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

Shakoor S, Mir F, Zaidi AK, Zafar A - Emerg Health Threats J (2015)

Bottom Line: We have reviewed various strategies involved in containment of measles in healthcare facilities during community outbreaks.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.

View Article: PubMed Central - PubMed

Affiliation: Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.

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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Related in: MedlinePlus

Components of measles containment plan managed under different elements of infection control program.
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Figure 0002: Components of measles containment plan managed under different elements of infection control program.

Mentions: As with other infection control programs, a measles containment action plan also has three elements: administrative controls, environmental controls, and personal protective measures for staff. Figure 2 describes their interrelationship and the components covered by these elements.


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

Shakoor S, Mir F, Zaidi AK, Zafar A - Emerg Health Threats J (2015)

Components of measles containment plan managed under different elements of infection control program.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4400300&req=5

Figure 0002: Components of measles containment plan managed under different elements of infection control program.
Mentions: As with other infection control programs, a measles containment action plan also has three elements: administrative controls, environmental controls, and personal protective measures for staff. Figure 2 describes their interrelationship and the components covered by these elements.

Bottom Line: We have reviewed various strategies involved in containment of measles in healthcare facilities during community outbreaks.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.

View Article: PubMed Central - PubMed

Affiliation: Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.

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.

Show MeSH
Related in: MedlinePlus