Case 12 - Troy, 6 Years Old | PIAC Series

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UnityPoint Health - Des Moines

PIAC Case Series

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.


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?


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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