Asunto(s)
Varicela , Brotes de Enfermedades , Humanos , Ciudad de Nueva York/epidemiología , Varicela/epidemiología , Adulto , Niño , Preescolar , Adolescente , Femenino , Masculino , Lactante , Adulto Joven , Persona de Mediana Edad , AncianoRESUMEN
We describe a premature infant with congenital measles. Laboratory testing confirmed measles in the mother (polymerase chain reaction- and IgM-positive) and congenital measles in the infant (polymerase chain reaction-positive, culture-positive and IgM-positive). The infant never developed a rash, pneumonia, or neurologic complications. This case supports using compatible laboratory findings to diagnose congenital measles in infants without clinical manifestations of measles.
Asunto(s)
Recien Nacido Extremadamente Prematuro , Enfermedades del Recién Nacido/diagnóstico , Transmisión Vertical de Enfermedad Infecciosa , Sarampión/diagnóstico , Sarampión/transmisión , Complicaciones Infecciosas del Embarazo/diagnóstico , Adulto , Femenino , Humanos , Recién Nacido , Enfermedades del Recién Nacido/terapia , Control de Infecciones/métodos , Unidades de Cuidado Intensivo Neonatal , Sarampión/terapia , New York/epidemiología , Embarazo , Resultado del TratamientoRESUMEN
OBJECTIVE: Nonpharmacologic interventions such as limiting nosocomial spread have been suggested for mitigation of respiratory epidemics at health care facilities. This observational study tested the efficacy of a mass screening, isolation, and triage protocol in correctly identifying and placing in a cohort exercise subjects according to case status in the emergency departments at 3 acute care hospitals in Brooklyn, New York, during a simulated pandemic influenza outbreak. METHODS: During a 1-day, full-scale exercise using 354 volunteer victims, variables assessing adherence to the mass screening protocol and infection control recommendations were evaluated using standardized forms. RESULTS: While all hospitals were able to apply the suggested mass screening protocol for separation based on case status, significant differences were observed in several infection control variables among participating hospitals and different hospital areas. CONCLUSIONS: Implementation of mass screening and other infection control interventions during a hospital full-scale exercise was feasible and resulted in measurable outcomes. Hospital drills may be an effective way of detecting and addressing variability in following infection control recommendations.