Measles re-emerging in the Ústí Region
Authors:
J. Trmal 1; J. Kupcová 2; L. Dvořáková 2; D. Vaculíková 2; R. Limberková 3; I. Šlajová 1; J. Pospíšilová 1
Authors place of work:
Krajská hygienická stanice Ústeckého kraje se sídlem v Ústí nad Labem
1; Masarykova nemocnice v Ústí nad Labem
2; Státní zdravotní ústav Praha
3
Published in the journal:
Epidemiol. Mikrobiol. Imunol. 63, 2014, č. 3, s. 266-271
Category:
Review articles, original papers, case report
Summary
A report is given of a measles outbreak in healthcare workers and the general population that occurred in February to March in Ústí nad Labem. The source of infection was a man with a history of travel to India. The outbreak was primarily observed in the patient’s contacts and then spread widely to healthcare workers of the Masaryk Hospital in Ústí nad Labem. The outbreak further reached the general population including family contacts of the patients. By the end of March 2014, 171 measles cases were reported, 68 (39.8%) of which in healthcare workers. Cases we confirmed by laboratory analysis of IgM antibodies and IgG antibody dynamics and, possibly, by R-PCR. In addition to standard preventive anti-epidemic measures, the healthcare workers of the Masaryk Hospital were vaccinated with an extra dose of the Priorix vaccine. Measles cases were most often reported in the population born in 1970–1980. This age group was the target population for an extra dose of the Priorix vaccine. General recommendations have been formulated based on the experience from the outbreak.
Keywords:
measles – outbreak – healthcare workers
Zdroje
1. Špliňo M, Boštíková V. Pokračující epidemie spalniček v EU v roce 2013. Vakcinologie, 2014;8,1:43–45.
2. Mustafa M, Veitman S, Vinick M. Subacute measles encephalitis in the immunocompromised host – report of two cases diagnosed by polymerace chain reaction and treated with ribavirin and review of the literature. Clin Infect Dis, 1993;16,5: 654–660.
3. Petráš M, Lesná IK. Manuál očkování 2010. Litomyšl: HRG, 2009.
4. Gerte S. Masern keineswegs nur eine harmlose Kinderkrankheit. Therapiewoche, 1992;42,8:416–421.
5. Arguedas A, Deveikis A, Marks M. Measles. Amer J Infect Control, 1981;19,6:290–298.
6. Kreth HV. Masern: Jährlich 100 Encephalitis. Fille-Ärztl Prax, 1998;50,5,4.
7. Khatib R, Siddigue M, Abrass. Measles associated hepatobiliary disease. Infection, 1993;21,2:112–114.
8. Strauss J, Mrázová M, Mačátová I, et al. Ztráta spalničkových mateřských protilátek získaných očkováním proti spalničkám. Epidemiol Mikrobiol Imunol, 1991;40,3:137–143.
9. Shann F. A littlle bit of measles does you good. Even if measles is eradicated, immunisation may still be desirable in developing countries. BMJ, 1999; 319,7201:4–5.
Štítky
Hygiene and epidemiology Medical virology Clinical microbiologyČlánok vyšiel v časopise
Epidemiology, Microbiology, Immunology
2014 Číslo 3
Najčítanejšie v tomto čísle
- The current view of the diagnosis and management of amebiasis in the light of the authors’ own case reports
- Infections caused by human alpha herpes viruses
- Enterohemorrhagic Escherichia coli as the cause of diarrhea in the Czech Republic, 1965–2013
- Prevalence and characteristics of thermotolerant Campylobacter spp. in the human food chain