Brucella spp.
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Morphology | Gram negative cocci or small rods, aerobic, non-motile. |
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Disease
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Brucella abortus and Brucella melitensis cause brucellosis. Brucellosis can spread from person to person, and in a few cases, women have passed the disease to their children during birth or through their breast milk. Chronic brucellosis may cause complications in just one organ or throughout your body. |
Zoonosis
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Yes. |
Host Range | Humans and many different wild and domestic animals. |
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Modes of Transmission
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Transmitted in milk, urine and feces but most importantly, amniotic fluids and placenta.
Aerosol transmission of concern. Consumption of milk that is not pasteurized.
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Signs and Symptoms |
Symptoms of brucelloisis may include intermittent fever, headache, sweats, malaise, anorexia, pain in muschles, joint and/or back and fatique. Symptoms may disappear for weeks or months and then return, and can be chronic even after treatment. |
Infectious Dose | 10-100 organisms. |
Incubation Period | Highly variable; 2-4 weeks; Occasionally several months. |
Prophylaxis |
None.
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Vaccines |
Vaccines not available for use in humans.
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Treatment | Intramuscular injections of streptomycin and oral doxycycline twice daily for 45 days is the gold standard treatment. |
Surveillance |
Monitor for symptoms; isolation of organism; serological testing.
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MSU Requirements
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Report any exposures.
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Laboratory Acquired Infections (LAIs) | Most commonly reported laboratory-acquired infection; 423 cases up to 1976 with 5
deaths.
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Sources |
Cultures, blood, tissues, placentas, fetuses, urine, uterine discharges.
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BMBL
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https://www.cdc.gov/labs/bmbl/?CDC_AAref_Val=https://www.cdc.gov/labs/BMBL.html |
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Canada PSDS
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NIH Guidlines
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CDC
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http://www.cdc.gov/brucellosis/ |
Risk Group 2
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Agents that are associated with human disease which is rarely serious and for which preventive or therapeutic interventions are often available. |
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BSL2
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For all procedures involving suspected or known infectious specimen or cultures.
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ABSL2
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For all procedures utilizing infected animals.
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Small
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Notify others working in the lab. Remove PPE and don new PPE. Cover area of the spill
with absorbent material and add fresh 1:10 bleach:water. Allow 20 munutes (or as directed)
of contact time. After 20 minutes, cleanup and dispose of materials.
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Large
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Mucous membrane
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Flush eyes, mouth, or nose for 5 minutes at eyewash station.
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Other Exposures
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Wash area with soap and water for 5 minutes.
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Reporting |
Immediately report incident to supervisor, complete a First Report of Injury form, and submit to Safety and Risk Management.
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Medical Follow-up
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During business hours: Bridger Occupational Health 3406 Laramie Drive. Weekdays 8am -6pm. Weekends 9am-5pm
After business hours: Bozeman Deaconess Hospital Emergency Room 915 Highland Blvd Bozeman, MT |
Disinfection |
Susceptible to many disinfectants – 1 % sodium hypochlorite, 70 % ethanol, iodine/alcohol
solutions, glutaraldehyde, formaldehyde.
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Inactivation |
Inactivated by moist heat (1 hour at 121oC) and dry heat (1 hour at 160-170oC).
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Survival Outside Host
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Carcasses and organs – up to 135 days; paper – 32 days; soil – 125 days; blood 4oC
– 180 days.
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Minimum PPE Requirements
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Lab coat, disposable gloves, safety glasses, closed toed shoes, long pants
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Additional Precautions
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Additioanl PPE may be required depending on lab specific SOPs and IBC Protocol. |