Case 12 - Troy, 6 Years Old | PIAC Series
UnityPoint Health - Des Moines

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Case 12 - Troy, 6 Years Old

Troy is a 6 y/o admitted with severe diarrhea. A child at same daycare was known to have rotavirus infection.

Questions

Should patients with diarrhea be placed on isolation precautions on admission prior to diagnosis?

What gastro-intestinal pathogens can be spread in the hospital setting?

Once a diagnosis or rotavirus is confirmed, what education can be provided to family?

Answers:

Anticipatory use of isolation precautions is encouraged and depends on your level of clinical suspicion. Use CONTACT precautions for : rotavirus and C diff; also use for suspected enteric infection in diapered or incontinent patient

GI pathogens posing a risk for healthcare associated transmission:

  • C. diff - a recent study showed 94% (!) were health-care associated
  • Others - rotavirus, norovirus</li>

Education re:enteric viral infections important for families include

  • Frequent and thorough hand washing (hand sanitizers not recommended for norovirus)
  • Frequent disinfection of contaminated surfaces
  • Persons with diarrheal illness should not prepare food
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