Open Access, Peer-reviewed
pISSN 2384-1079
eISSN 2384-1087
    Pediatr Infect Vaccine. 2015 Aug;22(2):63-68. Korean.
    Published online Aug 28, 2015.
    https://doi.org/10.14776/piv.2015.22.2.63
    Copyright © 2015 The Korean Society of Pediatric Infectious Diseases
    Original Article

    A Small Outbreak of Measles in 2013: In a Single Hospital in Northern Gyeonggi-do

    Min Jae Kim, So Hyun Kim, Sung Un Kim, Mi Jin Jang, Hyun Seung Lee, Young Hoon Kim, Ji Whan Han, Jin Tack Kim and Pil Sang Jang
      • Department of Pediatrics, The Catholic University of Korea College of Medicine, Seoul, Korea.
    • Corresponding author (Email: drmagic@catholic.ac.kr )
    Received October 23, 2014; Revised October 30, 2014; Accepted October 30, 2014.

    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.

    Keywords
    Measles; Outbreak; Nosocomial infection

    Figures

    Fig. 1
    Measles cases by week during the outbreak.

    Tables

    Table 1
    Characteristics of Measles Patients at Diagnosis

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    MeSH Terms
    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
    Metrics
    Share
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