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Emerging health threats journal
2015;8 24173.

Hospital preparedness in community measles outbreaks-challenges and recommendations for low-resource settings.

Sadia Shakoor, Fatima Mir, Anita K M Zaidi, Afia Zafar
Author Information
  1. Sadia Shakoor: Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.
  2. Fatima Mir: Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
  3. Anita K M Zaidi: Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
  4. Afia Zafar: Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.
PMID: 25882388 DOI: 10.3402/ehtj.v8.24173

Abstract

We have reviewed various strategies involved in containment of measles in healthcare facilities during community outbreaks. The strategies that are more applicable to resource-poor settings, such as natural ventilation, mechanical ventilation with heating and air-conditioning systems allowing unidirectional air-flow, and protection of un-infected patients and healthcare workers (HCWs), have been examined. Ventilation methods need innovative customization for resource-poor settings followed by validation and post-implementation analysis for impact. Mandatory vaccination of all HCWs with two doses of measles-containing vaccine, appropriate post-exposure prophylaxis of immunocompromised inpatients, and stringent admission criteria for measles cases can contribute toward reduction of nosocomial and secondary transmission within facilities.

Keywords

Measles airborne isolation hospital infection control natural ventilation

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MeSH Term

Air Microbiology
Cross Infection
Disease Outbreaks
Guideline Adherence
Health Personnel
Hospital Design and Construction
Humans
Infection Control
Infectious Disease Transmission, Patient-to-Professional
Infectious Disease Transmission, Professional-to-Patient
Measles
Measles Vaccine
Post-Exposure Prophylaxis
Ventilation

Chemicals

Measles Vaccine
Journal Article Review
Article has an altmetric score of 8

Word Cloud

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