Nosocomial person-to-person transmission of severe fever with thrombocytopenia syndrome

I. Y. Jung, W. Choi, J. Kim, E. Wang, S. W. Park, W. J. Lee, J. Y. Choi, H. Y. Kim, Y. Uh, YoungKeun Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives: This study is an epidemiologic investigation of nosocomial severe fever with thrombocytopenia syndrome virus (SFTSV) transmission among healthcare workers (HCWs) after contact with an index patient. The aim of this study was to determine whether exposure to blood or bloody respiratory secretion is associated with human-to-human transmission of SFTSV. Methods: Eleven days after the index patient died, two HCWs who had close exposure to the patient presented with typical symptoms of SFTS. An epidemiological investigation was conducted on all 25 HCWs who had been in close contact with the index patient. Clinical and laboratory data were collected, and transmission rate before and after the index patient had haemorrhagic manifestations was analysed. Results: Among 25 HCWs who had direct contact with the index patient, five HCWs were confirmed to have SFTS. All five HCWs had contact to blood or bloody respiratory secretions of the index patient without adequate use of personal protective equipment (PPE). No HCW with contact before haemorrhagic manifestations of the index patient contracted SFTS. Overall, the transmission rate was higher for HCWs who had contact after the index patient had haemorrhagic manifestations (33.3%, five of 15 HCWs, vs. 0%, zero of ten HCWs, p 0.041). Conclusions: In HCWs who are inadequately protected, person-to-person transmission of SFTSV may be associated with contact with blood or bloody respiratory secretions. Therefore, universal precaution and full PPE is highly recommended for protection against SFTSV when there are signs of bleeding.

Original languageEnglish
Pages (from-to)633.e1-633.e4
JournalClinical Microbiology and Infection
Volume25
Issue number5
DOIs
Publication statusPublished - 2019 May 1

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Thrombocytopenia
Fever
Delivery of Health Care
Viruses
Universal Precautions
Epidemiologic Studies
Hemorrhage

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Jung, I. Y. ; Choi, W. ; Kim, J. ; Wang, E. ; Park, S. W. ; Lee, W. J. ; Choi, J. Y. ; Kim, H. Y. ; Uh, Y. ; Kim, YoungKeun. / Nosocomial person-to-person transmission of severe fever with thrombocytopenia syndrome. In: Clinical Microbiology and Infection. 2019 ; Vol. 25, No. 5. pp. 633.e1-633.e4.
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abstract = "Objectives: This study is an epidemiologic investigation of nosocomial severe fever with thrombocytopenia syndrome virus (SFTSV) transmission among healthcare workers (HCWs) after contact with an index patient. The aim of this study was to determine whether exposure to blood or bloody respiratory secretion is associated with human-to-human transmission of SFTSV. Methods: Eleven days after the index patient died, two HCWs who had close exposure to the patient presented with typical symptoms of SFTS. An epidemiological investigation was conducted on all 25 HCWs who had been in close contact with the index patient. Clinical and laboratory data were collected, and transmission rate before and after the index patient had haemorrhagic manifestations was analysed. Results: Among 25 HCWs who had direct contact with the index patient, five HCWs were confirmed to have SFTS. All five HCWs had contact to blood or bloody respiratory secretions of the index patient without adequate use of personal protective equipment (PPE). No HCW with contact before haemorrhagic manifestations of the index patient contracted SFTS. Overall, the transmission rate was higher for HCWs who had contact after the index patient had haemorrhagic manifestations (33.3{\%}, five of 15 HCWs, vs. 0{\%}, zero of ten HCWs, p 0.041). Conclusions: In HCWs who are inadequately protected, person-to-person transmission of SFTSV may be associated with contact with blood or bloody respiratory secretions. Therefore, universal precaution and full PPE is highly recommended for protection against SFTSV when there are signs of bleeding.",
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Jung, IY, Choi, W, Kim, J, Wang, E, Park, SW, Lee, WJ, Choi, JY, Kim, HY, Uh, Y & Kim, Y 2019, 'Nosocomial person-to-person transmission of severe fever with thrombocytopenia syndrome', Clinical Microbiology and Infection, vol. 25, no. 5, pp. 633.e1-633.e4. https://doi.org/10.1016/j.cmi.2019.01.006

