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저자정보
Castrodale, Louisa J. (Alaska Department of Health and Social Services, Division of Public Health) Raczniak, Gregory A. (Arctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Zoonotic and Emerging Infectious Diseases [NCEZID], Centers for Disease Contro) Rudolph, Karen M. (Arctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Zoonotic and Emerging Infectious Diseases [NCEZID], Centers for Disease Control a) Chikoyak, Lori (Yukon-Kuskokwim Delta Regional Hospital) Cox, Russell S. (Yukon-Kuskokwim Delta Regional Hospital) Franklin, Tricia L. (Alaska Department of Health and Social Services, Division of Public Health) Traxler, Rita M. (Division of High-consequence Pathogens and Pathology, NCEZID, CDC) Guerra, Marta (Division of High-consequence Pathogens and Pathology, NCEZID, CDC)
저널정보
산업안전보건연구원 Safety and health at work : SH@W Safety and health at work : SH@W 제6권 제4호
발행연도
2015.1
수록면
353 - 356 (4page)

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Background: In 2012, the Alaska Section of Epidemiology investigated personnel potentially exposed to a Brucella suis isolate as it transited through three laboratories. Methods: We summarize the first implementation of the United States Centers for Disease Control and Prevention 2013 revised recommendations for monitoring such exposures: (1) risk classification; (2) antimicrobial postexposure prophylaxis; (3) serologic monitoring; and (4) symptom surveillance. Results: Over 30 people were assessed for exposure and subsequently monitored for development of illness. No cases of laboratory-associated brucellosis occurred. Changes were made to gaps in laboratory biosafety practices that had been identified in the investigation. Conclusion: Achieving full compliance for the precise schedule of serologic monitoring was challenging and resource intensive for the laboratory performing testing. More refined exposure assessments could inform decision making for follow-up to maximize likelihood of detecting persons at risk while not overtaxing resources.

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