scholarly journals Seroprevalence of Crimean–Congo hemorrhagic fever among health care workers in a hospital in an endemic region of Turkey

2018 ◽  
Vol 12 (07) ◽  
pp. 587-591 ◽  
Author(s):  
Fatih Temocin ◽  
Hatice Köse ◽  
Tuğba Sarı ◽  
Fazilet Duygu ◽  
Ramazan Oguz Şahin

Introduction: Crimean-Congo Hemorrhagic Fever (CCHF) can also be transmitted through unprotected contact directly with blood or body fluids as well as from laboratories. This study aimed to determine the seroprevalence of CCHF disease in the employees of the State Hospital of Yozgat Province, located in Central Anatolia of Turkey, and also to present the risk factors for healthcare workers. Methodology: A total of 112 volunteer employees of Yozgat State Hospital were included in the study. The study volunteers were divided into two groups: one having had a contact with CCHF patients and patient’s samples and the other a non-contact group. Results: In the contact group, 2 (2.9%) out of 67 subjects tested positive for anti-CCHF IgG; however, in the non-contact group, none of the subjects tested positive (Fisher's exact test p > 0.05). Of the two employees who tested positive, one was working at the microbiology laboratory and the other was from the emergency department. Conclusion: Although cases of nosocomial transmission of CCHF have been reported previously, questions on the mode of transmission of the disease are still unanswered. The risk factors for the disease should, therefore, be identified in order to take the necessary measures.


2008 ◽  
Vol 5 (1) ◽  
pp. 7 ◽  
Author(s):  
Darja Duh ◽  
Stuart T Nichol ◽  
Marina L Khristova ◽  
Ana Saksida ◽  
Iva Hafner-Bratkovič ◽  
...  


2019 ◽  
Vol 79 ◽  
pp. 137 ◽  
Author(s):  
K.K. Kasi ◽  
M.A. Sas ◽  
C. Sauter-Louis ◽  
J.M. Gethmann ◽  
M.H. Groschup ◽  
...  


Chemotherapy ◽  
2016 ◽  
Vol 61 (3) ◽  
pp. 148-151
Author(s):  
Selçuk Kaya ◽  
Firdevs Aksoy ◽  
Nurten Nur Kenç ◽  
Ahmet Eroğlu ◽  
İftihar Köksal

This report describes a case of Crimean-Congo hemorrhagic fever with widespread hemorrhages and multiple organ dysfunction syndrome in a 46-year-old patient from an endemic region. Although the patient had numerous poor prognostic factors, he was discharged in a healthy condition after 17 days of hospitalization with close monitoring and supportive care. Tranexamic acid was successfully used together with other supportive treatments.



1991 ◽  
Vol 164 (4) ◽  
pp. 686-692 ◽  
Author(s):  
L. E. Chapman ◽  
M. L. Wilson ◽  
D. B. Hall ◽  
B. LeGuenno ◽  
E. A. Dykstra ◽  
...  


2006 ◽  
Vol 52 (3) ◽  
pp. 207-215 ◽  
Author(s):  
Z OZKURT ◽  
I KIKI ◽  
S EROL ◽  
F ERDEM ◽  
N YILMAZ ◽  
...  


2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S439-S440
Author(s):  
Stephanie P Fabara ◽  
Raghavendra Tirupathi ◽  
Juan Fernando Ortiz ◽  
Urvish Patel ◽  
Sashwath Srikanth ◽  
...  

Abstract Background The Crimean-Congo Hemorrhagic Fever (CCHF) is a tick-borne virus infection that has been reported in about 30 countries worldwide. Clinical presentation is divided into three phases: pre-hemorrhagic, hemorrhagic, and convalescence. Ribavirin is standard of care treatment for acute infection and prophylaxis. However, the use of other treatments beyond ribavirin is largely unknown. Methods We conducted a systematic review using MOOSE protocol. The inclusion and exclusion criteria are seen in the Prisma diagram. For Bias Analysis we use a Robin-1 tool. Literature review algorithm Results We gathered a total of 10 studies, which included 4 therapeutic plasma exchange (TPE), 2 corticosteroids, 2 IVIG, and 1 with convalescent plasma (CP). TPE in one study showed decreased mortality rate and increased efficacy in patients with severe CCHF. While the other study reported pulmonary embolism related to the use of TPE. Nevertheless, the patients had good outcome in the end. Two case reports used TPE plus ribavirin and supportive measures. Both were discharged home and recovered without sequela. Corticosteroids were found to be beneficial in one study were the case fatality rate was lower with the addition of corticosteroids to ribavirin in severely ill patients (p=0.0014). In a case series of six patients, who received the combination in early stages of the disease had good clinical outcomes with improved survival. IVIG was shown to increase platelet counts in two studies. In the first study, platelet count increased above 150,000/mL in 8.5 +/- 2.5 days. While in the other study the normalization of platelets was seen in 4 - 4.8 days, with no significant difference (P = 0.49). In addition, there was a decrease in the duration of symptoms but there was no statistically significant difference in mortality rates (P = 0.171). CP treatment showed a survival rate of 86% in treated patients. CP was more useful in high-risk patients, defined as having a viral load of 108 copies/mL or more. The main limitations of the studies were the sample size and heterogenicity among the outcomes of the studies. Conclusion TPE, CP, IVIG, and corticosteroids were effective in improving the clinical outcomes of the patients. The use of these treatments beyond ribavirin should be explored in future studies. Disclosures All Authors: No reported disclosures



Author(s):  
Masoud Mardani ◽  
Kouros Aghazadeh ◽  
Shahriar Nikpour ◽  
Atousa Hakamifard

In the COVID-19 pandemic, the overlap of clinical features between the other viral infections, make a reliable diagnosis difficult in the initial stage of illness. We describe the first confirmed case of CCHF in Tehran province during this year, who first misdiagnosed as COVID-19 infection.



2014 ◽  
Vol 1 (3) ◽  
Author(s):  
Seyed Mohammad Hashemi-Shahri ◽  
Batool Sharifi-Mood ◽  
Maliheh Metanat


2015 ◽  
Vol 4 (1) ◽  
pp. 15-20 ◽  
Author(s):  
SAADIA ASLAM ◽  
MUHAMMAD SHAHZAD LATIF ◽  
MUHAMMAD DAUD ◽  
ZIA UR RAHMAN ◽  
BUSHRA TABASSUM ◽  
...  


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