In the Midwest, an enterovirus, known as EV-D68, is causing concern. While not a new virus, EV-D68 has recently caused severe respiratory symptoms in affected children in Missouri, and several other states have contacted the CDC for assistance with a possible regional outbreak as well. These are Colorado, North Carolina, Georgia, Ohio, Iowa, Illinois, Missouri, Kansas, Oklahoma, and Kentucky. Symptoms of a common cold are typical at the onset of EV-D68, however the development of fever, rash, or dyspnea – particularly in children with asthma – is occurring and necessitating hospitalization, and in some instances, ICU admission.
While details continue to be released, please remember your role in patient education and infection control. Tell parents and caregivers about these symptoms of EV-D68 and advise them to seek care for their child if fever, rash, or breathing difficulties develop. Also, share these basics of infection control:
- avoiding close contact with people who have respiratory symptoms, such as coughing or sneezing
- staying home when sick
- washing hands often with soap and water for 15 to 20 seconds or using alcohol-based hand cleansers
- not touching eyes, nose, or mouth
- keeping surfaces and objects (especially tables, counters, doorknobs, and toys) that can be exposed to a virus clean
- practicing other good health habits, including getting plenty of sleep, staying active, drinking plenty of fluids, and eating healthy foods
As more details are released, we’ll be sure to keep you informed!
Update 9/16/14 - More states have reported EV-D68 infections. Please visit our page on this topic for more information and resources!
Bonsall, L. (2009). Be prepared for H1N1 flu. Nursing Made Incredibly Easy!, 7(6).
Two days ago we received 2 cards in the mail. They come every year at this time. They are never late and there is always a personal note included.
My sons are 12 years old today. These cards, which have come every year for the past 11 years, are not from their grandparents or aunts or uncles. They are not from their friends or my friends. These cards are from one of the nurses who cared for them in the Neonatal Intensive Care Unit (NICU) after they were born prematurely.
So I write this to recognize the continued feelings of gratitude and awe that I have for one special nurse. How can I thank her for caring for my children when I wasn’t able? How can I thank her for showing my boys love and compassion when I couldn’t be there? How can I thank her for helping us through our most difficult days, weeks, and months?
My boys are grateful to receive these cards each year and to be remembered on their birthday; however I’m not sure they grasp how much the cards are appreciated by me and my husband. This day of celebration for our kids still brings mixed emotions to us, feelings which are understood by this special NICU nurse who reaches out to us each year.
As a nurse, I have not had a continued relationship with any patient after discharge, although I can think of several that I wish I had. How about you?
Nurses must increase vigilance for identifying patients at risk for fungal meningitis following the September 26, 2012 recall of injectable methylprednisolone acetate that was packaged by New England Compounding Facility in Framingham, MA. According to the Centers for Disease Control and Prevention's website, there have been 185 cases and 14 deaths among 12 states and continues to grow (CDC, 2012). The impact is potentially greater because healthcare facilities in 21 states have received the recalled lots of the affected drug.
Patients who received contaminated injections presented with symptoms from one week to 4 weeks after the injection. It is important for nurses to report patients who are symptomatic of meningitis through the month of October to a physician or licensed advanced practiced nurse. To further assist in the evaluation or referral for meningitis work-up, all health care professionals including those in primary care offices, emergency departments, or retail clinics should go to the CDC website (http://www.cdc.gov/hai/outbreaks/meningitis-facilities-map.html) for a current list of health care providers who administered the recalled lots. The CDC website also provides continually updated information on the meningitis outbreak and educational information for providers and patients.
Centers for Disease Control & Prevention. (2012). Multistate Meningitis Outbreat Investigation. Retrieved from http://www.cdc.gov/HAI/outbreaks/meningitis.html. Last accessed 10/12/2012.