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

Emerging health threats journal Pub Date : 2015-04-15 eCollection Date: 2015-01-01 DOI:10.3402/ehtj.v8.24173
Sadia Shakoor, Fatima Mir, Anita K M Zaidi, Afia Zafar
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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.

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社区麻疹疫情中的医院准备工作--针对低资源环境的挑战和建议。
我们回顾了社区疫情爆发时医疗机构遏制麻疹的各种策略。我们研究了更适用于资源匮乏环境的策略,如自然通风、利用供暖和空调系统进行机械通风(允许空气单向流动)以及保护未感染的患者和医护人员(HCWs)。通风方法需要针对资源匮乏的环境进行创新定制,然后进行验证和实施后的影响分析。对所有医护人员强制接种两剂含麻疹成分的疫苗,对免疫力低下的住院病人进行适当的接触后预防,以及对麻疹病例实施严格的入院标准,这些措施都有助于减少设施内的院内传播和二次传播。
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The Natural World Individuals and Society Hospital preparedness in community measles outbreaks-challenges and recommendations for low-resource settings. Detection of blaIMP4 and blaNDM1 harboring Klebsiella pneumoniae isolates in a university hospital in Malaysia. Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk.
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