Seasonal influenza risk in hospital healthcare workers is more strongly associated with household than occupational exposures: results from a prospective cohort study in Berlin, Germany, 2006/07.
Identifieur interne : 000339 ( Main/Exploration ); précédent : 000338; suivant : 000340Seasonal influenza risk in hospital healthcare workers is more strongly associated with household than occupational exposures: results from a prospective cohort study in Berlin, Germany, 2006/07.
Auteurs : Chris J. Williams [Allemagne] ; Brunhilde Schweiger ; Genia Diner ; Frank Gerlach ; Frank Haaman ; Gérard Krause ; Albert Nienhaus ; Udo BuchholzSource :
- BMC infectious diseases [ 1471-2334 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Animaux (MeSH), Anticorps antiviraux (sang), Appréciation des risques (MeSH), Berlin (épidémiologie), Exposition professionnelle (MeSH), Femelle (MeSH), Grippe humaine (transmission), Grippe humaine (épidémiologie), Humains (MeSH), Hôpitaux (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Personnel de santé (MeSH), Santé de la famille (MeSH), Tests d'inhibition de l'hémagglutination (MeSH), Études de cohortes (MeSH), Études prospectives (MeSH).
- MESH :
- sang : Anticorps antiviraux.
- épidémiologie : Berlin, Grippe humaine.
- Adulte, Adulte d'âge moyen, Animaux, Appréciation des risques, Exposition professionnelle, Femelle, Humains, Hôpitaux, Jeune adulte, Mâle, Personnel de santé, Santé de la famille, Tests d'inhibition de l'hémagglutination, Études de cohortes, Études prospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Animals (MeSH), Antibodies, Viral (blood), Berlin (epidemiology), Cohort Studies (MeSH), Family Health (MeSH), Female (MeSH), Health Personnel (MeSH), Hemagglutination Inhibition Tests (MeSH), Hospitals (MeSH), Humans (MeSH), Influenza, Human (epidemiology), Influenza, Human (transmission), Male (MeSH), Middle Aged (MeSH), Occupational Exposure (MeSH), Prospective Studies (MeSH), Risk Assessment (MeSH), Young Adult (MeSH).
- MESH :
- chemical , blood : Antibodies, Viral.
- geographic , epidemiology : Berlin.
- epidemiology : Influenza, Human.
- transmission : Influenza, Human.
- Adult, Animals, Cohort Studies, Family Health, Female, Health Personnel, Hemagglutination Inhibition Tests, Hospitals, Humans, Male, Middle Aged, Occupational Exposure, Prospective Studies, Risk Assessment, Young Adult.
Abstract
BACKGROUND
Influenza immunisation for healthcare workers is encouraged to protect their often vulnerable patients but also due to a perceived higher risk for influenza. We aimed to compare the risk of influenza infection in healthcare workers in acute hospital care with that in non-healthcare workers over the same season.
METHODS
We conducted a prospective, multicentre cohort study during the 2006/07 influenza season in Berlin, Germany. Recruited participants gave serum samples before and after the season, and completed questionnaires to determine their relevant exposures and possible confounding factors. The main outcome measure was serologically confirmed influenza infection (SCII), defined as a fourfold or greater rise in haemagglutination inhibition antibody titres to a circulating strain of influenza (with post-season titre at least 1:40).Weekly mobile phone text messages were used to prompt participants to report respiratory illnesses during the influenza season. A logistic regression model was used to assess the influence of potential risk factors.
RESULTS
We recruited 250 hospital healthcare workers (mean age 35.7 years) and 486 non-healthcare workers (mean age 39.2 years) from administrative centres, blood donors and colleges.Overall SCII attack rate was 10.6%. Being a healthcare worker was not a risk factor for SCII (relative risk 1.1, p = 0.70). The final multivariate model had three significant factors: living with children (odds ratio [OR] 3.7, p = 0.005), immunization (OR 0.50, p = 0.02), and--among persons living in households without children--ownership of a car (OR 3.0, p = 0.02). Living with three or more children (OR 13.8, p < 0.01) was a greater risk than living with one or two children (OR 5.3, p = 0.02). 30% of participants with SCII reported no respiratory illness. Healthcare workers were at slightly higher risk of reporting any respiratory infection than controls (adjusted OR 1.3, p = 0.04, n = 850).
