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      Survey of laboratory-acquired infections around the world in biosafety level 3 and 4 laboratories

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          Abstract

          Laboratory-acquired infections due to a variety of bacteria, viruses, parasites, and fungi have been described over the last century, and laboratory workers are at risk of exposure to these infectious agents. However, reporting laboratory-associated infections has been largely voluntary, and there is no way to determine the real number of people involved or to know the precise risks for workers. In this study, an international survey based on volunteering was conducted in biosafety level 3 and 4 laboratories to determine the number of laboratory-acquired infections and the possible underlying causes of these contaminations. The analysis of the survey reveals that laboratory-acquired infections have been infrequent and even rare in recent years, and human errors represent a very high percentage of the cases. Today, most risks from biological hazards can be reduced through the use of appropriate procedures and techniques, containment devices and facilities, and the training of personnel.

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          Most cited references31

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          Anthrax as a biological weapon, 2002: updated recommendations for management.

          To review and update consensus-based recommendations for medical and public health professionals following a Bacillus anthracis attack against a civilian population. The working group included 23 experts from academic medical centers, research organizations, and governmental, military, public health, and emergency management institutions and agencies. MEDLINE databases were searched from January 1966 to January 2002, using the Medical Subject Headings anthrax, Bacillus anthracis, biological weapon, biological terrorism, biological warfare, and biowarfare. Reference review identified work published before 1966. Participants identified unpublished sources. The first draft synthesized the gathered information. Written comments were incorporated into subsequent drafts. The final statement incorporated all relevant evidence from the search along with consensus recommendations. Specific recommendations include diagnosis of anthrax infection, indications for vaccination, therapy, postexposure prophylaxis, decontamination of the environment, and suggested research. This revised consensus statement presents new information based on the analysis of the anthrax attacks of 2001, including developments in the investigation of the anthrax attacks of 2001; important symptoms, signs, and laboratory studies; new diagnostic clues that may help future recognition of this disease; current anthrax vaccine information; updated antibiotic therapeutic considerations; and judgments about environmental surveillance and decontamination.
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            Laboratory-acquired severe acute respiratory syndrome.

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              Glanders in a military research microbiologist.

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                Author and article information

                Contributors
                00 33 4 91 32 44 80 , didier.raoult@gmail.com
                Journal
                Eur J Clin Microbiol Infect Dis
                Eur. J. Clin. Microbiol. Infect. Dis
                European Journal of Clinical Microbiology & Infectious Diseases
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0934-9723
                1435-4373
                27 May 2016
                2016
                : 35
                : 8
                : 1247-1258
                Affiliations
                [1 ]GRID grid.5399.6, ISNI 0000000121764817, URMITE, CNRS UMR 7278, IRD 198, Inserm 1095, Aix Marseille Université, IHU Méditerranée Infection, ; 27 bd Jean Moulin, 13005 Marseille, France
                [2 ]GRID grid.4793.9, ISNI 0000000109457005, Department of Microbiology, Medical School, , Aristotle University of Thessaloniki, ; Thessaloniki, Greece
                [3 ]GRID grid.449047.a, International Burch University of Sarajevo, ; Sarajevo, Bosnia and Herzegovina
                [4 ]GRID grid.472484.9, ISNI 0000000121886187, Department of Medical Science, , Academy of Sciences and Arts of Bosnia and Herzegovina, ; Sarajevo, Bosnia and Herzegovina
                [5 ]GRID grid.419423.9, ISNI 0000000417604142, National Institute for Infectious Diseases L. Spallanzani, ; Rome, Italy
                [6 ]GRID grid.414005.4, ISNI 0000000100297279, ERRIT-IRBA, HIA Laveran, Centre National de Référence des Arboviroses, ; 13384 Marseille, France
                [7 ]Laboratoire MiVEGEC, UMR IRD 224 CNRS 5290 UMI, 911 Av. Agropolis, 34394 Montpellier Cedex 5, France
                [8 ]International Center for Medical Research of Franceville, BP769, Franceville, Gabon
                [9 ]GRID grid.412311.4, Unit of Clinical Microbiology, Regional Reference Centre for Microbiological Emergencies (CRREM), , St Orsola-Malpighi University Hospital, ; Bologna, Italy
                [10 ]GRID grid.419303.c, ISNI 0000000121809405, Institute of Virology, , Slovak Academy of Sciences, ; Dúbravská cesta 9, 845 05 Bratislava, Slovak Republic
                [11 ]GRID grid.411024.2, ISNI 0000000121754264, Departments of Pathology and Microbiology & Immunology, , University of Maryland School of Medicine, ; Baltimore, MD USA
                [12 ]GRID grid.418625.c, ISNI 0000 0001 2324 8752, Cantacuzino National Institute of Research, ; Bucharest, Romania
                [13 ]GRID grid.7080.f, IRTA, Centre de Recerca en Sanitat Animal (CReSA, IRTA-UAB), , Campus de la Universitat Autònoma de Barcelona, ; 08193 Bellaterra, Spain
                [14 ]GRID grid.5608.b, ISNI 0000000417573470, Department of Molecular Medicine, , University of Padova, ; Via Gabelli 63, 35100 Padova, Italy
                [15 ]GRID grid.419273.a, ISNI 0000000404690184, Department of Microbiology, , National Center of Infectious and Parasitic Diseases, ; Sofia, Bulgaria
                [16 ]GRID grid.9621.c, ISNI 0000000109442786, Centre National de Référence des Francisella, Laboratoire de Bactériologie, Département des Agents Infectieux, Institut de Biologie et Pathologie, Centre Hospitalier Universitaire de Grenoble, , Université Joseph Fourier, ; Grenoble, France
                Article
                2657
                10.1007/s10096-016-2657-1
                7088173
                27234593
                4b7f11b3-c4b9-4846-9469-a7e5cef46d70
                © Springer-Verlag Berlin Heidelberg 2016

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 8 March 2016
                : 20 April 2016
                Categories
                Original Article
                Custom metadata
                © Springer-Verlag Berlin Heidelberg 2016

                Infectious disease & Microbiology
                brucellosis,personal protective equipment,coccidioidomycosis,severe acute respiratory syndrome,tularemia

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