PMID- 25188495 OWN - NLM STAT- MEDLINE DCOM- 20141023 LR - 20211021 IS - 1545-861X (Electronic) IS - 0149-2195 (Print) IS - 0149-2195 (Linking) VI - 63 IP - 35 DP - 2014 Sep 5 TI - Fatal meningococcal disease in a laboratory worker--California, 2012. PG - 770-2 AB - Occupationally acquired meningococcal disease is rare. Adherence to recommendations for safe handling of Neisseria meningitidis in the laboratory greatly reduces the risk for transmission to laboratory workers. A California microbiologist developed fatal serogroup B meningococcal disease after working with N. meningitidis patient isolates in a research laboratory (laboratory A). The California Department of Public Health (CDPH), the local health department, the California Division of Occupational Safety and Health (CalOSHA), and the federal Occupational Safety and Health Administration (OSHA) collaborated on an investigation of laboratory A, which revealed several breaches in recommended laboratory practice for safe handling of N. meningitidis, including manipulating cultures on the bench top. Additionally, laboratory workers had not been offered meningococcal vaccine in accordance with Advisory Committee on Immunization Practices (ACIP) recommendations and CalOSHA Aerosol Transmissible Diseases Standard requirements. In accordance with OSHA and CalOSHA regulations, laboratory staff members must receive laboratory biosafety training and use appropriate personal protective equipment, and those who routinely work with N. meningitidis isolates should receive meningococcal vaccine. FAU - Sheets, Channing D AU - Sheets CD FAU - Harriman, Kathleen AU - Harriman K FAU - Zipprich, Jennifer AU - Zipprich J FAU - Louie, Janice K AU - Louie JK FAU - Probert, William S AU - Probert WS FAU - Horowitz, Michael AU - Horowitz M FAU - Prudhomme, Janice C AU - Prudhomme JC FAU - Gold, Deborah AU - Gold D FAU - Mayer, Leonard AU - Mayer L LA - eng PT - Case Reports PT - Journal Article PL - United States TA - MMWR Morb Mortal Wkly Rep JT - MMWR. Morbidity and mortality weekly report JID - 7802429 SB - IM MH - Adult MH - California MH - Fatal Outcome MH - Humans MH - Laboratories MH - Male MH - Meningococcal Infections/*diagnosis MH - Neisseria meningitidis/*isolation & purification MH - Occupational Diseases/*diagnosis PMC - PMC5779447 EDAT- 2014/09/05 06:00 MHDA- 2014/10/24 06:00 PMCR- 2014/09/05 CRDT- 2014/09/05 06:00 PHST- 2014/09/05 06:00 [entrez] PHST- 2014/09/05 06:00 [pubmed] PHST- 2014/10/24 06:00 [medline] PHST- 2014/09/05 00:00 [pmc-release] AID - mm6335a2 [pii] AID - 770-772 [pii] PST - ppublish SO - MMWR Morb Mortal Wkly Rep. 2014 Sep 5;63(35):770-2.