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.

Abstract

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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