RESUMEN
We report symptomatic confirmed modified measles infection in a person with one documented MMR (measles, mumps, rubella) vaccination and travel to Indonesia. No secondary cases were identified, consistent with other case reports of modified measles infection. The infectivity of modified measles for contact tracing requirements requires further elucidation.
Asunto(s)
Vacuna contra el Sarampión-Parotiditis-Rubéola/administración & dosificación , Sarampión/diagnóstico , Paperas/prevención & control , Rubéola (Sarampión Alemán)/prevención & control , Vacunación , Adulto , Australia , Trazado de Contacto , Femenino , Humanos , Indonesia , Sarampión/prevención & control , ViajeRESUMEN
In September 2016, an invasive group A streptococcal disease outbreak occurred among residents of a residential aged care facility. An expert advisory group recommended mass prophylaxis for residents and staff in addition to strict infection control practices to prevent further spread. Whole genome sequencing confirmed the cases were related.
Asunto(s)
Profilaxis Antibiótica , Brotes de Enfermedades/prevención & control , Infecciones Estreptocócicas/epidemiología , Streptococcus pyogenes/aislamiento & purificación , Anciano , Hogares para Ancianos , Humanos , Control de Infecciones , Casas de Salud , Filogenia , Polimorfismo de Nucleótido Simple , Salud Pública , Queensland/epidemiología , Infecciones Estreptocócicas/microbiología , Streptococcus pyogenes/efectos de los fármacos , Streptococcus pyogenes/genética , Secuenciación Completa del GenomaRESUMEN
During a large outbreak of Shiga toxin-producing Escherichia coli illness associated with an agricultural show in Australia, we used whole-genome sequencing to detect an IS1203v insertion in the Shiga toxin 2c subunit A gene of Shiga toxin-producing E. coli. Our study showed that clinical illness was mild, and hemolytic uremic syndrome was not detected.
Asunto(s)
Diarrea/epidemiología , Brotes de Enfermedades , Infecciones por Escherichia coli/epidemiología , Escherichia coli O157/genética , Genoma Bacteriano , Toxina Shiga I/genética , Adolescente , Adulto , Anciano , Animales , Australia/epidemiología , Niño , Preescolar , Trazado de Contacto , Diarrea/diagnóstico , Diarrea/microbiología , Infecciones por Escherichia coli/diagnóstico , Infecciones por Escherichia coli/microbiología , Escherichia coli O157/clasificación , Escherichia coli O157/aislamiento & purificación , Escherichia coli O157/patogenicidad , Heces/microbiología , Femenino , Cabras/microbiología , Humanos , Lactante , Masculino , Persona de Mediana Edad , Serotipificación , Índice de Severidad de la Enfermedad , Ovinos/microbiología , Toxina Shiga I/clasificación , Toxina Shiga I/aislamiento & purificación , Secuenciación Completa del GenomaAsunto(s)
Países en Desarrollo , Gastroenteritis/microbiología , Viaje , Australia/epidemiología , Notificación de Enfermedades/estadística & datos numéricos , Familia , Amigos , Gastroenteritis/epidemiología , Gastroenteritis/prevención & control , Hepatitis A/epidemiología , Hepatitis A/prevención & control , Hepatitis E/epidemiología , Hepatitis E/prevención & control , Humanos , Fiebre Paratifoidea/epidemiología , Fiebre Paratifoidea/prevención & control , Fiebre Tifoidea/epidemiología , Fiebre Tifoidea/prevención & controlRESUMEN
Influenza outbreaks in aged care facilities (ACFs) can be associated with high morbidity and mortality. National guidance includes the use of antiviral medication for residents and staff and other measures to prevent serious health outcomes. An outbreak of influenza in an ACF was reported to the Brisbane Southside Population Health Unit (BSPHU) on 10 August 2007. The BSPHU assisted the ACF and local general practitioners in the provision of oseltamivir to staff and residents on 11 August 2007. The onset of illness in the last case was 13 August 2007. Antiviral prophylaxis was ceased and the outbreak declared over on 22 August 2007. This paper describes some of the practical issues encountered in the public health response in this setting. Vaccination of ACF residents and staff remains the key preventive strategy for the future.