Nosocomial person-to-person transmission of severe fever with thrombocytopenia syndrome. / Jung, I. Y.; Choi, W.; Kim, J.; Wang, E.; Park, S. W.; Lee, W. J.; Choi, J. Y.; Kim, H. Y.; Uh, Y.; Kim, YoungKeun.

In: Clinical Microbiology and Infection, Vol. 25, No. 5, 01.05.2019, p. 633.e1-633.e4.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Nosocomial person-to-person transmission of severe fever with thrombocytopenia syndrome

AU - Jung, I. Y.

AU - Choi, W.

AU - Kim, J.

AU - Wang, E.

AU - Park, S. W.

AU - Lee, W. J.

AU - Choi, J. Y.

AU - Kim, H. Y.

AU - Uh, Y.

AU - Kim, YoungKeun

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N2 - Objectives: This study is an epidemiologic investigation of nosocomial severe fever with thrombocytopenia syndrome virus (SFTSV) transmission among healthcare workers (HCWs) after contact with an index patient. The aim of this study was to determine whether exposure to blood or bloody respiratory secretion is associated with human-to-human transmission of SFTSV. Methods: Eleven days after the index patient died, two HCWs who had close exposure to the patient presented with typical symptoms of SFTS. An epidemiological investigation was conducted on all 25 HCWs who had been in close contact with the index patient. Clinical and laboratory data were collected, and transmission rate before and after the index patient had haemorrhagic manifestations was analysed. Results: Among 25 HCWs who had direct contact with the index patient, five HCWs were confirmed to have SFTS. All five HCWs had contact to blood or bloody respiratory secretions of the index patient without adequate use of personal protective equipment (PPE). No HCW with contact before haemorrhagic manifestations of the index patient contracted SFTS. Overall, the transmission rate was higher for HCWs who had contact after the index patient had haemorrhagic manifestations (33.3%, five of 15 HCWs, vs. 0%, zero of ten HCWs, p 0.041). Conclusions: In HCWs who are inadequately protected, person-to-person transmission of SFTSV may be associated with contact with blood or bloody respiratory secretions. Therefore, universal precaution and full PPE is highly recommended for protection against SFTSV when there are signs of bleeding.

AB - Objectives: This study is an epidemiologic investigation of nosocomial severe fever with thrombocytopenia syndrome virus (SFTSV) transmission among healthcare workers (HCWs) after contact with an index patient. The aim of this study was to determine whether exposure to blood or bloody respiratory secretion is associated with human-to-human transmission of SFTSV. Methods: Eleven days after the index patient died, two HCWs who had close exposure to the patient presented with typical symptoms of SFTS. An epidemiological investigation was conducted on all 25 HCWs who had been in close contact with the index patient. Clinical and laboratory data were collected, and transmission rate before and after the index patient had haemorrhagic manifestations was analysed. Results: Among 25 HCWs who had direct contact with the index patient, five HCWs were confirmed to have SFTS. All five HCWs had contact to blood or bloody respiratory secretions of the index patient without adequate use of personal protective equipment (PPE). No HCW with contact before haemorrhagic manifestations of the index patient contracted SFTS. Overall, the transmission rate was higher for HCWs who had contact after the index patient had haemorrhagic manifestations (33.3%, five of 15 HCWs, vs. 0%, zero of ten HCWs, p 0.041). Conclusions: In HCWs who are inadequately protected, person-to-person transmission of SFTSV may be associated with contact with blood or bloody respiratory secretions. Therefore, universal precaution and full PPE is highly recommended for protection against SFTSV when there are signs of bleeding.

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