Varicella Investigation in the Academial Hospital of São José do Rio Preto College of Medicine (SP), 2005

Authors

  • Alessandra Cristina Guedes Pellini Programa de Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde (EPISUS-SP/CVE/ CCD/SES-SP)
  • Flávia Helena Ciccone Programa de Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde (EPISUS-SP)
  • Eliana Márcia Sotello Cabrera Núcleo de Vigilância Epidemiológica do Hospital de Base de São José do Rio Preto (SJRP)
  • Maria Lúcia Machado Salomão Núcleo de Vigilância Epidemiológica do Hospital de Base de São José do Rio Preto (SJRP)
  • Rosidelma Sisdeli Grupo de Vigilância Epidemiológica da Direção Regional de Saúde de SJRP – DIR-XXII
  • Maria Rita de Cássia Oliveira Cury Oliveira Cury Vigilância Epidemiológica da Secretaria Municipal de Saúde e Higiene de SJRP
  • Sandra Regina Ricardo Vigilância Epidemiológica da Secretaria Municipal de Saúde e Higiene de SJRP
  • Maria Clara Padoveze Padoveze Divisão de Infecção Hospitalar do Centro de Vigilância Epidemiológica “Prof. Alexandre Vranjac” (DIH/CVE/ CCD/SES-SP)
  • Adelaide Maria Baffi Gobi Núcleo de Vigilância Epidemiológica do Hospital de Base de São José do Rio Preto (SJRP)
  • Mariana Donda Falcão Ambulatório de Pediatria e Imunização do Hospital de Base de SJRP
  • Sandra Giolo Silvério Giglio Serviço Especializado em Segurança e Medicina do Trabalho do Hospital de Base de SJRP
  • Regina Mara Custódio Rangel Serviço de Controle de Infecção Hospitalar do Hospital de Base de SJRP
  • Marcia Wakai Catelan Serviço de Controle de Infecção Hospitalar do Hospital de Base de SJRP
  • Sônia de F. Trinca Cavalari Gerência de Enfermagem do Hospital de Base de SJRP
  • Jane Wildes Gardini de Lima Departamento de Epidemiologia e Saúde Coletiva da Faculdade de Medicina de SJRP
  • Silvia Helena Necchi Núcleo de Vigilância Epidemiológica do Hospital de Base de São José do Rio Preto (SJRP)

Keywords:

varicella (Chickenpox), disease outbreaks, cross infection

Abstract

Varicella is an infectious disease highly transmittable, caused by the varicela-zoster virus. The disease is cause of more concern when occurring in immune depressed persons and interned patients, who can develop more serious or fatal forms of this hazard. In August, 2005, a major academial hospital in São José do Rio Preto (São Paulo) reported a probable outbreak of intra hospital varicella, with three deaths. The investigation aimed to assess the real magnitude of varicella within this hospital, confirming the possibility of an intra hospital outbreak and to establish control measures. Information sources were: active search for medical forms, interviews with the personnel, contacting patients after hospital leave and investigation of the emergency units in which varicella cases were admitted. After throughout investigation of infection sources of the 31 reported cases occurring from July, 2 to October, 8, 2005, intra hospital transmission of the disease was identified, with the infection of four patients and eight workers. This outbreak may be a reflex of the increase in the number of cases of this disease in the community, linked to a high rate of susceptible persons among health professionals. Starting from the detection of the first cases, many measures were taken: reporting and timely investigation of new cases, vaccination against varicella or immunoglobulin when indicated, reinforcing isolation procedures, concession of immediate sick leaves to infected professionals, wide information of the outbreak to health professionals and integration between hospital teams in the three government levels: municipal, regional and state. These measures rendered possible the control of varicella transmission in a hospital that is the regional reference service.

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Published

2005-11-30

How to Cite

1.
Guedes Pellini AC, Ciccone FH, Sotello Cabrera EM, Machado Salomão ML, Sisdeli R, Oliveira Cury MR de COC, Ricardo SR, Padoveze MCP, Baffi Gobi AM, Donda Falcão M, Giolo Silvério Giglio S, Custódio Rangel RM, Wakai Catelan M, de F. Trinca Cavalari S, Wildes Gardini de Lima J, Necchi SH. Varicella Investigation in the Academial Hospital of São José do Rio Preto College of Medicine (SP), 2005. Bepa [Internet]. 2005 Nov. 30 [cited 2024 Jul. 22];2(23):2-11. Available from: https://periodicos.saude.sp.gov.br/BEPA182/article/view/38850

Issue

Vol. 2 No. 23 (2005)

Section

Original Article

License

Copyright (c) 2005 Alessandra Cristina Guedes Pellini, Flávia Helena Ciccone, Eliana Márcia Sotello Cabrera, Maria Lúcia Machado Salomão, Rosidelma Sisdeli, Maria Rita de Cássia Oliveira Cury Oliveira Cury, Sandra Regina Ricardo, Maria Clara Padoveze Padoveze, Adelaide Maria Baffi Gobi, Mariana Donda Falcão, Sandra Giolo Silvério Giglio, Regina Mara Custódio Rangel, Marcia Wakai Catelan, Sônia de F. Trinca Cavalari, Jane Wildes Gardini de Lima, Silvia Helena Necchi

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This work is licensed under a Creative Commons Attribution 4.0 International License.

 

 

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