title: [Measles in adults: an emerging disease not sparing medical staff].
abstract: BACKGROUND
  A large outbreak of measles is taking place in Europe and is related to a low vaccination coverage. Measles is observed in adults.
  
  
  METHODS
  We retrospectively studied all the consecutive cases of measles seen in adults between the 1/1/2007 and the 30/4/2009 in four Parisian hospitals.
  
  
  RESULTS
  Twenty-one patients were included. Six patients (29%) were health care workers (HCW) including five (83%) who were vaccinated. Twenty (95%) patients were hospitalized. All patients presented with febrile exanthema, cough and rhinitis in association with hepatic involvement in 71%. Neither death nor sequelae were reported.
  
  
  CONCLUSIONS
  Measles may occur in HCW, most of them being insufficiently covered by the vaccination. Therefore, since 2010, one injection of measles vaccine is now recommended in France, for HCW without history of measles or vaccination with two doses. Furthermore, adequate respiratory precautions should be taken when seeing patients with febrile exanthema and cough.
authors.affiliation: Service des maladies infectieuses et tropicales, groupe hospitalier Pitié-Salpétrière, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75013 Paris cedex 13, France. gentiane.monsel@psl.aphp.fr
authors.forename: G
authors.initials: G
authors.lastname: Monsel
authors.forename: C
authors.initials: C
authors.lastname: Rapp
authors.forename: T-A
authors.initials: TA
authors.lastname: Duong
authors.forename: D
authors.initials: D
authors.lastname: Farhi
authors.forename: J-D
authors.initials: JD
authors.lastname: Bouaziz
authors.forename: V
authors.initials: V
authors.lastname: Meyssonnier
authors.forename: A
authors.initials: A
authors.lastname: Mirkamali
authors.forename: S
authors.initials: S
authors.lastname: Jaureguiberry
authors.forename: E
authors.initials: E
authors.lastname: Caumes
mesh_terms: D000293:Adolescent; D000328:Adult; D021821:Communicable Diseases, Emerging / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D003430:Cross-Sectional Studies; D004196:Disease Outbreaks / Q000517:prevention & control; D005260:Female; D005602:France; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D007117:Immunization, Secondary; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008457:Measles / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D008458:Measles Vaccine / Q000008:administration & dosage; D010343:Patient Admission / Q000706:statistics & numerical data; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D008458:Measles Vaccine