Nosocomial dengue in health-care workers – Author's reply

Besides the usual vector-borne transmission, dengue is transmitted by atypical routes such as mucocutaneous contact with infected blood and needlestick injury.-' 'These routes are pertinent in a healthcare setting that exposes healthcare workers to the risk of acquiring nosocomial dengue, especially in endemic, high-viral-load regions of the developing world where standard precautions might be less adhered to. 5 Mohammed H, Stramer SL, Tomasek K, MunozJ, Linnen JM, Peterson L Prevalence of dengue virus nucleic acid in blood donors of Puerto Rico. 60th American Association of Blood Banks Annual Meeting; Anaheim, CA, USA; Oct 20-23, 2007.