Impact of a single measles presentation

Ms Janet Wallace1

1Children’s Health Queensland, South Brisbane, Australia

 

Introduction

The presentation of a patient at a busy emergency department (ED), later diagnosed with measles, lead to a cascade of events including contact tracing of staff, patients and those accompanying them.

Methods

An 8 month old child had recently returned from overseas. They attended their GP with fever and sore throat and were treated with antibiotics.

Several days later their GP referred them to the tertiary paediatric hospital with ongoing fevers and rash. Following triage they remained in the waiting room and open bay areas for six hours until measles was suspected. They were transferred to a negative pressure isolation area. Measles was later confirmed.

Results

Extensive contact tracing was undertaken to assess measles immune status of 113 staff, 123 patients and those who accompanied them. A taskforce including Public Health Unit representation was established to coordinate and communicate this resource intensive activity.

Australian immunisation record vaccination records confirmed vaccination for many children but the cohort included unimmunised and immunosuppressed children.  MMR vaccination was required by staff, patients and families. Normal human immunoglobulin (NHIG) was indicated for several children.

As the child had visited several community sites, additional children required assessment and treatment following community exposure. Those known to be immunosuppressed required administration of NHIG.

Conclusion

Opportunities for improvement were highlighted: large volume intramuscular injection in children; accommodating patients needing NHIG administration in a busy ED, availability of staff immunisation records; staff awareness of their immunisation status and access to skilled staff to assist with assessment and vaccination.


Biography:

I am a clinical nurse consultant at Children’s Health Queensland. I have been working in infection management and prevention and related roles for over 22 years in several hospital and health services.

I am currently undertaking Master in Public Health.

I have a special interest in evolution and management of multi-resistant organisms and evolving diseases.

About the College

The ACIPC is the peak body for Infection Prevention and Control professionals in the Australasian region. Our stated vision is the prevention and control of infection in our communities. We commenced in January 2012 bringing together the various State and Territory infection control associations formerly in AICA (The Australian Infection Control Association) to support and encourage collaboration across Australasia.

Conference Managers

Please contact the team at Conference Design with any questions regarding the conference.
© 2018 - 2019 Conference Design Pty Ltd