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Outbreak of Gastroenteritis Among Riyadh Female Long-Term Elderly Care Facility Residents-Saudi Arabia, January 2023

Background: The female long-term elderly care facility in Al-Riyadh is affiliated with the Ministry of Human Resources and Social Development, with a maximum capacity of 60. Between January 29, and February 3rd, 2023, the local public health authorities were notified of a potential gastrointestinal illness (AGE) outbreak involving 15 residents and 4 staff members. Objective: Investigate the outbreak, implemented infection control measures, and infection risk factors in a female (LTCF) in Riyadh. Methods: A laboratory, environmental investigation, and retrospective cohort study were conducted, including 54 residents and descriptive data on 27 employees. The data were collected from clinical histories and through a survey by questionnaire. Results: A total of 19 cases of which 15 (79%) female residents, 3 (16%) staff nurses, and one (5%) female worker at the kitchen had been ill with AGE, corresponding to an overall attack rate of 11% and 28% among the residents. And 3 (16%) being managed as outpatient and 1 (5%) being admitted. No deaths occurred among the affected cases. The Cases ranged from 51-91 years (median: 64 years). The main reported symptoms were vomiting (86.6%), diarrhea (60.0%). Living on the first floor and in unit 3 was associated with a higher risk of developing AGE (RR 3.7, 95% CI 1.2-11.7) and (RR 3.3, 95% CI 1.6 - 7.0) with a P value of 0.01, respectively. Stool analysis and culture for 4 resident cases were negative. Food and water samples were also negative. Conclusion: We concluded that the source of outbreak was not identified as no sample had taken from patients or the prepared food on same day. While it cannot be proven with certainty, this investigation suggests that the outbreak may have originated from food, highlighting the importance of implementing food safety protocols in institutional care facilities. Public health agencies should investigate these outbreaks to uncover any problems with food handling or other possible causes.

Gastrointestinal Illness, Long-Term Elderly Care Facility, Al-Riyadh

APA Style

Khalid Khalfan Alnair, Shady Kamel, Abdulaziz S. Almeshal. (2023). Outbreak of Gastroenteritis Among Riyadh Female Long-Term Elderly Care Facility Residents-Saudi Arabia, January 2023. International Journal of Gastroenterology, 7(2), 40-48. https://doi.org/10.11648/j.ijg.20230702.11

ACS Style

Khalid Khalfan Alnair; Shady Kamel; Abdulaziz S. Almeshal. Outbreak of Gastroenteritis Among Riyadh Female Long-Term Elderly Care Facility Residents-Saudi Arabia, January 2023. Int. J. Gastroenterol. 2023, 7(2), 40-48. doi: 10.11648/j.ijg.20230702.11

AMA Style

Khalid Khalfan Alnair, Shady Kamel, Abdulaziz S. Almeshal. Outbreak of Gastroenteritis Among Riyadh Female Long-Term Elderly Care Facility Residents-Saudi Arabia, January 2023. Int J Gastroenterol. 2023;7(2):40-48. doi: 10.11648/j.ijg.20230702.11

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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