[MCOH-EH] Varicella exposure

[Tim Crump]

We generally let our Infection Prevention and Control Dept determine exposure criteria, but generally, my understanding is that even in immune compromised patients, if the shingles is restricted to a single dermatome, we are thinking about contact but not airborne exposures.

We had a disseminated case that affected a lot of staff.  We are strongly encouraging staff to address issues of immunity  prior to an exposure rather than in the midst of one.  Furlough is not a fun thing.  Best, Tim

Tim Crump, MSN, FNP
Tim Crump, MSN, FNP
Family Nurse Practitioner
Multnomah Pavilion 1 SE, Suite 1110
Occupational Health
Healthcare Human Resources

Oregon Health & Science University
3181 SW Sam Jackson Park Rd
Mail code: UHN 89
Portland, OR 97239-3098
Department Phone: 503-494-5271
Office Phone: 503-346-1152
Fax: 503-494-4457
Email: crumpt at ohsu.edu<mailto:crumpt at ohsu.edu>

Mon-Fri, 7:30-4:00

[cid:3381310330_334556]

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of PRATER, DEANNA
Sent: Wednesday, November 14, 2018 4:24 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Varicella exposure

I'm needing some help.  I'm new to the role of Employee Health.  Our Cancer Center reported 7 cases of shingles patients coming into their facility.  Some of these patients are sitting in a group setting, receiving chemo.  I made some inquiries about which employees had interaction with the shingles patients and requested either titer checks or records of titer checks.  There were 3 employees with low titers.  I have no idea what steps to take (in regards to the employees-I know concerns about the other patients is a whole other story).  I'm told all cases were non-disseminated.

If employees would request the vaccine, could they still work around these immunocompromised patients?

Also-if anyone has examples of exposure packets/algorhythms you use; I would greatly appreciate it.

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