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A case of Crimean-Congo haemorrhagic fever imported in Greece: Contact tracing and management of exposed healthcare workers.

TitleA case of Crimean-Congo haemorrhagic fever imported in Greece: Contact tracing and management of exposed healthcare workers.
Publication TypeJournal Article
Year of Publication2019
AuthorsMaltezou, H. C., Papa A., Ventouri S., Tseki C., Pervanidou D., Pavli A., Panagopoulos P., Markatou P., Gavana E., & Maltezos E.
JournalJ Infect Prev
Volume20
Issue4
Pagination171-178
Date Published2019 Jul
ISSN1757-1774
Abstract

Background: Nosocomial transmission is a major mode of infection of Crimean-Congo haemorrhagic fever (CCHF). In May 2018, a patient with CCHF was hospitalised in Greece.Objective: Our aim was to present the management of healthcare workers (HCWs) to the CCHF case.Methods: Contact tracing, risk assessment and follow-up of exposed HCWs were performed. Testing (RT-PCR and/or serology) was offered to contacts. Post-exposure prophylaxis (PEP) with ribavirin was considered for high-risk exposures.Results: Ninety-one HCWs were exposed to the case. Sixty-six HCWs were grouped as high-risk exposures. Ribavirin PEP was offered to 29 HCWs; seven agreed to receive prophylaxis. Forty-one HCWs were tested for CCHF infection; none was found positive. Gaps in infection control occurred.Discussion: CCHF should be considered in patients with compatible travel history and clinical and laboratory findings. Early clinical suspicion and laboratory confirmation are imperative for the implementation of appropriate infection control measures. Ribavirin should be considered for high-risk exposures. Infection control capacity for highly pathogenic agents should increase.

DOI10.1177/1757177419852666
Alternate JournalJ Infect Prev
PubMed ID31428197
PubMed Central IDPMC6683607

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