Document Detail


Standardized management of patients and employees exposed to pertussis.
MedLine Citation:
PMID:  9831946     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Waning pertussis immunity and spread of pertussis by asymptomatic adults contributes to increased pertussis exposures of vulnerable children. The Santa Clara Valley Medical Center had 49 pertussis exposures between July 1, 1989, and June 30, 1997, which originated in pediatric units or clinics and had an impact on the Employee Health Service (EHS) and Emergency Department (ED). We have developed a standardized protocol for management of employees and patients exposed to pertussis. The protocol includes a checklist for infection control staff; memoranda to exposed units conveying exposure information, instructions for employees to report to EHS or ED, and disease symptom information; written guidelines for physician management of patient exposures (prophylaxis and isolation) and EHS or ED management of employee exposures; and prophylaxis recommendations. We allow exposed employees to work while wearing a mask (worn until 5 days of prophylaxis are completed or for the entire potential contagious period if prophylaxis was refused). Employees who develop pertussis are restricted from work. Our protocol and standardized forms provide consistent management of pertussis exposures in both patients and employees.
Authors:
D J Haiduven; C P Hench; S M Simpkins; D A Stevens
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America     Volume:  19     ISSN:  0899-823X     ISO Abbreviation:  Infect Control Hosp Epidemiol     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1999-01-28     Completed Date:  1999-01-28     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8804099     Medline TA:  Infect Control Hosp Epidemiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  861-4     Citation Subset:  IM; N    
Affiliation:
Infection Control Department, Santa Clara County Health and Hospital System, San Jose, CA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
California
Clinical Protocols*
Hospitals, Teaching
Humans
Infectious Disease Transmission, Patient-to-Professional*
Occupational Diseases / etiology*
Occupational Exposure / adverse effects*
Personnel, Hospital*
Whooping Cough / therapy*,  transmission*
Comments/Corrections
Comment In:
Infect Control Hosp Epidemiol. 1998 Nov;19(11):825-8   [PMID:  9831937 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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