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Staggered enforcement of infection control and prevention measures following four consecutive potential laboratory exposures to imported Brucella melitensis

par Miendje Deyi, Yvette Véro ;Mori, Marcella;Dauby, Nicolas ;Clevenbergh, Philippe ;Mahadeb, Bhavna ;Loizidou, A;Maillart, Evelyne ;Martiny, Delphine ;Debyttere, Anne-Laurence ;Gerard, Michèle ;Hallin, Marie
Référence Infection Prevention in Practice, 3, 2, page (100128)
Publication Publié, 2021-03-01

Article révisé par les pairs

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Résumé :

From 2015 until 2020, Brucella melitensis was isolated four times in our microbiology laboratory. All patients had travelled in endemic-areas. Immediately after the first occurrence, all laboratory staff were risk-stratified and preventive and protective measures were applied according to CDC guidelines. Nineteen workers were exposed and needed chemoprophylaxis and follow-up. At each subsequent occurrence, risk analysis was performed, and additional measures were implemented accordingly, leading to a progressive reduction of exposed staff members to none the fourth time. We describe here the additional measures that permitted this important exposure reduction.