Details:

Alternative Title:
Vaccine
Personal Author:
Fiebelkorn, Amy Parker ; Seward, Jane F. ; Orenstein, Walter
Fiebelkorn, Amy Parker ; Seward, Jane F. ; Orenstein, Walter Less -
Description:
Measles transmission has been well documented in healthcare facilities. Healthcare personnel who are unvaccinated and who lack other evidence of measles immunity put themselves and their patients at risk for measles. We conducted a systematic literature review of measles vaccination policies and their implementation in healthcare personnel, measles seroprevalence among healthcare personnel, measles transmission and disease burden in healthcare settings, and impact/costs incurred by healthcare facilities for healthcare-associated measles transmission. Five database searches yielded 135 relevant articles; 47 additional articles were found through cross-referencing. The risk of acquiring measles is estimated to be 2 to 19 times higher for susceptible healthcare personnel than for the general population. Fifty-three articles published worldwide during 1989-2013 reported measles transmission from patients to healthcare personnel; many of the healthcare personnel were unvaccinated or had unknown vaccination status. Eighteen articles published worldwide during 1982-2013 described examples of transmission from healthcare personnel to patients or to other healthcare personnel. Half of European countries have no measles vaccine policies for healthcare personnel. There is no global policy recommendation for the vaccination of healthcare personnel against measles. Even in countries such as the United States or Finland that have national policies, the recommendations are not uniformly implemented in healthcare facilities. Measles serosusceptibility in healthcare personnel varied widely across studies (median 6.5%, range 0-46%) but was consistently higher among younger healthcare personnel. Deficiencies in documentation of two doses of measles vaccination or other evidence of immunity among healthcare personnel presents challenges in responding to measles exposures in healthcare settings. Evaluating and containing exposures and outbreaks in healthcare settings can be disruptive and costly. Establishing policies for measles vaccination for healthcare personnel is an important strategy towards achieving measles elimination and should be a high priority for global policy setting groups, governments, and hospitals.
Subjects:
[+]
Article Healthcare Personnel Health Personnel Humans Infectious Disease Transmission, Patient-to-Professional Measles Measles Transmission Measles Vaccine Measles Vaccine Policy MMR Vaccine Vaccination
Source:
Vaccine. 32(38):4823-4839.
Pubmed ID:
24280280
Pubmed Central ID:
PMC4691996
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:5582e292242ddaecb460aa532a9d49e0a8692a5a7c5bcd3f110587ed8a4579ae
Download URL:
https://stacks.cdc.gov/view/cdc/37097/cdc_37097_DS1.pdf
File Type:

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