Management of accidental exposure to Ebola virus in the biosafety level 4 laboratory, Hamburg, Germany.
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Management of accidental exposure to Ebola virus in the biosafety level 4 laboratory, Hamburg, Germany. / Günther, Stephan; Feldmann, Heinz; Geisbert, Thomas W; Hensley, Lisa E; Rollin, Pierre E; Nichol, Stuart T; Ströher, Ute; Artsob, Harvey; Peters, Clarence J; Ksiazek, Thomas G; Becker, Stephan; Jan, Ter Meulen; Olschläger, Stephan; Schmidt-Chanasit, Jonas; Sudeck, Hinrich; Burchard, Gerd-Dieter; Schmiedel, Stefan.
In: J INFECT DIS, Vol. 204 Suppl 3, 2011, p. 785-790.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Management of accidental exposure to Ebola virus in the biosafety level 4 laboratory, Hamburg, Germany.
AU - Günther, Stephan
AU - Feldmann, Heinz
AU - Geisbert, Thomas W
AU - Hensley, Lisa E
AU - Rollin, Pierre E
AU - Nichol, Stuart T
AU - Ströher, Ute
AU - Artsob, Harvey
AU - Peters, Clarence J
AU - Ksiazek, Thomas G
AU - Becker, Stephan
AU - Jan, Ter Meulen
AU - Olschläger, Stephan
AU - Schmidt-Chanasit, Jonas
AU - Sudeck, Hinrich
AU - Burchard, Gerd-Dieter
AU - Schmiedel, Stefan
PY - 2011
Y1 - 2011
N2 - A needlestick injury occurred during an animal experiment in the biosafety level 4 laboratory in Hamburg, Germany, in March 2009. The syringe contained Zaire ebolavirus (ZEBOV) mixed with Freund's adjuvant. Neither an approved treatment nor a postexposure prophylaxis (PEP) exists for Ebola hemorrhagic fever. Following a risk-benefit assessment, it was recommended the exposed person take an experimental vaccine that had shown PEP efficacy in ZEBOV-infected nonhuman primates (NHPs) [12]. The vaccine, which had not been used previously in humans, was a live-attenuated recombinant vesicular stomatitis virus (recVSV) expressing the glycoprotein of ZEBOV. A single dose of 5 × 10(7) plaque-forming units was injected 48 hours after the accident. The vaccinee developed fever 12 hours later and recVSV viremia was detectable by polymerase chain reaction (PCR) for 2 days. Otherwise, the person remained healthy, and ZEBOV RNA, except for the glycoprotein gene expressed in the vaccine, was never detected in serum and peripheral blood mononuclear cells during the 3-week observation period.
AB - A needlestick injury occurred during an animal experiment in the biosafety level 4 laboratory in Hamburg, Germany, in March 2009. The syringe contained Zaire ebolavirus (ZEBOV) mixed with Freund's adjuvant. Neither an approved treatment nor a postexposure prophylaxis (PEP) exists for Ebola hemorrhagic fever. Following a risk-benefit assessment, it was recommended the exposed person take an experimental vaccine that had shown PEP efficacy in ZEBOV-infected nonhuman primates (NHPs) [12]. The vaccine, which had not been used previously in humans, was a live-attenuated recombinant vesicular stomatitis virus (recVSV) expressing the glycoprotein of ZEBOV. A single dose of 5 × 10(7) plaque-forming units was injected 48 hours after the accident. The vaccinee developed fever 12 hours later and recVSV viremia was detectable by polymerase chain reaction (PCR) for 2 days. Otherwise, the person remained healthy, and ZEBOV RNA, except for the glycoprotein gene expressed in the vaccine, was never detected in serum and peripheral blood mononuclear cells during the 3-week observation period.
KW - Animals
KW - Germany
KW - Humans
KW - Mice
KW - RNA, Viral/blood
KW - Containment of Biohazards
KW - Ebola Vaccines/administration & dosage/standards
KW - Ebolavirus
KW - Hemorrhagic Fever, Ebola/prevention & control
KW - Laboratory Infection/prevention & control
KW - Needlestick Injuries/virology
KW - Occupational Exposure
KW - Post-Exposure Prophylaxis/methods
KW - Research Personnel
KW - Vaccines, Attenuated
KW - Vaccines, DNA/immunology
KW - Vesiculovirus/genetics
KW - Viremia
KW - Animals
KW - Germany
KW - Humans
KW - Mice
KW - RNA, Viral/blood
KW - Containment of Biohazards
KW - Ebola Vaccines/administration & dosage/standards
KW - Ebolavirus
KW - Hemorrhagic Fever, Ebola/prevention & control
KW - Laboratory Infection/prevention & control
KW - Needlestick Injuries/virology
KW - Occupational Exposure
KW - Post-Exposure Prophylaxis/methods
KW - Research Personnel
KW - Vaccines, Attenuated
KW - Vaccines, DNA/immunology
KW - Vesiculovirus/genetics
KW - Viremia
M3 - SCORING: Journal article
VL - 204 Suppl 3
SP - 785
EP - 790
JO - J INFECT DIS
JF - J INFECT DIS
SN - 0022-1899
ER -