Research Article
Volume 2 Issue 5 - 2020
Management of Foodborne Outbreak of Shigellosis; Need to Determine an Outbreak Preparedness and Management Policy
Mahmoudreza Peyravi1,2, Mohammadali Ghaderi3, Mohammadreza Alimanesh4, Ali Karimian5, Fatemeh Gandomkar6* and Mahnaz Dehbozorgi7
1Assistant Professor, Department of Emergency and Disaster Medicine, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
2Health Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
3MD, MPH, Shiraz University of Medical Sciences, Shiraz, Iran
4MD, Shiraz University of Medical Sciences, Shiraz, Iran
5M.Sc in Medical Physiology, Department of Emergency Medical Service, Shiraz University of Medical Sciences, Shiraz, Iran
6M.Sc in Critical Care Nursing, Shiraz University of Medical Sciences, Shiraz, Iran
7B.Sc in Disaster management, Department of public health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
8Department of Health, Physical Education and Recreation, University of Cape Coast, Ghana
*Corresponding Author: Fatemeh Gandomkar, M.Sc in Critical Care Nursing, Shiraz University of Medical Sciences, Shiraz, Iran.
Received: January 14, 2020; Published: April 29, 2020




Abstract

Introduction: Although some crises cannot be predicted or prevented, quick management of incidents can reduce associated morbidities and mortalities. The current report aimed to present a strategic approach for management of foodborne outbreak of shigellosis.

Methods: Following the report of the poisoning in a number of students at the girls' dormitory complex in Shiraz and evaluations carried out by the team sent to the site, equipment and human force were dispatched to the dormitory. Three halls of the dormitory were equipped as the places for a temporary treatment. After the patients were visited by the infectious disease specialist, they were treated on the site or transferred to the hospital by ambulance. The sources of information were the reports recorded by the commander and paramedics and those extracted from EMS and hospital records. The data were analyzed using the SPSS14 software as well the Mean and Mann-Whitney tests.

Result: In order to avoid congestion in hospitals, nine ambulances, one ambulance bus, the incident command vehicle, five nurses, three physicians and 22 paramedics were deployed to the site. Also, the dormitory was equipped temporarily and 211 individuals (68%) were treated with antibiotics and intravenous fluids. Additionally, 87 individuals (28%) referred to hospitals by taxi or their personal cars and 12 ones (4%) were transferred to hospitals by ambulance.

Conclusion: This report indicated that creating a temporary location for patient treatment at the incident site could reduce the number of transfers and the related expenditures. It could also prevent nosocomial infections and a second crisis in the prehospital emergency system as well as in the hospital emergency ward.

Keywords: Mass Casualty Incident; Emergency Medical Service; Shigellosis; Emergency Wards; Outbreak

References

  1. Debnath F., et al. “An Outbreak of Foodborne Infection Caused by Shigella sonnei in West Bengal, India”. Japanese Journal of Infectious Diseases: JJID 71.2 (2018): 162-166. 
  2. Benny E., et al. “A large outbreak of shigellosis commencing in an internally displaced population, Papua New Guinea, 2013”. Western Pacific Surveillance and Response Journal: WPSAR 5.3 (2014): 18. 
  3. Peyravi M., et al. “Can Medical Decision-making at the Scene by EMS Staff Reduce the Number of Unnecessary Ambulance Transportations, but Still Be Safe?” PLoS Currents 7 (2015). 
  4. Kobusingye O., et al. “Chapter 68: emergency medical services”. Disease control priorities in developing countries (2006): 1261-1279. 
  5. Scott CS. “Comparing Morbidity and Mortality in Trauma Patients in the Franco-German System and the Anglo-American System of Emergency Medicine” (2010). 
  6. Peyravi M., et al. “An overview of shiraz emergency medical services, dispatch to treatment”. Iranian Red Crescent Medical Journal 15.9 (2013): 823. 
  7. Khera A. “Outbreak investigation of foodborne illnesses”. Food Safety in the 21st Century (2017): 29-40.
  8. Cummins NM., et al. “Can advanced paramedics in the field diagnose patients and predict hospital admission?” Emergency Medicine Journal 30.12 (2013): 1043-1047. 
  9. Guzman Herrador B., et al. “A Shigella sonnei outbreak traced to imported basil-The importance of good typing tools and produce traceability systems, Norway, 2011”. Eurosurveillance 18.49 (2013).
  10. Esmailian M., et al. “Assessment of Emergency Department Response Capacity in the Face of Crisis; a Brief Report”. Iranian Journal of Emergency Medicine 3.4 (2016): 154-158. 

 

Citation: Fatemeh Gandomkar., et al. “Management of Foodborne Outbreak of Shigellosis; Need to Determine an Outbreak Preparedness and Management Policy”. EC Nursing and Healthcare 2.5 (2020): 06-09.

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