{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:26:19Z","timestamp":1777458379228,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,6,6]],"date-time":"2019-06-06T00:00:00Z","timestamp":1559779200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Infection Prevention"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Nosocomial transmission is a major mode of infection of Crimean-Congo haemorrhagic fever (CCHF). In May 2018, a patient with CCHF was hospitalised in Greece.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Our aim was to present the management of healthcare workers (HCWs) to the CCHF case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Contact tracing, risk assessment and follow-up of exposed HCWs were performed. Testing (RT-PCR and\/or serology) was offered to contacts. Post-exposure prophylaxis (PEP) with ribavirin was considered for high-risk exposures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ninety-one HCWs were exposed to the case. Sixty-six HCWs were grouped as high-risk exposures. Ribavirin PEP was offered to 29 HCWs; seven agreed to receive prophylaxis. Forty-one HCWs were tested for CCHF infection; none was found positive. Gaps in infection control occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>CCHF should be considered in patients with compatible travel history and clinical and laboratory findings. Early clinical suspicion and laboratory confirmation are imperative for the implementation of appropriate infection control measures. Ribavirin should be considered for high-risk exposures. Infection control capacity for highly pathogenic agents should increase.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1757177419852666","type":"journal-article","created":{"date-parts":[[2019,6,7]],"date-time":"2019-06-07T01:17:32Z","timestamp":1559870252000},"page":"171-178","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["A case of Crimean-Congo haemorrhagic fever imported in Greece: Contact tracing and management of exposed healthcare workers"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0264-3547","authenticated-orcid":false,"given":"Helena C","family":"Maltezou","sequence":"first","affiliation":[{"name":"Department for Interventions in Health-Care Facilities, Hellenic Center for Disease Control and Prevention, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Papa","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarantoula","family":"Ventouri","sequence":"additional","affiliation":[{"name":"Department of Infection Control, University Hospital of Alexandroupolis, Alexandroupolis, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charikleia","family":"Tseki","sequence":"additional","affiliation":[{"name":"Department of Infection Control, General Hospital of Xanthi, Xanthi, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danai","family":"Pervanidou","sequence":"additional","affiliation":[{"name":"Department for Epidemiological Surveillance and Intervention, Hellenic Center for Disease Control and Prevention, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Androula","family":"Pavli","sequence":"additional","affiliation":[{"name":"Department for Interventions in Health-Care Facilities, Hellenic Center for Disease Control and Prevention, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Periklis","family":"Panagopoulos","sequence":"additional","affiliation":[{"name":"Department of Infection Control, University Hospital of Alexandroupolis, Alexandroupolis, Greece"},{"name":"Second Department of Internal Medicine, Medical School, Democritus University of Thrace, Alexandroupolis, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philothei","family":"Markatou","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University Hospital of Alexandroupolis, Alexandroupolis, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elpida","family":"Gavana","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efstratios","family":"Maltezos","sequence":"additional","affiliation":[{"name":"Department of Infection Control, University Hospital of Alexandroupolis, Alexandroupolis, Greece"},{"name":"Second Department of Internal Medicine, Medical School, Democritus University of Thrace, Alexandroupolis, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,6,6]]},"reference":[{"key":"bibr1-1757177419852666","doi-asserted-by":"publisher","DOI":"10.1016\/S0166-0934(97)00182-1"},{"key":"bibr2-1757177419852666","doi-asserted-by":"publisher","DOI":"10.3201\/eid1506.081567"},{"key":"bibr3-1757177419852666","doi-asserted-by":"publisher","DOI":"10.3201\/eid2101.141413"},{"key":"bibr4-1757177419852666","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0182315"},{"key":"bibr5-1757177419852666","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2012.10.013"},{"key":"bibr6-1757177419852666","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2016.12.026"},{"key":"bibr7-1757177419852666","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2015.11.024"},{"key":"bibr8-1757177419852666","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES2014.19.30.20864"},{"key":"bibr9-1757177419852666","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-9-131"},{"key":"bibr10-1757177419852666","first-page":"19504","volume":"15","author":"Maltezou HC","year":"2010","journal-title":"Euro Surveillance"},{"key":"bibr11-1757177419852666","doi-asserted-by":"publisher","DOI":"10.3109\/00365540903173619"},{"key":"bibr12-1757177419852666","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1615162"},{"key":"bibr13-1757177419852666","doi-asserted-by":"publisher","DOI":"10.2807\/1560\u20137917.ES.2018.23.35.1800432"},{"key":"bibr14-1757177419852666","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2014.12.047"},{"key":"bibr15-1757177419852666","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2016.02.023"},{"key":"bibr16-1757177419852666","doi-asserted-by":"publisher","DOI":"10.1099\/jgv.0.000610"},{"key":"bibr17-1757177419852666","doi-asserted-by":"publisher","DOI":"10.3201\/eid1307.070068"},{"key":"bibr18-1757177419852666","unstructured":"World Health Organization. (2018) WHO guideline development for Crimean-Congo haemorrhagic fever clinical management and the WHO research and development roadmap for Crimean-Congo haemorrhagic fever and other actual aspects. Geneva: WHO. Available at: https:\/\/prepare.ersnet.org\/lrmedia\/2018\/pdf\/515.pdf (last accessed 3 April 2019)."},{"key":"bibr19-1757177419852666","doi-asserted-by":"publisher","DOI":"10.3201\/eid2306.161950"}],"container-title":["Journal of Infection Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1757177419852666","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1757177419852666","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1757177419852666","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:07:11Z","timestamp":1777381631000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1757177419852666"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,6]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1177\/1757177419852666"],"URL":"https:\/\/doi.org\/10.1177\/1757177419852666","relation":{},"ISSN":["1757-1774","1757-1782"],"issn-type":[{"value":"1757-1774","type":"print"},{"value":"1757-1782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,6]]}}}