Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 21, Number 7—July 2015
CME ACTIVITY - Research

Parechovirus Genotype 3 Outbreak among Infants, New South Wales, Australia, 2013–2014

Germaine Cumming1Comments to Author , Ameneh Khatami, Brendan J. McMullan, Jennie Musto, Kit Leung, Oanh Nguyen, Mark J. Ferson, Georgina Papadakis, and Vicky Sheppeard
Author affiliations: Health Protection New South Wales, Sydney, New South Wales, Australia (G. Cumming, J. Musto, V. Sheppeard); New South Wales Ministry of Health, Sydney (G. Cumming, K. Leung); The Children’s Hospital at Westmead, Sydney (A. Khatami); Sydney Children’s Hospital, Sydney (B.J. McMullan); University of New South Wales, Sydney (B.J. McMullan, M.J. Ferson); Western Sydney Local Health District, Sydney (O. Nguyen); South Eastern Sydney Local Health District, Sydney (M.J. Ferson); Victorian Infectious Disease Reference Laboratory, Melbourne, Victoria, Australia (G. Papadakis)

Main Article

Table 3

Characteristics of patients with laboratory-confirmed HPeV detected by active surveillance, New South Wales, Australia, October 1, 2013–February 2, 2014*

<3 mo >3 mo All ages
Total 183 (100) 94 (87) 14 (13) 108 (100)
Sex
F 78 (43) 45 (48) 6 (43) 51 (47)
M 105 (57) 49 (52) 8 (57) 57 (53)
Admitted to ward NA 89 (95) 14 (100) 103 (95)
Length of stay, days
Minimum NA 1 1 1
Maximum NA 13 11 13
Mean NA 4.5 3.7 4.4
Admitted to ICU NA 28 (30) 2 (14) 30 (28)
Clinical features
Fever NA 81 (86) 9 (64) 90 (83)
Irritability/pain NA 75 (80) 11 (79) 86 (80)
Diarrhea/loose stool NA 29 (31) 2 (14) 31 (29)
Tachypnea NA 26 (28) 3 (21) 29 (27)
Tachycardia NA 64 (68) 7 (50) 71 (66)
Hepatitis NA 9 (10) 1 (7) 10 (9)
Rash NA 58 (62) 9 (64) 67 (62)
Encephalitis NA 7 (7) 0 (0) 7 (6)
Myoclonic jerks NA 4 (4) 1 (7) 5 (5)

*Table source: NSW Notifiable Conditions Information Management System data (http://www.health.nsw.au/epidemiology/Pages/Notifiable-diseases.aspx), February 18, 2014. HPeV, human parechovirus; ICU, intensive care unit; NA, not available; NSW, New South Wales; VIDRL, Victorian Infectious Disease Reference Laboratory, Melbourne, Victoria, Australia.
†Passive laboratory surveillance ceased at NSW Health on February 2, 2014, leaving at a total of 183 laboratory-confirmed HPeV cases. This number differs from the total of 198 confirmed HPeV cases reported by VIDRL surveillance, which continued through to February 28, 2014, and identified another 15 cases.
‡Sentinel surveillance sites collected additional demographic, hospital, and clinical data onto the HPeV case investigation forms, which were entered into the NSW Notifiable Conditions Information Management System. No information on hospital stay and clinical features was available for cases identified by laboratory-only surveillance. Surveillance at sentinel sites is a subset (59%) of the outbreak total of 183 laboratory-confirmed cases.

Main Article

1Current affiliation: Independent consultant, Freshwater, New South Wales, Australia

Page created: June 15, 2015
Page updated: June 15, 2015
Page reviewed: June 15, 2015
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external