オバラ　チズカ   Obara Chizuka   小原　千寿香    所属   東邦大学  理学部 生物学科    職種   博士研究員
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Estimation of secondary measles transmission from a healthcare worker in a hospital setting
掲載誌名	正式名：INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES ISSNコード：1201-9712/1878-3511
出版社	ELSEVIER SCI LTD
巻・号・頁	24,pp.11-13
著者・共著者	Katsushi Tajima,Hidekazu Nishimura,Seiji Hongo,Masaharu Hazawa,Ai Saotome-Nakamura,Kenichi Tomiyama,Chizuka Obara,Takeo Kato
発行年月	2014/07
概要	Measles among healthcare workers (HCWs) is associated with a significant risk of nosocomial transmission to susceptible patients. When a measles case occurs in the healthcare setting, most guidelines recommend exhaustive measures. To evaluate the effects of measures against measles transmission in the healthcare setting precisely, it is essential to determine whether secondary transmission generally occurs. This study describes, for the first time, the actual secondary transmission rate for a measles-infected HCW in a ward with no special air ventilation capacity. The routine treatment of a number of immunocompromised patients occurs in this ward, and thus patients as well as HCWs have a thorough understanding and practice of standard and extended precautions. Our paired serum sample study revealed that none of the people in the ward exposed to the HCW at the catarrhal stage over a period of 4 days exhibited elevated levels of antibodies against measles. We suggest that strict adherence to standard and expanded precautions among patients and HCWs may be effective for preventing the transmission of a highly airborne disease, such as measles. (C) 2014 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.
DOI	10.1016/j.ijid.2014.03.1377
PMID	24780918