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Brucellosis in the UK: a risk to laboratory workers? Recommendations for prevention and management of laboratory exposure
  1. S Reddy1,
  2. R Manuel1,
  3. E Sheridan1,
  4. G Sadler1,
  5. S Patel2,
  6. P Riley3
  1. 1
    Department of Medical Microbiology and HPA Collaborating Centre, Barts and The London NHS Trust, London, UK
  2. 2
    Department of Medical Microbiology, Kingston Hospitals NHS Trust, Kingston upon Thames, UK
  3. 3
    Department of Medical Microbiology and HPA Collaborating Centre, St George’s Healthcare NHS Trust, London, UK
  1. Correspondence to Srinivasulu Reddy, Specialist Registrar in Medical Microbiology, 3rd Floor, Pathology and Pharmacy Building, The Royal London Hospital, 80 Newark Street, London E1 2ES, UK; srinivasulu.reddy{at}bartsandthelondon.nhs.uk

Abstract

Brucella spp is an uncommon class 3 pathogen isolated in laboratories serving non-endemic areas. This is a report of four recent cases of brucellosis diagnosed at five different London laboratories, and it highlights the need to maintain a high index of suspicion for brucellosis in patients with a history of travel to and/or consumption of unpasteurised foods from endemic areas. A protocol for risk categorisation is proposed, and there is a description of the strategy adopted for serological follow-up of exposed staff and use of postexposure prophylaxis.

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Footnotes

  • Competing interests None.

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