n = 38, 18.2%), followed by intramuscular ceftriaxone (n = 37, 17.7%). Conclusions: The usage of antigen tests for detection of respiratory viruses allowed to document high rates of RSV and INF in children admitted to the hospital. In settings where polymerase chain reaction method is not readily available, implementation of rapid tests for detection of respiratory viruses is important in the management of pediatric patients including cohorting and more targeted use of antibiotics.

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