CONCLUSIONS
Our results suggest that healthcare workers in hospitals do not have a higher risk of influenza than non-healthcare workers, although their risk of any respiratory infection is slightly raised. Household contacts seem to be more important than exposure to patients. Car ownership is a surprise finding which needs further exploration. Asymptomatic infections are common, accounting for around a third of serologically confirmed infections.
DOI: 10.1186/1471-2334-10-8
PubMed: 20067628
PubMed Central: PMC2836320
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Seasonal influenza risk in hospital healthcare workers is more strongly associated with household than occupational exposures: results from a prospective cohort study in Berlin, Germany, 2006/07.</title><author><name sortKey="Williams, Chris J" sort="Williams, Chris J" uniqKey="Williams C" first="Chris J" last="Williams">Chris J. Williams</name><affiliation wicri:level="3"><nlm:affiliation>Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany. Christopher.williams@norfolk.nhs.uk</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Schweiger, Brunhilde" sort="Schweiger, Brunhilde" uniqKey="Schweiger B" first="Brunhilde" last="Schweiger">Brunhilde Schweiger</name></author><author><name sortKey="Diner, Genia" sort="Diner, Genia" uniqKey="Diner G" first="Genia" last="Diner">Genia Diner</name></author><author><name sortKey="Gerlach, Frank" sort="Gerlach, Frank" uniqKey="Gerlach F" first="Frank" last="Gerlach">Frank Gerlach</name></author><author><name sortKey="Haaman, Frank" sort="Haaman, Frank" uniqKey="Haaman F" first="Frank" last="Haaman">Frank Haaman</name></author><author><name sortKey="Krause, Gerard" sort="Krause, Gerard" uniqKey="Krause G" first="Gérard" last="Krause">Gérard Krause</name></author><author><name sortKey="Nienhaus, Albert" sort="Nienhaus, Albert" uniqKey="Nienhaus A" first="Albert" last="Nienhaus">Albert Nienhaus</name></author><author><name sortKey="Buchholz, Udo" sort="Buchholz, Udo" uniqKey="Buchholz U" first="Udo" last="Buchholz">Udo Buchholz</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20067628</idno><idno type="pmid">20067628</idno><idno type="doi">10.1186/1471-2334-10-8</idno><idno type="pmc">PMC2836320</idno><idno type="wicri:Area/Main/Corpus">000358</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000358</idno><idno type="wicri:Area/Main/Curation">000358</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000358</idno><idno type="wicri:Area/Main/Exploration">000358</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Seasonal influenza risk in hospital healthcare workers is more strongly associated with household than occupational exposures: results from a prospective cohort study in Berlin, Germany, 2006/07.</title><author><name sortKey="Williams, Chris J" sort="Williams, Chris J" uniqKey="Williams C" first="Chris J" last="Williams">Chris J. Williams</name><affiliation wicri:level="3"><nlm:affiliation>Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany. Christopher.williams@norfolk.nhs.uk</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Schweiger, Brunhilde" sort="Schweiger, Brunhilde" uniqKey="Schweiger B" first="Brunhilde" last="Schweiger">Brunhilde Schweiger</name></author><author><name sortKey="Diner, Genia" sort="Diner, Genia" uniqKey="Diner G" first="Genia" last="Diner">Genia Diner</name></author><author><name sortKey="Gerlach, Frank" sort="Gerlach, Frank" uniqKey="Gerlach F" first="Frank" last="Gerlach">Frank Gerlach</name></author><author><name sortKey="Haaman, Frank" sort="Haaman, Frank" uniqKey="Haaman F" first="Frank" last="Haaman">Frank Haaman</name></author><author><name sortKey="Krause, Gerard" sort="Krause, Gerard" uniqKey="Krause G" first="Gérard" last="Krause">Gérard Krause</name></author><author><name sortKey="Nienhaus, Albert" sort="Nienhaus, Albert" uniqKey="Nienhaus A" first="Albert" last="Nienhaus">Albert Nienhaus</name></author><author><name sortKey="Buchholz, Udo" sort="Buchholz, Udo" uniqKey="Buchholz U" first="Udo" last="Buchholz">Udo Buchholz</name></author></analytic><series><title level="j">BMC infectious diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Animals (MeSH)</term><term>Antibodies, Viral (blood)</term><term>Berlin (epidemiology)</term><term>Cohort Studies (MeSH)</term><term>Family Health (MeSH)</term><term>Female (MeSH)</term><term>Health Personnel (MeSH)</term><term>Hemagglutination Inhibition Tests (MeSH)</term><term>Hospitals (MeSH)</term><term>Humans (MeSH)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (transmission)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Occupational Exposure (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Risk Assessment (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Animaux (MeSH)</term><term>Anticorps antiviraux (sang)</term><term>Appréciation des risques (MeSH)</term><term>Berlin (épidémiologie)</term><term>Exposition professionnelle (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (transmission)</term><term>Grippe humaine (épidémiologie)</term><term>Humains (MeSH)</term><term>Hôpitaux (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Personnel de santé (MeSH)</term><term>Santé de la famille (MeSH)</term><term>Tests d'inhibition de l'hémagglutination (MeSH)</term><term>Études de cohortes (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Antibodies, Viral</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Berlin</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Anticorps antiviraux</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Berlin</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Animals</term><term>Cohort Studies</term><term>Family Health</term><term>Female</term><term>Health Personnel</term><term>Hemagglutination Inhibition Tests</term><term>Hospitals</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Occupational Exposure</term><term>Prospective Studies</term><term>Risk Assessment</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Animaux</term><term>Appréciation des risques</term><term>Exposition professionnelle</term><term>Femelle</term><term>Humains</term><term>Hôpitaux</term><term>Jeune adulte</term><term>Mâle</term><term>Personnel de santé</term><term>Santé de la famille</term><term>Tests d'inhibition de l'hémagglutination</term><term>Études de cohortes</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Influenza immunisation for healthcare workers is encouraged to protect their often vulnerable patients but also due to a perceived higher risk for influenza. We aimed to compare the risk of influenza infection in healthcare workers in acute hospital care with that in non-healthcare workers over the same season.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We conducted a prospective, multicentre cohort study during the 2006/07 influenza season in Berlin, Germany. Recruited participants gave serum samples before and after the season, and completed questionnaires to determine their relevant exposures and possible confounding factors. The main outcome measure was serologically confirmed influenza infection (SCII), defined as a fourfold or greater rise in haemagglutination inhibition antibody titres to a circulating strain of influenza (with post-season titre at least 1:40).Weekly mobile phone text messages were used to prompt participants to report respiratory illnesses during the influenza season. A logistic regression model was used to assess the influence of potential risk factors.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We recruited 250 hospital healthcare workers (mean age 35.7 years) and 486 non-healthcare workers (mean age 39.2 years) from administrative centres, blood donors and colleges.Overall SCII attack rate was 10.6%. Being a healthcare worker was not a risk factor for SCII (relative risk 1.1, p = 0.70). The final multivariate model had three significant factors: living with children (odds ratio [OR] 3.7, p = 0.005), immunization (OR 0.50, p = 0.02), and--among persons living in households without children--ownership of a car (OR 3.0, p = 0.02). Living with three or more children (OR 13.8, p < 0.01) was a greater risk than living with one or two children (OR 5.3, p = 0.02). 30% of participants with SCII reported no respiratory illness. Healthcare workers were at slightly higher risk of reporting any respiratory infection than controls (adjusted OR 1.3, p = 0.04, n = 850).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Our results suggest that healthcare workers in hospitals do not have a higher risk of influenza than non-healthcare workers, although their risk of any respiratory infection is slightly raised. Household contacts seem to be more important than exposure to patients. Car ownership is a surprise finding which needs further exploration. Asymptomatic infections are common, accounting for around a third of serologically confirmed infections.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20067628</PMID><DateCompleted><Year>2010</Year><Month>05</Month><Day>10</Day></DateCompleted><DateRevised><Year>2019</Year><Month>01</Month><Day>08</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2334</ISSN><JournalIssue CitedMedium="Internet"><Volume>10</Volume><PubDate><Year>2010</Year><Month>Jan</Month><Day>12</Day></PubDate></JournalIssue><Title>BMC infectious diseases</Title><ISOAbbreviation>BMC Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Seasonal influenza risk in hospital healthcare workers is more strongly associated with household than occupational exposures: results from a prospective cohort study in Berlin, Germany, 2006/07.</ArticleTitle><Pagination><MedlinePgn>8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1471-2334-10-8</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Influenza immunisation for healthcare workers is encouraged to protect their often vulnerable patients but also due to a perceived higher risk for influenza. We aimed to compare the risk of influenza infection in healthcare workers in acute hospital care with that in non-healthcare workers over the same season.