Measles Outbreak among Previously Immunized Adult Healthcare Workers, China, 2015
Measles is caused by measles virus belonging to genus Morbillivirus of the family Paramyxoviridae. Vaccination has played a critical role in controlling measles infection worldwide. However, in the recent years, outbreaks of measles infection still occur in many developing countries. Here, we report...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Canadian Journal of Infectious Diseases and Medical Microbiology |
| Online Access: | http://dx.doi.org/10.1155/2016/1742530 |
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| author | Zhengyi Zhang Yuan Zhao Lili Yang Changhong Lu Ying Meng Xiaoli Guan Hongjin An Meizhong Zhang Wenqin Guo Bo Shang Jing Yu |
| author_facet | Zhengyi Zhang Yuan Zhao Lili Yang Changhong Lu Ying Meng Xiaoli Guan Hongjin An Meizhong Zhang Wenqin Guo Bo Shang Jing Yu |
| author_sort | Zhengyi Zhang |
| collection | DOAJ |
| description | Measles is caused by measles virus belonging to genus Morbillivirus of the family Paramyxoviridae. Vaccination has played a critical role in controlling measles infection worldwide. However, in the recent years, outbreaks of measles infection still occur in many developing countries. Here, we report an outbreak of measles among healthcare workers and among the 60 measles infected patients 50 were healthcare workers including doctors, nurses, staff, and medics. Fifty-one patients (85%) tested positive for IgM antibodies against the measles virus and 50 patients (83.3%) tested positive for measles virus RNA. Surprisingly, 73.3% of the infected individuals had been previously immunized against measles. Since there is no infection division in our hospital, the fever clinics are located in the Emergency Division. In addition, the fever and rash were not recognized as measles symptoms at the beginning of the outbreak. These factors result in delay in isolation and early confirmation of the suspected patients and eventually a measles outbreak in the hospital. Our report highlights the importance of following a two-dose measles vaccine program in people including the healthcare workers. In addition, vigilant attention should be paid to medical staff with clinical fever and rash symptoms to avoid a possible nosocomial transmission of measles infection. |
| format | Article |
| id | doaj-art-294f74d3758e4a0699d52334bf7869e6 |
| institution | Kabale University |
| issn | 1712-9532 1918-1493 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases and Medical Microbiology |
| spelling | doaj-art-294f74d3758e4a0699d52334bf7869e62025-02-03T00:59:01ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95321918-14932016-01-01201610.1155/2016/17425301742530Measles Outbreak among Previously Immunized Adult Healthcare Workers, China, 2015Zhengyi Zhang0Yuan Zhao1Lili Yang2Changhong Lu3Ying Meng4Xiaoli Guan5Hongjin An6Meizhong Zhang7Wenqin Guo8Bo Shang9Jing Yu10Department of General Medicine, Lanzhou University Second Hospital, Gansu 730030, ChinaDepartment of General Medicine, Lanzhou University Second Hospital, Gansu 730030, ChinaDepartment of General Medicine, Lanzhou University Second Hospital, Gansu 730030, ChinaDepartment of General Medicine, Lanzhou University Second Hospital, Gansu 730030, ChinaDepartment of General Medicine, Lanzhou University Second Hospital, Gansu 730030, ChinaDepartment of General Medicine, Lanzhou University Second Hospital, Gansu 730030, ChinaDepartment of General Medicine, Lanzhou University Second Hospital, Gansu 730030, ChinaDepartment of Public Health, Lanzhou University Second Hospital, Gansu 730030, ChinaDepartment of Public Health, Lanzhou University Second Hospital, Gansu 730030, ChinaDepartment of General Medicine, Lanzhou University Second Hospital, Gansu 730030, ChinaDepartment of Cardiology, Lanzhou University Second Hospital, Gansu 730030, ChinaMeasles is caused by measles virus belonging to genus Morbillivirus of the family Paramyxoviridae. Vaccination has played a critical role in controlling measles infection worldwide. However, in the recent years, outbreaks of measles infection still occur in many developing countries. Here, we report an outbreak of measles among healthcare workers and among the 60 measles infected patients 50 were healthcare workers including doctors, nurses, staff, and medics. Fifty-one patients (85%) tested positive for IgM antibodies against the measles virus and 50 patients (83.3%) tested positive for measles virus RNA. Surprisingly, 73.3% of the infected individuals had been previously immunized against measles. Since there is no infection division in our hospital, the fever clinics are located in the Emergency Division. In addition, the fever and rash were not recognized as measles symptoms at the beginning of the outbreak. These factors result in delay in isolation and early confirmation of the suspected patients and eventually a measles outbreak in the hospital. Our report highlights the importance of following a two-dose measles vaccine program in people including the healthcare workers. In addition, vigilant attention should be paid to medical staff with clinical fever and rash symptoms to avoid a possible nosocomial transmission of measles infection.http://dx.doi.org/10.1155/2016/1742530 |
| spellingShingle | Zhengyi Zhang Yuan Zhao Lili Yang Changhong Lu Ying Meng Xiaoli Guan Hongjin An Meizhong Zhang Wenqin Guo Bo Shang Jing Yu Measles Outbreak among Previously Immunized Adult Healthcare Workers, China, 2015 Canadian Journal of Infectious Diseases and Medical Microbiology |
| title | Measles Outbreak among Previously Immunized Adult Healthcare Workers, China, 2015 |
| title_full | Measles Outbreak among Previously Immunized Adult Healthcare Workers, China, 2015 |
| title_fullStr | Measles Outbreak among Previously Immunized Adult Healthcare Workers, China, 2015 |
| title_full_unstemmed | Measles Outbreak among Previously Immunized Adult Healthcare Workers, China, 2015 |
| title_short | Measles Outbreak among Previously Immunized Adult Healthcare Workers, China, 2015 |
| title_sort | measles outbreak among previously immunized adult healthcare workers china 2015 |
| url | http://dx.doi.org/10.1155/2016/1742530 |
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