Nosocomial XXXX in a paediatric intensive care unit.

@entity1 @entity322 @entity281 @entity580 @entity99 @entity204
Seven members of staff in a paediatric intensive care unit and two of their relatives developed @entity99 over a period of five days. A 13 year old @entity1 who was @entity322 prior to his @entity204 , was presumed to be the source of @entity281 . Two hundred and sixty seven other members of staff underwent serological testing and were given prophylactic pooled gamma globulin. Twenty three per cent were immune before exposure. Of @entity1 born in the United States, those at highest risk of developing the disease are physicians, dentists, nurses and those under the age of 40. Of those born outside the United States, being white and under the age of 30 are the two main risk factors. Data from a questionnaire sent to 19 nurses at risk (six cases, 13 controls) suggested that sharing food with @entity1 or their families, drinking coffee, sharing cigarettes and eating in the nurses' office in the intensive care unit were associated with an increased incidence of @entity99 . Nurses with three or four of these habits were at particular risk. The costs of screening and prophylaxis were US  64.72 per employee, while prophylaxis alone would have cost US  8.42 per employee. Assessing risk factors on the one hand and costs of prophylaxis on the other are important elements in the control of @entity580 .
