scholarly journals A Case of Lassa Fever Diagnosed at a Community Hospital—Minnesota 2014

2018 ◽  
Vol 5 (7) ◽  
Author(s):  
Mary J Choi ◽  
Shewangizaw Worku ◽  
Barbara Knust ◽  
Arnold Vang ◽  
Ruth Lynfield ◽  
...  

Abstract Background In April 2014, a 46-year-old returning traveler from Liberia was transported by emergency medical services to a community hospital in Minnesota with fever and altered mental status. Twenty-four hours later, he developed gingival bleeding. Blood samples tested positive for Lassa fever RNA by reverse transcriptase polymerase chain reaction. Methods Blood and urine samples were obtained from the patient and tested for evidence of Lassa fever virus infection. Hospital infection control personnel and health department personnel reviewed infection control practices with health care personnel. In addition to standard precautions, infection control measures were upgraded to include contact, droplet, and airborne precautions. State and federal public health officials conducted contract tracing activities among family contacts, health care personnel, and fellow airline travelers. Results The patient was discharged from the hospital after 14 days. However, his recovery was complicated by the development of near complete bilateral sensorineural hearing loss. Lassa virus RNA continued to be detected in his urine for several weeks after hospital discharge. State and federal public health authorities identified and monitored individuals who had contact with the patient while he was ill. No secondary cases of Lassa fever were identified among 75 contacts. Conclusions Given the nonspecific presentation of viral hemorrhagic fevers, isolation of ill travelers and consistent implementation of basic infection control measures are key to preventing secondary transmission. When consistently applied, these measures can prevent secondary transmission even if travel history information is not obtained, not immediately available, or the diagnosis of a viral hemorrhagic fever is delayed.

Author(s):  
Santosh K Verma

ABSTRACT Increase in the incidence of serious transmissible diseases over the last few decades has enhanced major concern and impacted the treatment mode of all health care practitioners. Nowadays, more emphasis is made to assure the patients that they are well protected from risks of infectious disease. Infection control is the most important phase of any dental therapy that has helped to allay concerns of the health care personnel and in providing a safe environment for both patient and personnel. This study reviews different sterilization and infection control protocols in a dental operatory. How to cite this article Mohan S, Prajapati VK, Verma SK. Sterilization and Infection Control Measures in Dental Operatory. Int J Adv Integ Med Sci 2017;2(2):97-100.


2020 ◽  
Vol 68 (11) ◽  
pp. 519-525
Author(s):  
Ana Cláudia Vasconcellos Azeredo ◽  
Sizuane Rieger Holler ◽  
Ellis Gabriela Correa de Almeida ◽  
Otávio Augusto Gonçalves Dias Cionek ◽  
Marcelle Martinez Loureiro ◽  
...  

Background: Most studies that have evaluated the impact of infection-control measures (ICM) reported a decrease in latent tuberculosis (TB) and not in TB. The objective of this study was to evaluate the impact of ICM on TB incidence among Health Care Workers (HCW’s). Methods: We conducted a retrospective record review study in a general, tertiary care, university-affiliated hospital. All TB case reports among HCWs in the hospital from 2005 to 2018 were reviewed. The TB incidence was measured before and after 2012 to evaluate the impact of ICM implemented. Findings: In total, there were 53 TB cases. The number of TB cases before and after the implementation of ICM was 42 (incidence: 100.0 cases/100,000 HCWs/year) and 11 (incidence: 26.2 cases/100,000 HCWs/year), respectively ( p < .0001). Conclusions/Application to Practice: TB incidence among HCWs reduced significantly after the implementation of ICM. The establishment of ICM, such as written TB infection control plan, monitoring, screening, training, and education, can reduce TB incidence.


