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@ohsu.edu

 

Mon-Fri, 7:30-4:00

 

cid:3381310330_334556

 

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