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. 2017;88(3):337–351. doi: 10.23750/abm.v%vi%i.6726

Table 2.

Published studies on occupational transmission of N meningitidis in the healthcare settings (N/A=data not available; PPE=personal protective equipment; PEC=post-exposure chemoprophylaxis)

Author(s) Country Year Patient(s) No. of cases Serogroup Respiratory use of PPE reported Source of infection PEC Incubation (days) Prognosis
Feldman HA, 1972 (30) USA N/A Medical staff 4 N/A N/A Mouth-to-mouth resuscitation N/A N/A N/A
CDC, 1978(26) USA 1978 Nurse 1 B NO Patient; emergency room evaluation YES 3 N/A
Gehanno JF et al. 1999(15) France 1999 Physician I C NO Patient; intubation procedures; delivery of oxygen; NO 7 Recovered without sequelae
Gilmore A, et al. 2000 (20) United Kingdom 1986 Physician 1 B NO Patient; full clinical examination; patient coughed into doctor face; daily contact thereafter. NO 4 N/A
1987 Paramedic crew 1 C NO Patient; control of airways; delivery of oxygen; NO 7 N/A
1996 Nurse 1 B NO Patient; interaction with patient who coughed and cried; NO 5 N/A
Petsas A et al. 2008 (28) United Kingdom 2007 Paramedic crew (Ambulance worker) 1 B NO Patient; control of airways; delivery of oxygen; NO 4 Recovered without sequelae
CDC, 2010(27) USA 2009 Respiratory therapist 1 C NO Patient; intubation procedures NO 5 Recovered without sequelae
Puleston R et al. 2012(29) United Kingdom 2012 Paramedic crew (Ambulance worker) 1 W135 N/A Involved in two community cases but impossible to determine whether paramedic was a primary or a secondary case YES 16 Recovered without sequelae
Total Paramedic crew = 4 (33.3%)
Physicians = 2(16.7%)
Nurse = 2 (16.7%)
Respiratory therapist = 1 (8.3%)
Medical staff (undefined) = 4 (33.3%)
12 B =4 (33.3%)
C = 3 (25.0%)
W135 = 1 (8.3%)
N/A = 4 (33.3%)
NO = 7 (58.3%)
N/A = 5 (41.7%)
Patients = 100% Airway management / resuscitation maneuvers = 10 (83.3%) Other interactions = 3 (25.0%) NO = 6 (50.0%)
YES = 2 (16.7%)
N/A = 4 (33.3%)
Median: 5 days
Range: 3-16
Recovered without sequelae = 4 (33.3%)
N/A = 8 (66.7%)