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. 2016 Feb;44(1):57-64.
doi: 10.1007/s15010-015-0831-5. Epub 2015 Aug 13.

A 2009 cross-sectional survey of procedures for post-mortem management of highly infectious disease patients in 48 isolation facilities in 16 countries: data from EuroNHID

Francesco M Fusco  1 , Lucia Scappaticci  2 , Stefan Schilling  3 , Giuseppina De Iaco  4 , Philippe Brouqui  5 , Helena C Maltezou  6 , Hans-Reinhard Brodt  7 , Barbara Bannister  8 , Giuseppe Ippolito  9 , Vincenzo Puro  10 ; EuroNHID Working Group
Collaborators, Affiliations

A 2009 cross-sectional survey of procedures for post-mortem management of highly infectious disease patients in 48 isolation facilities in 16 countries: data from EuroNHID

Francesco M Fusco et al. Infection. 2016 Feb.

Abstract

Purpose: The handling of human remains may pose a risk for transmission of highly infectious agents. The use of appropriate biosafety measures is very important in case of management of patients deceased from highly infectious diseases (HIDs), such as Ebola virus disease. This paper presents the capabilities and resources in this field in 16 European countries, and suggests indications for the safe post-mortem management of HID patients.

Methods: The European Network for Highly Infectious Diseases conducted in 2009 a survey in 48 isolation facilities in 16 European countries. A set of standardized checklists, filled during on-site visits, have been used for data collection.

Results: Thirty-nine facilities (81.2%) reported to have written procedures for the management of human remains, and 27 (56.2%) for the performance of autopsies in HID patients. A Biosafety Level 3 autopsy room was available in eight (16.6%) facilities, other technical devices for safe autopsies were available in nine (18.7%). Overall, four facilities (8.3%) reported to have all features explored for the safe management of human remains. Conversely, in five (10.4%) none of these features were available.

Conclusions: The level of preparedness of surveyed isolation facilities in the field of post-mortem management in case of HIDs was not satisfactory, and improvements are needed.

Keywords: Autopsy; Biosafety; Highly infectious diseases; Hygiene; Infection control; Isolation facilities.

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Conflict of interest statement

All authors report no conflicts of interest relevant to this article.

Figures

Fig. 1
Fig. 1
Participating countries into EuroNHID project (in gray) and location of surveyed isolation facilities (dark gray dots). Numbers indicate the number of facilities in the same city
See this image and copyright information in PMC

References

    1. Bannister B, Puro V, Fusco FM, Heptonstall J, Ippolit G, EUNID Working Group Framework for the design and operation of high-level isolation units: consensus of the European Network of Infectious Diseases. Lancet Infect Dis. 2009;9:45–56. doi: 10.1016/S1473-3099(08)70304-9. - DOI - PMC - PubMed
    1. Brouqui P, Puro V, Fusco FM, Bannister B, Schilling S, Follin P, et al. Infection control in the management of highly pathogenic infectious diseases: consensus of the European Network of Infectious Disease. Lancet Infect Dis. 2009;9:301–311. doi: 10.1016/S1473-3099(09)70070-2. - DOI - PMC - PubMed
    1. Burton JL, Underwood J. Clinical, educational, and epidemiological value of autopsy. Lancet. 2007;369:1471–1480. doi: 10.1016/S0140-6736(07)60376-6. - DOI - PubMed
    1. Centers for Disease Control and Prevention. Medical examiners, coroners, and biologic terrorism: a guidebook for surveillance and case management. MMWR Recomm Rep. 2004;53:1–27. - PubMed
    1. Blau DM, Clark SC. Nolte KB; National Association of Medical Examiners Ad hoc Committee for Bioterrorism and Infectious Diseases. Infectious disease surveillance by medical examiners and coroners. Emerg Infect Dis. 2013;19:821–822. - PMC - PubMed

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