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Nosocomial Transmission of Emerging Viruses via Aerosol-Generating Medical Procedures

1
Department of Medicine, University of Washington, Seattle, WA 98195, USA
2
Laboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, MT 59840, USA
*
Author to whom correspondence should be addressed.
Viruses 2019, 11(10), 940; https://doi.org/10.3390/v11100940
Received: 5 September 2019 / Revised: 1 October 2019 / Accepted: 3 October 2019 / Published: 12 October 2019
(This article belongs to the Special Issue Emerging Viruses: Surveillance, Prevention, Evolution and Control)
Recent nosocomial transmission events of emerging and re-emerging viruses, including Ebola virus, Middle East respiratory syndrome coronavirus, Nipah virus, and Crimean–Congo hemorrhagic fever orthonairovirus, have highlighted the risk of nosocomial transmission of emerging viruses in health-care settings. In particular, concerns and precautions have increased regarding the use of aerosol-generating medical procedures when treating patients with such viral infections. In spite of increasing associations between aerosol-generating medical procedures and the nosocomial transmission of viruses, we still have a poor understanding of the risks of specific procedures and viruses. In order to identify which aerosol-generating medical procedures and emerging viruses pose a high risk to health-care workers, we explore the mechanisms of aerosol-generating medical procedures, as well as the transmission pathways and characteristics of highly pathogenic viruses associated with nosocomial transmission. We then propose how research, both in clinical and experimental settings, could advance current infection control guidelines. View Full-Text
Keywords: aerosols; viruses; cross infection; infection control; risk; health personnel; virus diseases; hemorrhagic fevers; viral; ebolavirus aerosols; viruses; cross infection; infection control; risk; health personnel; virus diseases; hemorrhagic fevers; viral; ebolavirus
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MDPI and ACS Style

Judson, S.D.; Munster, V.J. Nosocomial Transmission of Emerging Viruses via Aerosol-Generating Medical Procedures. Viruses 2019, 11, 940.

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