{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:19:52Z","timestamp":1769645992633,"version":"3.49.0"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"unspecified","delay-in-days":11715,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[1994,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0899823X00990196_abs1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine cost-effectiveness and protective efficacy of a program to identify and immunize susceptible hospital employees during a measles outbreak.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X00990196_abs2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A cost analysis was made of blind measles-mumps-rubella (MMR) immunization versus directed MMR immunization based on 2,000 employees born after December 31, 1956. A directed MMR immunization program for susceptible employees was instituted. Actual costs of the program were calculated at the conclusion of the program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X00990196_abs3\">\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>A medical center complex with more than 4,000 employees, two acute care community hospitals, and a tertiary care children's hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X00990196_abs4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A directed MMR immunization program was projected to he less expensive than blind immunization ($23,106 versus $70,720). MMR vaccine was administered to 169 of 188 susceptible employees. Actual cost of the directed MMR immunization program was $25,384.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X00990196_abs5\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The directed MMR immunization program was cost-effective and prevented secondary cases among hospital employees during a community measles outbreak.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1086\/646812","type":"journal-article","created":{"date-parts":[[2009,9,15]],"date-time":"2009-09-15T17:25:23Z","timestamp":1253035523000},"page":"18-21","source":"Crossref","is-referenced-by-count":7,"title":["Measles-Mumps-Rubella Immunization of Susceptible Hospital Employees During a Community Measles Outbreak Cost-Effectiveness and Protective Efficacy"],"prefix":"10.1017","volume":"15","author":[{"given":"Beth H.","family":"Stover","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garrett","family":"Adams","sequence":"additional","affiliation":[{"name":"University of Louisville School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol A.","family":"Kuebler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen M.","family":"Cost","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard P.","family":"Rabalais","sequence":"additional","affiliation":[{"name":"University of Louisville School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"S0195941700008894_auto_ref-n712c1b8443e4f5d3","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1086\/646687","article-title":"Secondary measles vaccine failure in healthcare workers exposed to infected patients","volume":"14","author":"Ammari","year":"1993","journal-title":"Infect Control Hosp Epidemiol"},{"key":"S0195941700008894_auto_ref-n221d244f9c2b70e4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198703263161303"},{"key":"S0195941700008894_auto_ref-nadf18945448972b3","first-page":"1","article-title":"Rubella prevention. Recommendations of the Immunization Practices Advisory Committee (ACIP)","volume":"39","year":"1990","journal-title":"MMWR"},{"key":"S0195941700008894_auto_ref-n1de6b6c58f858d24","doi-asserted-by":"publisher","DOI":"10.1086\/646262"},{"key":"S0195941700008894_auto_ref-n5b9ad0e5f410d196","first-page":"617","article-title":"Measles outbreak-Washington, 1989: failure of a delayed post-exposure prophylaxis with vaccine","volume":"39","year":"1990","journal-title":"MMWR"},{"key":"S0195941700008894_auto_ref-n4494e6bb5145c34a","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-116-12-982"},{"key":"S0195941700008894_auto_ref-n580ef57b017061bd","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(91)90389-F"},{"key":"S0195941700008894_auto_ref-ne1c326922a46eaa2","first-page":"473","article-title":"Measles-Washington, 1990","volume":"39","year":"1990","journal-title":"MMWR"},{"key":"S0195941700008894_auto_ref-n824800db47d017bc","doi-asserted-by":"publisher","DOI":"10.1542\/peds.87.1.74"},{"key":"S0195941700008894_auto_ref-n5ee29a109ed1f1c4","first-page":"1","article-title":"Measles prevention: recommendations of the Immunization Practices Advisory Committee","volume":"38","year":"1989","journal-title":"MMWR"},{"key":"S0195941700008894_auto_ref-n86b5f5b2757ffbdd","first-page":"93","article-title":"Increase in rubella and congenital rubella syndrome-United States, 1988-1990","volume":"40","year":"1991","journal-title":"MMWR"},{"key":"S0195941700008894_auto_ref-nd3c5a7ceeb4a5491","unstructured":"Atkinson, W . Measles and health care workers. Pediatric optional education course. Presented at the Nineteenth Annual Confer-enee and International Meeting, Association for Practitioners in Infection Control: San Francisco, CA; June 5, 1992."},{"key":"S0195941700008894_auto_ref-ncc6917d27a0a4c4f","first-page":"1","article-title":"Measles outbreak in Jefferson County, Kentucky","volume":"26","year":"1991","journal-title":"Kentucky Epidemiologic Notes and Reports"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X00990196","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T12:19:50Z","timestamp":1769602790000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X00990196\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1994,1]]}},"alternative-id":["S0899823X00990196"],"URL":"https:\/\/doi.org\/10.1086\/646812","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"print"}],"subject":[],"published":{"date-parts":[[1994,1]]}}}