Answers linked to Maltezou HC, Ftika L, Theodoridou M. Nosocomial pertussis in neonatal units. J Hosp Infect 2013;85:243–248.

Answers linked to Maltezou HC, Ftika L, Theodoridou M. Nosocomial pertussis in neonatal units. J Hosp Infect 2013;85:243–248.

Journal of Hospital Infection 86 (2014) 224 Available online at www.sciencedirect.com Journal of Hospital Infection journal homepage: www.elsevierhea...

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Journal of Hospital Infection 86 (2014) 224 Available online at www.sciencedirect.com

Journal of Hospital Infection journal homepage: www.elsevierhealth.com/journals/jhin

Continuing Professional Development and the Journal of Hospital Infection

Answers linked to Maltezou HC, Ftika L, Theodoridou M. Nosocomial pertussis in neonatal units. J Hosp Infect 2013;85:243e248. Available online 25 November 2013

1. What is true for outbreaks of pertussis in neonatal units? (a) Parents with undiagnosed pertussis are the primary source of infection in most outbreaks with an identified source. (b) Suspicion for symptomatic healthcare workers (HCWs) should be maintained regardless of their vaccination status, since immunity against pertussis wanes several years after vaccination or natural infection. (c) HCWs frequently continue working despite being contagious. (d) Neonates and young infants with pertussis always develop the typical paroxysmal cough or whoop. Answers: (b) and (c). 2. What is correct about infection control of nosocomial pertussis?

(a) Early administration of prophylaxis may limit the spread of pertussis even when transmission is widespread. (b) Suspected or proven cases of pertussis should be isolated for 5 days after the onset of treatment under droplet precautions. (c) During community epidemics of pertussis, visits in neonatal units and maternity clinics should be restricted. Answers: (b) and (c). 3. What is correct for the Tdap vaccine and HCW vaccination? (a) Vaccination of HCWs with a booster Tdap vaccine appears to be cost-effective. (b) The Tdap vaccine offers lifelong protection. (c) Booster vaccination of HCWs should be considered early in the course of a nosocomial outbreak. Answers: (a) and (c).

Summarising the instructions from the Royal College of Pathologists: (1) One CPD point is allowed for each question and answer set (up to five questions and answers). (2) Answers must be recorded referenced back to the questions and recorded in the CPD portfolio. (3) It is essential that participants include the completed response form showing both questions and answers in their portfolio as these may be subject to audit by RCPath. For further information about the Royal College of Pathologists’ CPD scheme and credit allocation, please contact: Professional Standards Unit, CPD Section, Royal College of Pathologists, 2 Carlton House Terrace, London, SW1Y 5AF, UK. E-mail: [email protected] or visit http://www.rcpath.org

0195-6701/$ e see front matter ª 2013 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.jhin.2013.10.005