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Infection prevention processes implemented at a children's hospital during a community measles outbreak, 2025
Lacey Kovar1, Chris Gould2, Staci Marchand3
1Infection Prevention and Control Covenant Children's Hospital, Lubbock, TX.
Background:
Measles, a highly infectious virus, can cause outbreaks in low-vaccinated communities. In January 2025, a community-wide outbreak in the South Plains of Texas prompted a hospital serving pediatric and women's patients to rapidly develop and implement infection prevention protocols to treat measles patients while protecting patients, visitors, and staff within the hospital. This article explains infection prevention and control strategies utilized by the hospital during a community-wide measles outbreak and processes implemented to mitigate exposures.
Methods:
A multidisciplinary team collaborated to educate staff on the Centers for Disease Control and Prevention (CDC) measles infection prevention guidance and ensured access to necessary resources for protection. The hospital temporarily converted rooms to negative pressure, constructed a screening shed for patients arriving at the emergency department, developed signage to direct measles patients, provided roving fit testing, and worked with public health officials.
Results:
Ninety-eight patients presented to the hospital for measles. Fifty eight were confirmed via reverse transcription-polymerase chain reaction or IgM tests, and 9 were diagnosed clinically. There were 810 patients hospitalized simultaneously with the measles patients, and none returned or were reported as secondary cases linked to hospital exposure.
Conclusions:
The implemented interventions successfully prevented measles secondary cases associated with the hospital.
Insights
A Texas hospital implemented infection prevention protocols during a measles outbreak, successfully preventing secondary cases among 810 hospitalized patients. This demonstrates effective strategies for measles control in healthcare settings.
Area of Science:
- Infectious Diseases
- Epidemiology
- Public Health
Background:
- Measles outbreaks pose significant risks, especially in communities with low vaccination rates.
- A community-wide measles outbreak in South Plains, Texas, necessitated rapid hospital response.
- A pediatric and women's hospital aimed to protect patients and staff during the outbreak.
Purpose of the Study:
- To detail infection prevention and control strategies implemented during a measles outbreak.
- To describe processes used to mitigate measles exposure within a hospital setting.
Main Methods:
- Multidisciplinary team education on CDC measles guidance.
- Temporary conversion of rooms to negative pressure.
- Construction of an emergency department screening shed and clear patient signage.
- Roving fit testing and collaboration with public health officials.
Main Results:
- Ninety-eight patients presented with measles; 58 confirmed and 9 clinically diagnosed.
- No secondary measles cases were reported among 810 simultaneously hospitalized patients.
- Hospital interventions effectively prevented measles transmission within the facility.
Conclusions:
- The hospital's infection control measures were successful in preventing measles spread.
- The study highlights the efficacy of proactive infection control during infectious disease outbreaks.
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