Laboratory exposure to Brucella melitensis in Denmark: a prospective study

J Hosp Infect. 2013 Nov;85(3):237-9. doi: 10.1016/j.jhin.2013.08.005. Epub 2013 Sep 8.

Abstract

Brucella species are a frequent cause of laboratory-acquired infections. This report describes the handling of a laboratory exposure of 17 laboratory staff members exposed to Brucella melitensis in a large microbiology laboratory in a brucella-non-endemic area. We followed the US Centers for Disease Control and Prevention guidelines, but, of 14 staff members classified as high-risk exposure, none accepted post-exposure prophylaxis. However, in a period of 6 months of follow-up, none of the exposed laboratory workers developed brucellosis and all obtained sera were negative for antibrucella antibodies. We therefore question the value of routine serological follow-up.

Keywords: Brucella melitensis; Brucellosis; Laboratory exposure; Post-exposure prophylaxis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antibodies, Bacterial / blood*
  • Brucella melitensis / isolation & purification*
  • Brucellosis / epidemiology*
  • Brucellosis / microbiology
  • Denmark / epidemiology
  • Female
  • Health Personnel*
  • Humans
  • Laboratories, Hospital
  • Male
  • Middle Aged
  • Occupational Exposure*
  • Pregnancy
  • Prospective Studies
  • Young Adult

Substances

  • Antibodies, Bacterial