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Nosocomial infection control in healthcare settings: Protection against emerging infectious diseases
1Guangzhou Center for Disease Control and Prevention, Guangzhou, 510440, China.
Abstract:
The Middle East respiratory syndrome (MERS) outbreak in Korea in 2015 may be attributable to poor nosocomial infection control procedures implemented. Strict infection control measures were taken in the hospital where an imported case with MERS was treated in southern China and 53 health care workers were confirmed to be MERS-CoV negative. Infection control in healthcare settings, in which patients with emerging infectious diseases such as MERS, Ebola virus disease, and the severe acute respiratory syndrome (SARS) are diagnosed and treated, are often imperfect. When it comes to emerging or unknown infectious diseases, before the imported case was finally identified or community transmission was reported, cases have often occurred in clusters in healthcare settings. Nosocomial infection control measures should be further strengthened among the workers and inpatients in designated healthcare settings that accommodate suspected cases suffering from emerging or unknown infectious diseases.
Insights
The 2015 Middle East respiratory syndrome (MERS) outbreak in Korea highlights the critical need for robust hospital infection control. Strengthening these measures is essential for preventing the spread of emerging infectious diseases like MERS-CoV.
Area of Science:
- Infectious Diseases
- Epidemiology
- Public Health
Background:
- The 2015 Middle East respiratory syndrome (MERS) outbreak in South Korea was potentially linked to inadequate nosocomial infection control.
- Emerging infectious diseases, including MERS, Ebola virus disease, and severe acute respiratory syndrome (SARS), pose significant challenges to healthcare infection control.
- Clusters of emerging or unknown infectious diseases often manifest in healthcare settings before definitive identification or community transmission.
Discussion:
- Healthcare-associated infections (HAIs) are a persistent concern, particularly with novel pathogens.
- The effectiveness of infection control protocols is paramount in preventing secondary transmission within hospitals.
- Lessons from past outbreaks underscore the need for continuous evaluation and improvement of infection control strategies.
Key Insights:
- The MERS outbreak in Korea suggests that lapses in hospital infection control can facilitate disease spread.
- Strict adherence to infection control measures, as demonstrated in a southern China hospital, can effectively prevent MERS-CoV transmission among healthcare workers.
- Proactive and rigorous infection control is crucial for managing imported cases of highly contagious diseases.
Outlook:
- Enhanced surveillance and rapid response systems are necessary to mitigate the impact of future emerging infectious disease outbreaks.
- Investment in training healthcare workers on infection control protocols for novel pathogens is vital.
- Further research into optimal infection control strategies for MERS and other emerging respiratory viruses is warranted.
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