A Case-Study of Implementation of Improved Strategies for Prevention of Laboratory-acquired Brucellosis

Autor: Louisa J. Castrodale, Gregory A. Raczniak, Karen M. Rudolph, Lori Chikoyak, Russell S. Cox, Tricia L. Franklin, Rita M. Traxler, Marta Guerra
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Safety and Health at Work, Vol 6, Iss 4, Pp 353-356 (2015)
Druh dokumentu: article
ISSN: 2093-7911
DOI: 10.1016/j.shaw.2015.07.009
Popis: Background: In 2012, the Alaska Section of Epidemiology investigated personnel potentially exposed to a Brucella suis isolate as it transited through three laboratories. Methods: We summarize the first implementation of the United States Centers for Disease Control and Prevention 2013 revised recommendations for monitoring such exposures: (1) risk classification; (2) antimicrobial postexposure prophylaxis; (3) serologic monitoring; and (4) symptom surveillance. Results: Over 30 people were assessed for exposure and subsequently monitored for development of illness. No cases of laboratory-associated brucellosis occurred. Changes were made to gaps in laboratory biosafety practices that had been identified in the investigation. Conclusion: Achieving full compliance for the precise schedule of serologic monitoring was challenging and resource intensive for the laboratory performing testing. More refined exposure assessments could inform decision making for follow-up to maximize likelihood of detecting persons at risk while not overtaxing resources.
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