Pediatr Infect Vaccine.  2015 Aug;22(2):63-68. 10.14776/piv.2015.22.2.63.

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

• Kim MJ
• Kim SH
• Kim SU
• Jang MJ
• Lee HS
• Kim YH
• Han JW
• Kim JT
• Jang PS

• KMID: 2465249
• DOI: http://doi.org/10.14776/piv.2015.22.2.63

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.

Keyword

Measles; Outbreak; Nosocomial infection

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
Immunoglobulin G
Immunoglobulin M

Figure

• 

  Fig. 1. Measles cases by week during the outbreak.

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