{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:50:43Z","timestamp":1791809443469,"version":"4.3.4"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0899823X2610498X_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>As measles vaccination rates in the United States decline and incidence rises, healthcare facilities face an increased risk of measles transmission. Measles exposures in clinical settings lead to extensive contact tracing investigations, significant staffing disruptions, high costs, and potential infections in vulnerable patients. This study aimed to assess US hospitals\u2019 readiness of to identify and manage measles exposures and to identify common infection prevention gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X2610498X_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In 2025, the Emerging Infections Network (EIN) conducted a 9-question electronic survey of its physician members. The questions addressed immunization policies, exposure identification capabilities, and management protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X2610498X_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 153 respondents whose scope of practice includes measles prevention, 139 (91%) reported that their institutions required evidence of measles immunity for some healthcare personnel; 20% applied this requirement to a subset. Only 36% of facilities stored immunity data for employed staff in accessible electronic format. Most facilities could determine when patients were in specific clinical areas but could not identify visitors or non-employed staff. Exposure definitions varied; 33% of respondents used criteria that potentially underestimate exposure risk (eg, &gt;15 min of shared air). Others lacked access to air exchange data (33%). Furthermore, 12%\u201331% of respondents reported their institutions do not consistently recommend postexposure prophylaxis for non-immune individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X2610498X_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite the high transmissibility of measles, significant gaps in record-keeping, exposure definitions, and prophylaxis protocols persist in US hospitals. Standardized exposure criteria and improved accessibility to staff immunity records could help reduce measles transmission in health care and the associated clinical and financial adverse outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ice.2026.10498","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T04:31:31Z","timestamp":1787718691000},"page":"979-984","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Measles prevention and control in the acute healthcare setting\u2014minding the gaps"],"prefix":"10.1017","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9530-6859","authenticated-orcid":false,"given":"Loreen","family":"Herwaldt","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036jqmy94","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Iowa Carver College of Medicine"},{"name":"University of Iowa College of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary","family":"Babcock","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Brust","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036jqmy94","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Iowa Carver College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan E.","family":"Beekmann","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036jqmy94","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Iowa Carver College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Polgreen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036jqmy94","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Iowa Carver College of Medicine"},{"name":"University of Iowa College of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"S0899823X2610498X_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)80725-5"},{"key":"S0899823X2610498X_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(91)90389-F"},{"key":"S0899823X2610498X_ref5","doi-asserted-by":"publisher","DOI":"10.1086\/368041"},{"key":"S0899823X2610498X_ref1","unstructured":"1. Centers for Disease Control and Prevention. Measles cases and outbreaks. https:\/\/www.cdc.gov\/measles\/data-research\/. Accessed January 19, 2026."},{"key":"S0899823X2610498X_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2012.09.017"},{"key":"S0899823X2610498X_ref8","first-page":"1","article-title":"Immunization of health-care personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP)","volume":"60","author":"Shefer","year":"2011","journal-title":"MMWR Recomm Rep"},{"key":"S0899823X2610498X_ref7","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-2512"},{"key":"S0899823X2610498X_ref23","unstructured":"23. Centers for Disease Control and Prevention. Measles. https:\/\/www.cdc.gov\/infection-control\/hcp\/healthcare-personnel-epidemiology-control\/measles.html#:~:text=21-,Postexposure%20Prophylaxis,specific\/mmr.htm%20Published%202024. Accessed January 19, 2026."},{"key":"S0899823X2610498X_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.vacun.2020.08.002"},{"key":"S0899823X2610498X_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31463-0"},{"key":"S0899823X2610498X_ref22","unstructured":"22. Centers for Disease Control and Prevention. Interim infection prevention and control recommendations for Measles in healthcare settings. https:\/\/www.cdc.gov\/infection-control\/hcp\/measles\/index.html. Accessed May 12, 2026."},{"key":"S0899823X2610498X_ref11","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jir115"},{"key":"S0899823X2610498X_ref20","unstructured":"20. Centers for Disease Control and Prevention. Envrionmental Infection control guidelines: Appendix A: Considerations when evaluating a person for exposure to measles in a healthcare setting. https:\/\/www.cdc.gov\/infection-control\/hcp\/measles\/appendix-a.html. Accessed January 19, 2026."},{"key":"S0899823X2610498X_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(17)30307-9"},{"key":"S0899823X2610498X_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268820000278"},{"key":"S0899823X2610498X_ref10","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa070"},{"key":"S0899823X2610498X_ref19","unstructured":"19. Centers for Disease Control and Prevention. Information for healthcare professionals: Measles vaccine recommendations. https:\/\/www.cdc.gov\/measles\/hcp\/vaccine-considerations\/index.html. Accessed May 12, 2026."},{"key":"S0899823X2610498X_ref17","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit932"},{"key":"S0899823X2610498X_ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-024-02186-0"},{"key":"S0899823X2610498X_ref18","unstructured":"18. Williams, E , Kates, J , Josh, M. Kindergarten routine vaccination rates continue to decline. https:\/\/www.kff.org\/medicaid\/kindergarten-routine-vaccination-rates-continue-to-decline\/. Accessed February 16, 2026."},{"key":"S0899823X2610498X_ref2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ387"},{"key":"S0899823X2610498X_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2014.04.024"},{"key":"S0899823X2610498X_ref21","unstructured":"21. Centers for Disease Control and Prevention. Environmental infection control guidelines: Appendix B: Air. https:\/\/www.cdc.gov\/infection-control\/hcp\/environmental-control\/appendix-b-air.html. Accessed May 12, 2026."}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X2610498X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:37:49Z","timestamp":1791808669000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X2610498X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,26]]},"references-count":23,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0899823X2610498X"],"URL":"https:\/\/doi.org\/10.1017\/ice.2026.10498","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,26]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}