Al-Hamdan Nasser A, Panackal Anil A, Al Bassam Tami H, Alrabea Abdullah, Al Hazmi Mohammed, Al Mazroa Yagoub, Al Jefri Mohammed, Khan Ali S, Ksiazek Thomas G
Faculty of Medicine, King Fahad Medical City, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
United States Public Health Service (USPHS) at the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, United States of America.
PLoS Negl Trop Dis. 2015 Dec 22;9(12):e0004314. doi: 10.1371/journal.pntd.0004314. eCollection 2015 Dec.
In 2000, we investigated the Rift Valley fever (RVF) outbreak on the Arabian Peninsula-the first outside Africa-and the risk of nosocomial transmission. In a cross-sectional design, during the peak of the epidemic at its epicenter, we found four (0.6%) of 703 healthcare workers (HCWs) IgM seropositive but all with only community-associated exposures. Standard precautions are sufficient for HCWs exposed to known RVF patients, in contrast to other viral hemorrhagic fevers (VHF) such as Ebola virus disease (EVD) in which the route of transmission differs. Suspected VHF in which the etiology is uncertain should be initially managed with the most cautious infection control measures.
2000年,我们调查了阿拉伯半岛上的裂谷热(RVF)疫情——这是非洲以外首次出现的此类疫情——以及医院内传播的风险。在一项横断面研究设计中,在疫情中心的流行高峰期,我们发现703名医护人员(HCW)中有4人(0.6%)IgM血清学呈阳性,但他们都仅有与社区相关的接触史。与其他病毒性出血热(VHF)如埃博拉病毒病(EVD)不同,对于接触已知裂谷热患者的医护人员,标准预防措施就足够了,因为埃博拉病毒病的传播途径有所不同。对于病因不明的疑似病毒性出血热,最初应采取最谨慎的感染控制措施进行管理。