A case of Crimean-Congo haemorrhagic fever imported in Greece: Contact tracing and management of exposed healthcare workers.

Crimean-Congo haemorrhagic fever contact tracing healthcare workers infection control ribavirin

Journal

Journal of infection prevention
ISSN: 1757-1774
Titre abrégé: J Infect Prev
Pays: England
ID NLM: 101469725

Informations de publication

Date de publication:
Jul 2019
Historique:
received: 23 09 2018
accepted: 14 04 2019
entrez: 21 8 2019
pubmed: 21 8 2019
medline: 21 8 2019
Statut: ppublish

Résumé

Nosocomial transmission is a major mode of infection of Crimean-Congo haemorrhagic fever (CCHF). In May 2018, a patient with CCHF was hospitalised in Greece. Our aim was to present the management of healthcare workers (HCWs) to the CCHF case. Contact tracing, risk assessment and follow-up of exposed HCWs were performed. Testing (RT-PCR and/or serology) was offered to contacts. Post-exposure prophylaxis (PEP) with ribavirin was considered for high-risk exposures. Ninety-one HCWs were exposed to the case. Sixty-six HCWs were grouped as high-risk exposures. Ribavirin PEP was offered to 29 HCWs; seven agreed to receive prophylaxis. Forty-one HCWs were tested for CCHF infection; none was found positive. Gaps in infection control occurred. CCHF should be considered in patients with compatible travel history and clinical and laboratory findings. Early clinical suspicion and laboratory confirmation are imperative for the implementation of appropriate infection control measures. Ribavirin should be considered for high-risk exposures. Infection control capacity for highly pathogenic agents should increase.

Sections du résumé

BACKGROUND BACKGROUND
Nosocomial transmission is a major mode of infection of Crimean-Congo haemorrhagic fever (CCHF). In May 2018, a patient with CCHF was hospitalised in Greece.
OBJECTIVE OBJECTIVE
Our aim was to present the management of healthcare workers (HCWs) to the CCHF case.
METHODS METHODS
Contact tracing, risk assessment and follow-up of exposed HCWs were performed. Testing (RT-PCR and/or serology) was offered to contacts. Post-exposure prophylaxis (PEP) with ribavirin was considered for high-risk exposures.
RESULTS RESULTS
Ninety-one HCWs were exposed to the case. Sixty-six HCWs were grouped as high-risk exposures. Ribavirin PEP was offered to 29 HCWs; seven agreed to receive prophylaxis. Forty-one HCWs were tested for CCHF infection; none was found positive. Gaps in infection control occurred.
DISCUSSION CONCLUSIONS
CCHF should be considered in patients with compatible travel history and clinical and laboratory findings. Early clinical suspicion and laboratory confirmation are imperative for the implementation of appropriate infection control measures. Ribavirin should be considered for high-risk exposures. Infection control capacity for highly pathogenic agents should increase.

Identifiants

pubmed: 31428197
doi: 10.1177/1757177419852666
pii: 10.1177_1757177419852666
pmc: PMC6683607
doi:

Types de publication

Journal Article

Langues

eng

Pagination

171-178

Déclaration de conflit d'intérêts

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Auteurs

Helena C Maltezou (HC)

Department for Interventions in Health-Care Facilities, Hellenic Center for Disease Control and Prevention, Athens, Greece.

Anna Papa (A)

Department of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Sarantoula Ventouri (S)

Department of Infection Control, University Hospital of Alexandroupolis, Alexandroupolis, Greece.

Charikleia Tseki (C)

Department of Infection Control, General Hospital of Xanthi, Xanthi, Greece.

Danai Pervanidou (D)

Department for Epidemiological Surveillance and Intervention, Hellenic Center for Disease Control and Prevention, Athens, Greece.

Androula Pavli (A)

Department for Interventions in Health-Care Facilities, Hellenic Center for Disease Control and Prevention, Athens, Greece.

Periklis Panagopoulos (P)

Department of Infection Control, University Hospital of Alexandroupolis, Alexandroupolis, Greece.
Second Department of Internal Medicine, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.

Philothei Markatou (P)

Department of Internal Medicine, University Hospital of Alexandroupolis, Alexandroupolis, Greece.

Elpida Gavana (E)

Department of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Efstratios Maltezos (E)

Department of Infection Control, University Hospital of Alexandroupolis, Alexandroupolis, Greece.
Second Department of Internal Medicine, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.

Classifications MeSH