In Italy there is currently a measles outbreak among the general population related to insufficient vaccine coverage. Despite the highest infectivity of some diseases, the guidelines released in the National Vaccination Plan recommend basic vaccination among HCWs. In March 2018, one case of measles and one of chickenpox occurred among two young medical doctors who had come into contact with 153 people. We investigated, within 24 hours, the immunization status of close contacts, providing vaccinations for those not immune and isolation for people with premature signs/symptoms of infection. All patients analyzed (n=13) were immune. Among HCWs (n=140), 16 weren’t immune for chickenpox and 7 for measles. All contacts that were not immunized were vaccinated within 72 hours, however, despite this, in one case we found antibody values that indicated a recent infection. The high contagiousness of measles led to a further case of illness among close contacts of the first young HCW infected, which could have been avoidable with the implementation of mandatory vaccination policies for all health care workers.

A potential outbreak of measles and chickenpox among healthcare workers in a university hospital

Genovese, Cristina
Primo
Membro del Collaboration Group
;
La Fauci, Vincenza
Membro del Collaboration Group
;
NUCERA, SABRINA
Membro del Collaboration Group
;
Antonuccio, Grazia Maria
Membro del Collaboration Group
;
Alessi, Valeria
Membro del Collaboration Group
;
CARNUCCIO, Serena Maria
Membro del Collaboration Group
;
CRISTIANO, Piera
Membro del Collaboration Group
;
LAUDANI, Nunzio
Membro del Collaboration Group
;
Di Pietro, Angela
Membro del Collaboration Group
;
SQUERI, ANDREA
Membro del Collaboration Group
;
Squeri, Raffaele
Ultimo
2019

Abstract

In Italy there is currently a measles outbreak among the general population related to insufficient vaccine coverage. Despite the highest infectivity of some diseases, the guidelines released in the National Vaccination Plan recommend basic vaccination among HCWs. In March 2018, one case of measles and one of chickenpox occurred among two young medical doctors who had come into contact with 153 people. We investigated, within 24 hours, the immunization status of close contacts, providing vaccinations for those not immune and isolation for people with premature signs/symptoms of infection. All patients analyzed (n=13) were immune. Among HCWs (n=140), 16 weren’t immune for chickenpox and 7 for measles. All contacts that were not immunized were vaccinated within 72 hours, however, despite this, in one case we found antibody values that indicated a recent infection. The high contagiousness of measles led to a further case of illness among close contacts of the first young HCW infected, which could have been avoidable with the implementation of mandatory vaccination policies for all health care workers.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11570/3140241
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