1995
DOI: 10.1136/bmj.311.7009.857
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Review of cases of nosocomial Lassa fever in Nigeria: the high price of poor medical practice

Abstract: This outbreak illustrates the high price exacted by the practice of modern medicine, particularly use of parenteral injections and surgery, without due attention to good medical practice. High priority must be given to education of medical staff in developing countries and to guidelines for safe operation of clinics and hospitals. Failure to do so will have far reaching, costly, and ultimately devastating consequences.

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Cited by 319 publications
(296 citation statements)
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“…It is an acute, highly infectious zoonotic disease whose public health importance is heightened by its nosocomial spread especially in areas endemicity [8].…”
Section: Introductionmentioning
confidence: 99%
“…It is an acute, highly infectious zoonotic disease whose public health importance is heightened by its nosocomial spread especially in areas endemicity [8].…”
Section: Introductionmentioning
confidence: 99%
“…(23). Nosocomial transmission has been documented in resource-poor settings (11). LASV is a category A select agent requiring biosafety level 4 facilities for safe handling.…”
mentioning
confidence: 99%
“…While hospital-amplified VHF outbreaks have been linked to unacceptable needle-sharing and absence of basic infection control precautions in some institutions [7,12,13], the vast majority of documented VHF outbreaks involving hospitals have seen nosocomial transmission due to inadequate isolation facilities and because gloves and expensive protective clothing were not always used by attending personnel [13][14][15][16]. As most in-patients in often overcrowded, under-resourced and understaffed hospitals in equatorial Africa have a fever of infectious origin, highest-level barrier precautions cannot feasibly be implemented, nor do most common infections require them.…”
Section: Introductionmentioning
confidence: 99%
“…It is probable that only a fraction of outbreaks are detected and reported even though VHFs are classified as notifiable diseases [49]. An outbreak at the Masango Hospital, for instance, was only documented retrospectively, following investigation of the widely publicized 1995 connected outbreak in Kikwit [25] and a Lassa fever outbreak in Nigeria was only confirmed after death of the last infected case, a physician [7]. Moreover, just as outbreaks may be unreported, case reporting within recorded outbreaks is likely underestimated.…”
Section: Introductionmentioning
confidence: 99%
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