{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:37:50Z","timestamp":1788543470033,"version":"build-2803163510"},"reference-count":21,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T00:00:00Z","timestamp":1715558400000},"content-version":"unspecified","delay-in-days":133,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>Nosocomial outbreak of varicella zoster virus (VZV) has been reported when susceptible individuals encounter a case of chicken pox or shingles. A suspected VZV outbreak was investigated in a 50-bedded in-patient facility of Physical Medicine and Rehabilitation in a tertiary care multispecialty hospital. A 30-year-old female patient admitted with Pott\u2019s spine was clinically diagnosed with chicken pox on 31 December 2022. The following week, four more cases were identified in the same ward. All cases were diagnosed as laboratory-confirmed varicella zoster infection by PCR. Primary case was a housekeeping staff who was clinically diagnosed with chicken pox 3\u00a0weeks prior (9 December 2022). He returned to work on eighth day of infection (17 December 2022) after apparent clinical recovery but before the lesions had crusted over. Thirty-one HCWs were identified as contacts a and three had no evidence of immunity. Two of these susceptible HCWs had onset of chickenpox shortly after first dose of VZV vaccination was inoculated. All cases recovered after treatment with no reported complications. VZV infection is highly contagious in healthcare settings with susceptible populations. Prompt identification of cases and implementation of infection prevention and control measures like patient isolation and vaccination are essential for the containment of outbreaks.<\/jats:p>","DOI":"10.1017\/s0950268824000712","type":"journal-article","created":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T07:44:05Z","timestamp":1715586245000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Varicella zoster virus outbreak in a long-term care unit of a tertiary care hospital in northern India"],"prefix":"10.1017","volume":"152","author":[{"given":"Rushika","family":"Saksena","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie J.","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruma","family":"Das","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunita","family":"Nagpal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prem R.","family":"Suri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjan K.","family":"Wadhwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aashish","family":"Choudhary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5367-1137","authenticated-orcid":false,"given":"Rajni","family":"Gaind","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5237-216X","authenticated-orcid":false,"given":"Ekta","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,5,13]]},"reference":[{"key":"S0950268824000712_r8","first-page":"2294","article-title":"Occupationally related outbreak of chickenpox in hospital staff: A learning experience","volume":"7","author":"Sood","year":"2013","journal-title":"Journal of Clinical and Diagnostic Research"},{"key":"S0950268824000712_r1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-019-4222-x"},{"key":"S0950268824000712_r7","doi-asserted-by":"publisher","DOI":"10.1016\/j.mjafi.2019.12.004"},{"key":"S0950268824000712_r2","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiac251"},{"key":"S0950268824000712_r14","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiac254"},{"key":"S0950268824000712_r15","doi-asserted-by":"publisher","DOI":"10.1159\/000104816"},{"key":"S0950268824000712_r17","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268821000492"},{"key":"S0950268824000712_r19","doi-asserted-by":"crossref","first-page":"294","DOI":"10.4103\/ijmm.IJMM_18_3","article-title":"High prevalence of varicella seronegativity in nurses at a tertiary care private Hospital in Mumbai, India","volume":"36","author":"Shah","year":"2018","journal-title":"Indian Journal of Med Microbiology"},{"key":"S0950268824000712_r20","unstructured":"[20] World Health Organisation (2014) Varicella and herpes zoster vaccines: WHO position paper. Available at https:\/\/www.who.int\/publications-detail-redirect\/who-wer-8925-265-288 (accessed 27 August 2023)."},{"key":"S0950268824000712_r11","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.16"},{"key":"S0950268824000712_r6","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268823001917"},{"key":"S0950268824000712_r5","doi-asserted-by":"publisher","DOI":"10.47203\/IJCH.2022.v34i01.015"},{"key":"S0950268824000712_r10","doi-asserted-by":"publisher","DOI":"10.1086\/527419"},{"key":"S0950268824000712_r13","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2021-243217"},{"key":"S0950268824000712_r4","doi-asserted-by":"crossref","first-page":"279","DOI":"10.4103\/joacp.JOACP_542_20","article-title":"Containment of varicella outbreak in intensive care unit of a tertiary level hospital","volume":"37","author":"Sharma","year":"2021","journal-title":"Journal of Anaesthesiology Clinical Pharmacology"},{"key":"S0950268824000712_r18","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22046"},{"key":"S0950268824000712_r3","first-page":"1","article-title":"Prevention of varicella: Recommendations of the Advisory Committee on Immunization Practices (ACIP)","volume":"56","author":"Marin","year":"2007","journal-title":"MMWR Recommendations and Reports"},{"key":"S0950268824000712_r12","doi-asserted-by":"publisher","DOI":"10.1542\/peds.70.4.550"},{"key":"S0950268824000712_r21","doi-asserted-by":"crossref","first-page":"101016","DOI":"10.1016\/j.pmedr.2019.101016","article-title":"Varicella-zoster virus post-exposure management and prophylaxis: A review","volume":"16","author":"Lachiewicz","year":"2019","journal-title":"Preventive Medical Reports"},{"key":"S0950268824000712_r16","first-page":"714","article-title":"Age related seroprevalence of antibodies to varicella in India","volume":"37","author":"Lokeshwar","year":"2000","journal-title":"Indian Pediatrics"},{"key":"S0950268824000712_r9","doi-asserted-by":"publisher","DOI":"10.1086\/506569"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268824000712","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T09:38:41Z","timestamp":1716543521000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268824000712\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":21,"alternative-id":["S0950268824000712"],"URL":"https:\/\/doi.org\/10.1017\/s0950268824000712","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"assertion":[{"value":"\u00a9 The Author(s), 2024. 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