Abstract
INTRODUCTION: although sporadic transmission of mumps within hospitals to patients and staff is well documented, outbreaks of mumps within hospitals are rarely been reported. OBJECTIVES: We report an outbreak investigation and describe factors determining disease acquisition and control measures taken. METHODS: After seven cases of mumps reported in the radiology department, we performed an active case detection (ACD) among staff in involved department. We followed case definitions handbook which defined mumps as acute onset of unilateral or bilateral tender, self limited swelling of the parotid or other salivary gland, lasting for more than two days and without apparent cause for one month. Index case was a 32-year-old male medical officer presented with bilateral parotid swelling on 29/3/2019 and was given Medical Leave on the same day. RESULT: 11 cases out of 310 staff were confirmed mumps with an attack rate of 3.5%. One case was diagnosed while ACD, another two cases were diagnosed in staff clinic a week after ACD. No new case reported after that. There was no difference in gender (male 44%, female 56%) among attack group with mean age of 25 and no complications reported. Risk factors were close contact between the index case and colleagues in workplace and during organizing a symposium. Measures taken to control outbreak were terminal cleaning, Health Promotion and Education and enforcement from Infection Control team regarding coughing ethics, hand hygiene, wearing mask. DISCUSSION: early detection of mumps among staff and strictly adherence on the infection control practices is important to control the outbreak efficiently.
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@proceedings{APCPH-2019-137,
title = {Case Report: The War Against Mumps in Hospital Serdang},
author = {Hadita Bt Sapari and Aniz Nor Sofia Bt Mohamed and Muhammad Akram AB Kadir and Nik Zahirah Bt Zulkifli and Rohana Johan},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: although sporadic transmission of mumps within hospitals to patients and staff is well documented, outbreaks of mumps within hospitals are rarely been reported. OBJECTIVES: We report an outbreak investigation and describe factors determining disease acquisition and control measures taken. METHODS: After seven cases of mumps reported in the radiology department, we performed an active case detection (ACD) among staff in involved department. We followed case definitions handbook which defined mumps as acute onset of unilateral or bilateral tender, self limited swelling of the parotid or other salivary gland, lasting for more than two days and without apparent cause for one month. Index case was a 32-year-old male medical officer presented with bilateral parotid swelling on 29/3/2019 and was given Medical Leave on the same day. RESULT: 11 cases out of 310 staff were confirmed mumps with an attack rate of 3.5%. One case was diagnosed while ACD, another two cases were diagnosed in staff clinic a week after ACD. No new case reported after that. There was no difference in gender (male 44%, female 56%) among attack group with mean age of 25 and no complications reported. Risk factors were close contact between the index case and colleagues in workplace and during organizing a symposium. Measures taken to control outbreak were terminal cleaning, Health Promotion and Education and enforcement from Infection Control team regarding coughing ethics, hand hygiene, wearing mask. DISCUSSION: early detection of mumps among staff and strictly adherence on the infection control practices is important to control the outbreak efficiently.},
note = {Type: POSTER PRESENTATION; Organisation:},
keywords = {apcph2019, hospital, mumps outbreak},
pubstate = {published},
tppubtype = {proceedings}
}