Outbreak of echovirus 11 infection in hospitalized neonates.

Between July 18 and August 5, 1986, a cluster of echovirus 11 infections occurred in hospitalized neonates. Ten infants were affected and one died. All cases occurring after the index case were infants who were in the nursery for at least 1 day when the index patient was also present. Risk factors for secondary infection included low birth weight or gestational age and receipt of antibiotics, red blood cell transfusions, nasogastric intubation or gavage feedings. Because viral infection had not been suspected in the index patient, isolation measures were not instituted until after onset of secondary cases. We conclude that more severely ill infants receiving intensive levels of care are at increased risk for nosocomial enteroviral infection. These infants may have a greater likelihood of exposure to the virus and/or increased host susceptibility. Outbreaks caused by cross-infection may be preventable by early recognition of patients colonized or infected with potentially pathogenic agents and prompt institution of appropriate isolation measures.

Hand asymmetries in interresponse intervals during rapid repetitive finger tapping.

Interresponse intervals (IRIs) were recorded as 8 right-handed male subjects tapped a key separately with the index finger of each hand as fast as possible for twenty 10-s runs. Frequency distributions of the IRIs produced by each hand showed that the shorter mean IRI that is usually reported for preferred-hand tapping is a result of a systematic production of shorter IRIs by the preferred hand. It is not secondary to inflation of the mean IRI of the non-preferred hand by the sporadic occurrence of long IRIs.