We read with interest, the article by Poller et al.
1
, in this journal, entitled “A unified personal protective equipment….”. We understand
the importance of proper personal protective equipment(PPE) as an integral component
of healthcare workers(HCW) protection in outbreak situations of infections with possible
high consequence. But at times, such an outbreak occurs in an unsuspected region,
when initial cases present in early course of illness before the development of ominous
clinical features. Medical staff, particularly in busy rural set ups of resource-poor
developing countries may discover that they have been exposed to a high consequence
infectious disease after the event of exposure, particularly if these centres are
unaware, reluctant or unequipped regarding routine use of PPE. A similar situation
occurred in a rural healthcare setting of Kerala, India, during the May-2018 outbreak
of Nipah virus (NiV), killing 21 out of 23 reported cases.
2
- Arunkumar G.
- Chandni R.
- Mourya D.T.
- Singh S.K.
- Sadanandan R.
- Sudan P.
- et al.
Outbreak investigation of Nipah virus disease in Kerala, India, 2018.
J Infect Dis. 2018; https://doi.org/10.1093/infdis/jiy612
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References
- A unified personal protective equipment ensemble for clinical response to possible high consequence infectious diseases: a consensus document on behalf of the HCID programme.J Infect. 2018; 77: 496-502https://doi.org/10.1016/j.jinf.2018.08.016
- Outbreak investigation of Nipah virus disease in Kerala, India, 2018.J Infect Dis. 2018; https://doi.org/10.1093/infdis/jiy612
- Nipah virus-associated encephalitis outbreak, Siliguri, India.Emerging Infect Dis. 2006; 12: 235-240https://doi.org/10.3201/eid1202.051247
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- Characteristics of Nipah virus and Hendra virus replication in different cell lines and their suitability for antiviral screening.Virus Res. 2009; 142: 92-99https://doi.org/10.1016/j.virusres.2009.01.014
- Treatment of acute Nipah encephalitis with ribavirin.Ann Neurol. 2001; 49: 810-813
- Review of the literature and proposed guidelines for the use of oral ribavirin as postexposure prophylaxis for Lassa fever.Clin Infect Dis. 2010; 51: 1435-1441https://doi.org/10.1086/657315
- Post-exposure prophylaxis in Ebola virus disease: don't forget the psychological factors.Lancet Infect Dis. 2018; 18: 378https://doi.org/10.1016/S1473-3099(18)30131-2
- Adaptive immune responses in humans during Nipah virus acute and convalescent phases of infection.Clin Infect Dis. 2019; https://doi.org/10.1093/cid/ciz010
- A spatial association between a Nipah virus outbreak in Kozhikode, Kerala, India and Nipah virus infection in Pteropus bats.Clin Infect Dis. 2018; https://doi.org/10.1093/cid/ciy1093
Article info
Publication history
Published online: March 06, 2019
Accepted:
March 3,
2019
Identification
Copyright
© 2019 Published by Elsevier Ltd on behalf of The British Infection Association.
