Post-exposure prophylaxis for Middle East respiratory syndrome in healthcare workers
- PMID: 30240813
- PMCID: PMC7114948
- DOI: 10.1016/j.jhin.2018.09.005
Post-exposure prophylaxis for Middle East respiratory syndrome in healthcare workers
Abstract
An effective post-exposure prophylaxis (PEP) strategy may limit the spread of infection. However, there is no consensus regarding PEP for Middle East respiratory syndrome coronavirus (MERS-CoV) infection. This study assessed the efficacy of ribavirin and lopinavir/ritonavir as PEP for healthcare workers (HCWs) exposed to patients with severe MERS-CoV pre-isolation pneumonia. The safety of the PEP regimen was assessed. HCWs with high-risk exposure to MERS-CoV pre-isolation pneumonia were retrospectively enrolled. HCWs who received PEP therapy were classified into the PEP group. PEP therapy was associated with a 40% decrease in the risk of infection. There were no severe adverse events during PEP therapy.
Keywords: Healthcare worker; High-risk exposure; Middle East respiratory syndrome coronavirus; Outbreak; Post-exposure prophylaxis; Pre-isolation pneumonia.
Copyright © 2018 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
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