ShapeRectangle 2ShapeXXnote2clipboardclockcredit@2xGroupShapeShapeShapeGroup 2GroupHeart - FontAwesomeGroupinstagram@2x (1)magnifying47map-markerGroupphoneShapesocial-pinterest-outlineGroupribbon001-test-tubeShapeShapesocial-youtube-outline

Fact Sheet: Guidelines for the Control of a Suspected or Confirmed Outbreak of Viral Gastroenteritis in a Nursing Home

Home  >  Resources  >  Fact Sheets  >  Fact Sheet: Guidelines for the Control of a Suspected or Confirmed Outbreak of Viral Gastroenteritis in a Nursing Home
Resources
Overview
Fact Sheets
Overview
Fact Sheet: Animal Quarantine
Fact Sheet: Backflow & Backflow Devices
Fact Sheet: Bed Bugs
Fact Sheet: Bedbug Guidelines for Travelers and Public Accommodation Facility Guests
Fact Sheet: Blue-Green Algae/Cyanobacteria Harmful Algal Bloom (HABs) Physician Reference
Fact Sheet: Bureau for Children with Medical Handicaps
Fact Sheet: Church Festival Food Safety
Fact Sheet: Cleaning up After Flood & Sewer Backups
Fact Sheet: Cockroaches
Fact Sheet: Collector Line Tips
Fact Sheet: Commercial Waste Handling and Good House Keeping
Fact Sheet: Connecting to Sewers
Fact Sheet: Cottage Food Operation
Fact Sheet: Dangers of Extreme Cold
Fact Sheet: Daycare Control Measures for Prevention of Communicable Diseases
Fact Sheet: Emergency Pet Kit
Fact Sheet: Extreme Heat
Fact Sheet: Farm Markets
Fact Sheet: Farmers’ Markets
Fact Sheet: Fight the Bite – Facts About Zika Virus
Fact Sheet: Financial Aid for Sewer Connections and Septic System Replacement
Fact Sheet: Fish Fry Food Safety
Fact Sheet: Flood Safety
Fact Sheet: Flooding in a Food Service Operation
Fact Sheet: Food Safety During Power Outages
Fact Sheet: Food Safety When Eating Out
Fact Sheet: Frozen Pipes
Fact Sheet: Gastroenteritis and Norovirus
Fact Sheet: Gastroenteritis in a Retirement/Assisted Living Facility
Fact Sheet: Get Rid of Roaches
Fact Sheet: Guide to Mosquito Control & Mosquito-borne Illnesses
Fact Sheet: Guidelines For Environmental Cleaning and Disinfection of Norovirus
Fact Sheet: Guidelines for Handling Bed Bugs in a School
Fact Sheet: Guidelines for Social Workers, Home Health Care Nurses, and In Home Visitors
Fact Sheet: Guidelines for the Control of a Suspected or Confirmed Outbreak of Viral Gastroenteritis in a Nursing Home
Fact Sheet: Hamilton County Public Health Flood Fact Sheet
Fact Sheet: Hand Washing
Fact Sheet: Handling Water from Swimming Pools and Hot Tubs
Fact Sheet: Heat
Fact Sheet: Hepatitis A
Fact Sheet: Home Aeration Units – Cavitette
Fact Sheet: Home Aeration Units – Coate Aer
Fact Sheet: Home Aeration Units – JET
Fact Sheet: Home Aeration Units – Multi-Flo
Fact Sheet: Home Aeration Units – Oldham
Fact Sheet: Home Swimming Pools
Fact Sheet: Homeowner’s Plumbing Permit
Fact Sheet: Household Sewage Treatment System Tips
Fact Sheet: Household Sewage Treatment Systems & Power Outages
Fact Sheet: How Germs Spread
Fact Sheet: How to be Safe Around Animals
Fact Sheet: Itch Mites
Fact Sheet: Keeping Food Safe During an Emergency
Fact Sheet: Leachfields
Fact Sheet: Lead Poisoning
Fact Sheet: Lice
Fact Sheet: Methicillin-Resistant Staphylococcus Sureus (MRSA)
Fact Sheet: Mold and Mildew
Fact Sheet: MRSA in a Prison Setting
Fact Sheet: Norovirus in Schools
Fact Sheet: Ohio EPA Semi-Public Sewage Disposal System Inspection Program
Fact Sheet: Privacy Practices, Our Legal Duty
Fact Sheet: Private Water System Testing
Fact Sheet: Rabies & Bats
Fact Sheet: Rodent Control
Fact Sheet: Scrap Tires
Fact Sheet: Septic System Abandonment and Sanitary Sewer Connection
Fact Sheet: Septic Systems – AdvanTex AX20 Treatment System
Fact Sheet: Septic Systems – Septic Tanks
Fact Sheet: Septic Systems – Subsurface Sandfilters
Fact Sheet: Sewage Treatment System Owners
Fact Sheet: Sewer Back-ups
Fact Sheet: Storm Drain Overflow
Fact Sheet: Stormwater Pollution and Yard Waste
Fact Sheet: Sump Pumps
Fact Sheet: Tattoos and Piercings
Fact Sheet: Vacuum Sealing + Hazard Analysis Critical Control Point (HACCP)
Fact Sheet: Waste Disposal
Fact Sheet: Water Heater Permits and Inspections
Fact Sheet: Well Disinfection
Fact Sheet: When Do I Need a Plumbing Permit?
Fact Sheet: Whooping Cough
FOI Requests
Links
Partner & Public Health Research
Reports

