A Small Outbreak of Measles in 2013: In a Single Hospital in Northern Gyeonggi-do.
10.14776/piv.2015.22.2.63
- Author:
Min Jae KIM
1
;
So Hyun KIM
;
Sung Un KIM
;
Mi Jin JANG
;
Hyun Seung LEE
;
Young Hoon KIM
;
Ji Whan HAN
;
Jin Tack KIM
;
Pil Sang JANG
Author Information
1. Department of Pediatrics, The Catholic University of Korea College of Medicine, Seoul, Korea. drmagic@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Measles;
Outbreak;
Nosocomial infection
- MeSH:
Child;
Cross Infection;
Diarrhea;
Disease Outbreaks;
Exanthema;
Female;
Fever;
Gyeonggi-do*;
Humans;
Immunoglobulin G;
Immunoglobulin M;
Infant;
Infant, Newborn;
Korea;
Measles*;
Medical Records;
Pregnant Women;
Vaccination
- From:Pediatric Infection & Vaccine
2015;22(2):63-68
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study analyzed a small outbreak of measles at a single hospital located in northern Gyeonggi-do in 2013. METHODS: We reviewed the medical records of measles patients at The Catholic University of Korea Uijeongbu St. Mary's Hospital from August to October, 2013. RESULTS: Fifteen children were confirmed to have measles by RT-PCR and serum IgM test; 1 neonate, 11 infants, and 3 toddlers. None of the patients had received Measles-Mumps-Rubella vaccination. All patients showed B3 type in viral genotyping. Nine children (60%) had been exposed to measles during treatment for other diseases in the pediatric ward. Incubation period was between 8 and 15 days. Fever started at a median 10 days after exposure and persisted for a median of 8 days. Rash showed at a median 13 days after exposure. Respiratory complications were observed in 40% of patients. Diarrhea developed in 53% of patients. CONCLUSION: Although measles has been well-controlled due to the high rate of vaccination coverage, it is possible to have an outbreak at any given time, especially in infants. We must learn from this outbreak, and remain fully aware of the possibility of reemergence and provide proper management, including vaccination or immune globulin administration, to infants exposed to measles. Reevaluation of serum IgG titer of neonates, infants, and pregnant women may be the first step to prevent further outbreaks.
