We do not follow this.
Lisa Dyrdahl, RN BSN
Employee Health Nurse
Valley Medical Center
Ph 425-690-3088
Lisa_Dyrdahl@Valleymed.org
From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of
Haq, Farah via MCOH-EH
Sent: Tuesday, April 9, 2024 10:50 AM
To: mcoh-eh@mylist.net
Cc: Haq, Farah <Farah.Haq@stonybrookmedicine.edu>
Subject: [MCOH-EH] Measles IVIG for severely immunocompromised HCWs with presumptive immunity?
|
ATTENTION: This email originated from outside of the organization. |
In the event of a measles exposure, do any of your institutions plan to offer IVIG to severely immunocompromised healthcare workers regardless of measles vaccine/immunity
status?
Our hospital is considering offering IVIG and furloughing severely immunocompromised HCWs who are exposed to measles, even if they have documentation of presumptive
immunity to measles, which virtually all our HCWs do
The rationale is the following MMWR CDC guidance for measles-exposed immunocompromised patients (but which could presumably include exposed immunocompromised HCWs
as well):
Immunocompromised patients. Severely
immunocompromised patients who are exposed to measles should receive IGIV prophylaxis
regardless of immunologic or vaccination status
because they might not be protected by the vaccine. Severely immunocompromised patients include patients with severe primary immunodeficiency; patients who have received a bone marrow transplant until at least 12 months after finishing all immunosuppressive
treatment, or longer in patients who have developed graft-versus-host disease; patients on treatment for ALL within and until at least 6 months after completion of immunosuppressive chemotherapy; and patients with a diagnosis of AIDS or HIV-infected persons
with severe immunosuppression defined as CD4 percent <15% (all ages) or CD4 count <200 lymphocytes/mm3 (aged
>5 years) and those who have not received MMR vaccine since receiving effective ART. Some experts include HIV-infected persons who lack recent confirmation of immunologic status or measles immunity.
I am interested to know if any other hospitals are considering this?
Thank you,
Farah Haq MD, MPH
Division Head, Occupational, Environmental and Clinical Preventive Medicine
Clinical Assistant Professor
Dept. of Family, Population and Preventive Medicine
Stony Brook Medicine
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