Retrospective evaluation of control measures for contacts of patient with Marburg hemorrhagic fever.
SourceEmerging Infectious Diseases, 18, 7, (2012), pp. 1107-1114
1 juli 2012
Article / Letter to editor
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Primary and Community Care
Emerging Infectious Diseases
SubjectN4i 1: Pathogenesis and modulation of inflammation; N4i 2: Invasive mycoses and compromised host; NCEBP 3: Implementation Science; NCEBP 4: Quality of hospital and integrated care; NCEBP 7: Effective primary care and public health N4i 1: Pathogenesis and modulation of inflammation; NCEBP 3: Implementation Science; NCEBP 7: Effective primary care and public health N4i 1: Pathogenesis and modulation of inflammation
After an imported case of Marburg hemorrhagic fever was reported in 2008 in the Netherlands, control measures to prevent transmission were implemented. To evaluate consequences of these measures, we administered a structured questionnaire to 130 contacts classified as either having high-risk or low-risk exposure to body fluids of the case-patient; 77 (59.2%) of 130 contacts responded. A total of 67 (87.0%) of 77 respondents agreed that temperature monitoring and reporting was necessary, significantly more often among high-risk than low-risk contacts (p<0.001). Strict compliance with daily temperature monitoring decreased from 80.5% (62/77) during week 1 to 66.2% (51/77) during week 3. Contacts expressed concern about development of Marburg hemorrhagic fever (58.4%, 45/77) and infecting a family member (40.2%, 31/77). High-risk contacts had significantly higher scores on psychological impact scales (p<0.001) during and after the monitoring period. Public health authorities should specifically address consequences of control measures on the daily life of contacts.
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