Lehmann, Clara, Kochanek, Matthias, Abdulla, Diana, Becker, Stephan, Boell, Boris, Bunte, Anne, Cadar, Daniel ORCID: 0000-0002-8063-2766, Dormann, Arno, Eickmann, Markus, Emmerich, Petra, Feldt, Torsten, Frank, Christina ORCID: 0000-0001-6776-8450, Fries, Jochen ORCID: 0000-0003-2054-6345, Gabriel, Martin, Goetsch, Udo, Gottschalk, Rene, Guenther, Stephan, Hallek, Michael, Haeussinger, Dieter, Herzog, Christian, Jensen, Bjoern, Kolibay, Felix, Krakau, Michael, Langebartels, Georg, Rieger, Toni ORCID: 0000-0002-7863-1916, Schaade, Lars, Schmidt-Chanasit, Jonas, Schoemig, Edgar, Schuettfort, Gundolf, Shimabukuro-Vornhagen, Alexander, von Bergwelt-Baildon, Michael, Wieland, Ulrike, Wiesmueller, Gerhard, Wolf, Timo and Faetkenheuer, Gerd (2017). Control measures following a case of imported Lassa fever from Togo, North Rhine Westphalia, Germany, 2016. Eurosurveillance, 22 (39). S. 15 - 24. STOCKHOLM: EUR CENTRE DIS PREVENTION & CONTROL. ISSN 1560-7917

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Abstract

In a patient transferred from Togo to Cologne, Germany, Lassa fever was diagnosed 12 days post mortem. Sixty-two contacts in Cologne were categorised according to the level of exposure, and gradual infection control measures were applied. No clinical signs of Lassa virus infection or Lassa specific antibodies were observed in the 62 contacts. Thirty-three individuals had direct contact to blood, other body fluids or tissue of the patients. Notably, with standard precautions, no transmission occurred between the index patient and healthcare workers. However, one secondary infection occurred in an undertaker exposed to the corpse in Rhineland-Palatinate, who was treated on the isolation unit at the University Hospital of Frankfurt. After German authorities raised an alert regarding the imported Lassa fever case, an American healthcare worker who had cared for the index patient in Togo, and who presented with diarrhoea, vomiting and fever, was placed in isolation and medevacked to the United States. The event and the transmission of Lassa virus infection outside of Africa underlines the need for early diagnosis and use of adequate personal protection equipment (PPE), when highly contagious infections cannot be excluded. It also demonstrates that larger outbreaks can be prevented by infection control measures, including standard PPE.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Lehmann, ClaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kochanek, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Abdulla, DianaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Becker, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boell, BorisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bunte, AnneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cadar, DanielUNSPECIFIEDorcid.org/0000-0002-8063-2766UNSPECIFIED
Dormann, ArnoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eickmann, MarkusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Emmerich, PetraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Feldt, TorstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Frank, ChristinaUNSPECIFIEDorcid.org/0000-0001-6776-8450UNSPECIFIED
Fries, JochenUNSPECIFIEDorcid.org/0000-0003-2054-6345UNSPECIFIED
Gabriel, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Goetsch, UdoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gottschalk, ReneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guenther, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hallek, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haeussinger, DieterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herzog, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jensen, BjoernUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kolibay, FelixUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Krakau, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Langebartels, GeorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rieger, ToniUNSPECIFIEDorcid.org/0000-0002-7863-1916UNSPECIFIED
Schaade, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmidt-Chanasit, JonasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schoemig, EdgarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schuettfort, GundolfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Shimabukuro-Vornhagen, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Bergwelt-Baildon, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wieland, UlrikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wiesmueller, GerhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wolf, TimoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Faetkenheuer, GerdUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-217337
DOI: 10.2807/1560-7917.ES.2017.22.39.17-00088
Journal or Publication Title: Eurosurveillance
Volume: 22
Number: 39
Page Range: S. 15 - 24
Date: 2017
Publisher: EUR CENTRE DIS PREVENTION & CONTROL
Place of Publication: STOCKHOLM
ISSN: 1560-7917
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
VIRUSMultiple languages
Infectious DiseasesMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/21733

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