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1Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine, Daejeon, Korea
2Division of Infectious Disease Surveillance, Korea Centers for Disease Control and Prevention, Cheongju, Korea
3Department of Preventive Medicine, Konyang University College of Medicine, Daejeon, Korea
4Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea
©2017, Korean Society of Epidemiology
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Route of infection | Possible mechanism | Refuting evidence | Control measures | PPE for prevention |
---|---|---|---|---|
Respiratory invasion of aerosols contaminated with MERS-CoV during CPR | CPR is an aerosol-generating procedure | The CPR was performed in a negative pressured room | Standard, contact, and airborne precautions | Level C is preferred to Level D for airborne precaution; PAPR should be added when using Level D equipment |
Failure of mask or goggles in seal- ing tightly to the wearer’s face during 1 hr CPR | ||||
Mucosal exposure to sweat contaminated with MERS-CoV during CPR | The face of healthcare worker contaminated with the splashed body fluid from infector | - | Standard and contact precautions | Level C is preferred to Level D to protect from the body fluid of MERS patient |
Intrusion of the contaminated sweat through gaps between face and mask/goggles | ||||
Contamination of body with MERS-CoV during doffing of PPE after CPR | Contaminated body or hand dur- ing doffing of PPE | The healthcare worker performed hand hygiene immediately after CPR | Standard and contact precautions | - |
MERS-CoV, Middle East Respiratory Syndrome-coronavirus; CPR, cardiopulmonary resuscitation; PAPR, powered air-purifying respirator; PPE, personal protective equipment.