2010 ◽  
Vol 1 (3) ◽  
pp. 225-231
Author(s):  
Anil Reddy ◽  
Shankar Gouda Patil ◽  
Raghunath Puttaiah

ABSTRACT Dentistry, predominantly a surgical field with frequent exposure to blood and body fluids, is a high-risk occupation with respect to occupationally acquiring infectious diseases. On the same note, patients are also at risk of being infected, if adequate infection control measures are not strictly followed. Traditionally, based on the routes of disease transmission, we can categorize diseases that are bloodborne, airborne and also through fomites. Within these traditional categories also fall the new and emerging diseases that have had serious public health consequences of morbidity and mortality. As a health care provider, dentists must understand the impact of these diseases, and strictly implement practical disease control measures during provision of dental care and reduce the spread within the clinical arena. Common diseases of public health concern that need to be addressed are bloodborne diseases, such as hepatitis A, E, B, C, D and G, HIV; respiratory diseases such as tuberculosis, influenza, severe acute respiratory syndrome (SARS), AH1N1 influenza and immunizable childhood diseases. Apart from infection control measures, we must implement public health policy measures, such as immunization of current and prospective health care personnel (students in the dental profession) against immunizable diseases, utilize disease screening measures, postexposure disease control measures and utilize standard and additional precautions, the latter as required in certain instances.


2021 ◽  
pp. 101053952110110
Author(s):  
Salma Abbas ◽  
Aun Raza ◽  
Ayesha Iftikhar ◽  
Aamir Khan ◽  
Shahzaib Khan ◽  
...  

Health care personnel (HCP) are at high risk for coronavirus disease-2019 acquisition. Serum antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) indicate past infection. Our institution offered SARS-CoV-2 antibody testing to HCP. We surveyed HCP with positive test results to explore past exposure to SARS-CoV-2, details of symptoms during the preceding 6 months, and a history of SARS-CoV-2 polymerase chain reaction testing. A total of 2162 HCP underwent antibody testing. Eight hundred fifty-seven (39.6%) employees tested positive and, of these, 820 (95.7%) participated in the survey. When adjusted for age, males had higher odds of testing positive for SARS-CoV-2 antibodies compared with females (OR = 1.68; 95% CI = 1.37-2.05; P = .00) and clinical staff had higher odds of SARS-CoV-2 seropositivity compared with nonclinical staff (OR = 1.273; 95% CI = 1.06-1.53; P = .01). Implementation of effective infection control measures is essential to protect HCP from coronavirus disease-2019.


2020 ◽  
Vol 99 (5) ◽  
pp. 481-487 ◽  
Author(s):  
L. Meng ◽  
F. Hua ◽  
Z. Bian

The epidemic of coronavirus disease 2019 (COVID-19), originating in Wuhan, China, has become a major public health challenge for not only China but also countries around the world. The World Health Organization announced that the outbreaks of the novel coronavirus have constituted a public health emergency of international concern. As of February 26, 2020, COVID-19 has been recognized in 34 countries, with a total of 80,239 laboratory-confirmed cases and 2,700 deaths. Infection control measures are necessary to prevent the virus from further spreading and to help control the epidemic situation. Due to the characteristics of dental settings, the risk of cross infection can be high between patients and dental practitioners. For dental practices and hospitals in areas that are (potentially) affected with COVID-19, strict and effective infection control protocols are urgently needed. This article, based on our experience and relevant guidelines and research, introduces essential knowledge about COVID-19 and nosocomial infection in dental settings and provides recommended management protocols for dental practitioners and students in (potentially) affected areas.


Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1593
Author(s):  
Kyoko Yoshioka-Maeda ◽  
Yuka Sumikawa ◽  
Noriha Tanaka ◽  
Chikako Honda ◽  
Riho Iwasaki-Motegi ◽  
...  

This cross-sectional study aimed to (1) describe the unclassified contents of telephone consultation services provided by a public health center during the first wave of COVID-19 in Japan and (2) examine whether the contents required assistance from public health nurses (PHNs). We analyzed a total of 207 calls in which the purpose of the call was unclassified into pre-set categories. PHNs transcribed the exact text of the consultation conversations recorded from 25 March to 20 April 2020 in City A. Approximately half of the calls were from residents. Seven categories were extracted through a qualitative content analysis. The most common topic was infection control measures, where the presence of COVID-19 infection was assumed (n = 62); the second most common was extreme anxiety and fear of infection (n = 50). Questions about the COVID-19 response system (n = 30), discrimination and misunderstandings about COVID-19 (n = 24), and response measures for COVID-19 outbreaks within organizations (n = 18) were also included. The unclassified consultations included various topics, several of which required the expertise of a PHN. Each local government should consider sharing and task-shifting telephone consultation services among PHNs and other staff to reduce their burden and allow them to concentrate on conducting infection control more effectively.


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