{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T05:47:42Z","timestamp":1764308862725},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2013,2,22]],"date-time":"2013-02-22T00:00:00Z","timestamp":1361491200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>We describe an outbreak of simultaneous <jats:italic>Clostridium difficile<\/jats:italic> and norovirus infections in a long-term-care facility. Thirty patients experienced acute gastroenteritis, and four had co-infection with identical <jats:italic>C. difficile<\/jats:italic> 027 and genotype II.4 New Orleans norovirus strains. Co-occurring infection requires improved understanding of risk factors, clinical impact, and testing strategies.<\/jats:p>","DOI":"10.1017\/s0950268813000241","type":"journal-article","created":{"date-parts":[[2013,2,22]],"date-time":"2013-02-22T14:47:24Z","timestamp":1361544444000},"page":"1598-1603","source":"Crossref","is-referenced-by-count":13,"title":["Concurrent outbreaks with co-infection of norovirus and <i>Clostridium difficile<\/i> in a long-term-care facility"],"prefix":"10.1017","volume":"141","author":[{"given":"A.","family":"LUDWIG","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"SATO","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"SCHIRMER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"MANIAR","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"LUCERO-OBUSAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"FLEMING","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"RYONO","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"ODA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"WINTERS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"HOLODNIY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2013,2,22]]},"reference":[{"key":"S0950268813000241_ref10","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.40.9.3470-3475.2002"},{"key":"S0950268813000241_ref9","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01983-10"},{"key":"S0950268813000241_ref7","doi-asserted-by":"publisher","DOI":"10.1086\/651706"},{"key":"S0950268813000241_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2007.07.001"},{"key":"S0950268813000241_ref5","doi-asserted-by":"publisher","DOI":"10.1086\/518874"},{"key":"S0950268813000241_ref4","doi-asserted-by":"publisher","DOI":"10.1086\/501997"},{"key":"S0950268813000241_ref3","doi-asserted-by":"publisher","DOI":"10.1086\/520666"},{"key":"S0950268813000241_ref1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1701.P11101"},{"key":"S0950268813000241_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2007.05.010"},{"key":"S0950268813000241_ref8","first-page":"1389","article-title":"Novel surveillance network for norovirus gastroenteritis outbreaks, United States","volume":"17","author":"Vega","year":"2011","journal-title":"Emerging Infectious Diseases"},{"key":"S0950268813000241_ref2","doi-asserted-by":"publisher","DOI":"10.1086\/421948"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268813000241","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T20:44:36Z","timestamp":1556052276000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268813000241\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,22]]},"references-count":11,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["S0950268813000241"],"URL":"https:\/\/doi.org\/10.1017\/s0950268813000241","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2,22]]}}}