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A Case-Study of Implementation of Improved Strategies for Prevention of Laboratory-acquired Brucellosis
Safety and Health at Work ; : 353-356, 2015.
Article in English | WPRIM | ID: wpr-16902
ABSTRACT

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.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Appointments and Schedules / Brucellosis / Alaska / Epidemiology / Follow-Up Studies / Classification / Compliance / Brucella suis / Decision Making Type of study: Practice guideline / Observational study / Prognostic study / Risk factors Limits: Humans Country/Region as subject: North America Language: English Journal: Safety and Health at Work Year: 2015 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Appointments and Schedules / Brucellosis / Alaska / Epidemiology / Follow-Up Studies / Classification / Compliance / Brucella suis / Decision Making Type of study: Practice guideline / Observational study / Prognostic study / Risk factors Limits: Humans Country/Region as subject: North America Language: English Journal: Safety and Health at Work Year: 2015 Type: Article