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Measles recognition during measles outbreak at a paediatric university hospital, Austria, January to February 2017

Recognition of measles is crucial to prevent transmissions in the hospital settings. Little is known about the level of recognition of measles and possible causes of not recognising the disease by physicians in the post-vaccine era. We report on a measles outbreak in a paediatric hospital in Austria...

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Autores principales: Kohlmaier, Benno, Schweintzger, Nina A, Zenz, Werner
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Centre for Disease Prevention and Control (ECDC) 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988273/
https://www.ncbi.nlm.nih.gov/pubmed/31992389
http://dx.doi.org/10.2807/1560-7917.ES.2020.25.3.1900260
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author Kohlmaier, Benno
Schweintzger, Nina A
Zenz, Werner
author_facet Kohlmaier, Benno
Schweintzger, Nina A
Zenz, Werner
author_sort Kohlmaier, Benno
collection PubMed
description Recognition of measles is crucial to prevent transmissions in the hospital settings. Little is known about the level of recognition of measles and possible causes of not recognising the disease by physicians in the post-vaccine era. We report on a measles outbreak in a paediatric hospital in Austria in January to February 2017 with strikingly high numbers of not recognised cases. The extent and course of the outbreak were assessed via retrospective case finding. Thirteen confirmed measles cases were identified, two with atypical clinical picture. Of eight cases with no known epidemiological link, only one was diagnosed immediately; four were recognised with delay and three only retrospectively. Eleven typical measles cases had four ‘unrecognised visits’ to the outpatient clinic and 28 on the ward. Two atypical cases had two ‘unrecognised visits’ to the outpatient clinic and 19 on the ward. Thirteen clinicians did not recognise typical measles (atypical cases not included). Twelve of 23 physicians involved had never encountered a patient with measles before. The direct and indirect costs related to the outbreak were calculated to be over EUR 80,000. Our findings suggest the need to establish regular training programmes about measles, including diagnostic pitfalls in paediatric hospitals.
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spelling pubmed-69882732020-02-06 Measles recognition during measles outbreak at a paediatric university hospital, Austria, January to February 2017 Kohlmaier, Benno Schweintzger, Nina A Zenz, Werner Euro Surveill Outbreaks Recognition of measles is crucial to prevent transmissions in the hospital settings. Little is known about the level of recognition of measles and possible causes of not recognising the disease by physicians in the post-vaccine era. We report on a measles outbreak in a paediatric hospital in Austria in January to February 2017 with strikingly high numbers of not recognised cases. The extent and course of the outbreak were assessed via retrospective case finding. Thirteen confirmed measles cases were identified, two with atypical clinical picture. Of eight cases with no known epidemiological link, only one was diagnosed immediately; four were recognised with delay and three only retrospectively. Eleven typical measles cases had four ‘unrecognised visits’ to the outpatient clinic and 28 on the ward. Two atypical cases had two ‘unrecognised visits’ to the outpatient clinic and 19 on the ward. Thirteen clinicians did not recognise typical measles (atypical cases not included). Twelve of 23 physicians involved had never encountered a patient with measles before. The direct and indirect costs related to the outbreak were calculated to be over EUR 80,000. Our findings suggest the need to establish regular training programmes about measles, including diagnostic pitfalls in paediatric hospitals. European Centre for Disease Prevention and Control (ECDC) 2020-01-23 /pmc/articles/PMC6988273/ /pubmed/31992389 http://dx.doi.org/10.2807/1560-7917.ES.2020.25.3.1900260 Text en This article is copyright of the authors or their affiliated institutions, 2020. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.
spellingShingle Outbreaks
Kohlmaier, Benno
Schweintzger, Nina A
Zenz, Werner
Measles recognition during measles outbreak at a paediatric university hospital, Austria, January to February 2017
title Measles recognition during measles outbreak at a paediatric university hospital, Austria, January to February 2017
title_full Measles recognition during measles outbreak at a paediatric university hospital, Austria, January to February 2017
title_fullStr Measles recognition during measles outbreak at a paediatric university hospital, Austria, January to February 2017
title_full_unstemmed Measles recognition during measles outbreak at a paediatric university hospital, Austria, January to February 2017
title_short Measles recognition during measles outbreak at a paediatric university hospital, Austria, January to February 2017
title_sort measles recognition during measles outbreak at a paediatric university hospital, austria, january to february 2017
topic Outbreaks
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988273/
https://www.ncbi.nlm.nih.gov/pubmed/31992389
http://dx.doi.org/10.2807/1560-7917.ES.2020.25.3.1900260
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