KNOW THE FACTS!

Guidelines for the Control of a Suspected or Confirmed Outbreak of Viral Gastroenteritis in a Nursing Home

These guidelines have been developed to help stop the spread of viral gastroenteritis (norovirus) in nursing homes. Norovirus is highly contagious and environmentally stable, so stringent adherence is necessary. Preventive measures should be continued for at least 7 days after the outbreak appears over, since infected persons continue to shed the virus after they have recovered.

 

Residents:

  1. Isolate ill residents from others by confining them to their rooms (until 3 days after their last symptoms of nausea, vomiting, and/or diarrhea). Ideally, keep all residents in their rooms and serve meals in rooms.
  2. Cohort (group) ill individuals together down the same hall, wing, or unit, if possible.
  3. Discontinue group activities where ill and well residents would be together (e.g., meals, parties, BINGO, card tournaments). Group activities should be kept to a minimum or postponed until the outbreak is over.

 

Staff:

  1. Ill staff should remain out of work for 2-3 days after symptoms have ended.
  2. Minimize the flow of staff between sick and well residents. Staff should be assigned to work with either well residents or sick residents, but should not care for both groups. Staff who go back and forth between ill and well residents, play an important role in transmitting the virus from resident to resident. Staff should not float between different facilities either.
  3. Staff should wash their hands when entering and leaving every resident room.
  4. Staff should wear gloves when caring for ill residents who are vomiting, experiencing diarrhea, or when touching potentially contaminated surfaces. Gloves should be discarded and hands washed immediately after completing patient care.
  5. Masks should be worn when caring for residents who are vomiting.

 

Housekeeping:

  1. For outbreaks, use bleach for disinfection (see Guidelines for Environmental Cleaning and Disinfection of Norovirus for specific concentrations).
    1. Environmental Protection Agency (EPA) approved disinfectants against norovirus are available but field effectiveness in the context of outbreaks has not been evaluated.
    2. Disinfect surfaces such as handrails, doorknobs, light switches, physical/occupational therapy equipment, etc.
  2. Contaminated carpets should be cleaned with detergent and hot water, then disinfected with a hypochlorite solution (if bleach-resistant) or steam cleaned.
  3. Housekeeping staff should wear gloves and masks when cleaning contaminated or potentially contaminated surfaces or laundry. Contaminated linen and bed curtains should be carefully placed into laundry bags (to prevent generating aerosols) and washed separately in hot water for a complete wash cycle – ideally as a half load for best dilution.

 

Visitors:

    1. It may be prudent to discontinue visitation to the nursing home until the outbreak is over.
      1. If visitation is allowed, visitors should go directly to the person they are visiting and not spend time with anyone else.
      2. Signs should be posted to warn visitors of the outbreak, so individuals do not put themselves at risk.
      3. Visitors should wash their hands upon entering and leaving the room or facility.
    2. Visitors should not enter the nursing home if they are sick.

 

Questions

For more information contact the Disease Prevention Division at 513.946.7849 or 7887.

This information was prepared by Michigan Department of Community Health Communicable Disease Division 201 Townsend Street, CVB – 5th Floor, Lansing, Michigan 48913 Phone: (517) 335-8165 Fax: (517) 335-8263.

 

Download a printable version of this fact sheet here.

 

250 William Howard Taft Road
2nd Floor, Cincinnati, OH 45219
Phone 513.946.7800 Fax 513.946.7890
hamiltoncountyhealth.org