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a prospective, multicentre cohort study during the 2006/07 influenza season in Berlin, Germany. Recruited participants gave serum samples before and after the season, and completed questionnaires to determine their relevant exposures and possible confounding factors. The main outcome measure was serologically confirmed influenza infection (SCII), defined as a fourfold or greater rise in haemagglutination inhibition antibody titres to a circulating strain of influenza (with post-season titre at least 1:40).Weekly mobile phone text messages were used to prompt participants to report respiratory illnesses during the influenza season. A logistic regression model was used to assess the influence of potential risk factors.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We recruited 250 hospital healthcare workers (mean age 35.7 years) and 486 non-healthcare workers (mean age 39.2 years) from administrative centres, blood donors and colleges.Overall SCII attack rate was 10.6%. Being a healthcare worker was not a risk factor for SCII (relative risk 1.1, p = 0.70). The final multivariate model had three significant factors: living with children (odds ratio [OR] 3.7, p = 0.005), immunization (OR 0.50, p = 0.02), and--among persons living in households without children--ownership of a car (OR 3.0, p = 0.02). Living with three or more children (OR 13.8, p < 0.01) was a greater risk than living with one or two children (OR 5.3, p = 0.02). 30% of participants with SCII reported no respiratory illness. Healthcare workers were at slightly higher risk of reporting any respiratory infection than controls (adjusted OR 1.3, p = 0.04, n = 850).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our results suggest that healthcare workers in hospitals do not have a higher risk of influenza than non-healthcare workers, although their risk of any respiratory infection is slightly raised. Household contacts seem to be more important than exposure to patients. Car ownership is a surprise finding which needs further exploration. Asymptomatic infections are common, accounting for around a third of serologically confirmed infections.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Williams</LastName><ForeName>Chris J</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany. Christopher.williams@norfolk.nhs.uk</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schweiger</LastName><ForeName>Brunhilde</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Diner</LastName><ForeName>Genia</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Gerlach</LastName><ForeName>Frank</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Haaman</LastName><ForeName>Frank</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Krause</LastName><ForeName>Gérard</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Nienhaus</LastName><ForeName>Albert</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Buchholz</LastName><ForeName>Udo</ForeName><Initials>U</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>01</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Infect Dis</MedlineTA><NlmUniqueID>100968551</NlmUniqueID><ISSNLinking>1471-2334</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000914">Antibodies, Viral</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000818" MajorTopicYN="N">Animals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000914" MajorTopicYN="N">Antibodies, Viral</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001604" MajorTopicYN="N" Type="Geographic">Berlin</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005192" MajorTopicYN="Y">Family Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="Y">Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006385" MajorTopicYN="N">Hemagglutination Inhibition Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006761" MajorTopicYN="N">Hospitals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="Y">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016273" MajorTopicYN="Y">Occupational Exposure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2009</Year><Month>06</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2010</Year><Month>01</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>1</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>1</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>5</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20067628</ArticleId><ArticleId IdType="pii">1471-2334-10-8</ArticleId><ArticleId IdType="doi">10.1186/1471-2334-10-8</ArticleId><ArticleId IdType="pmc">PMC2836320</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Clin Infect Dis. 1999 Jan;28(1):52-6</Citation><ArticleIdList><ArticleId IdType="pubmed">10028071</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA. 1999 Mar 10;281(10):908-13</Citation><ArticleIdList><ArticleId IdType="pubmed">10078487</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2001 Mar 22;344(12):889-96</Citation><ArticleIdList><ArticleId IdType="pubmed">11259722</ArticleId></ArticleIdList></Reference><Reference><Citation>Arch Intern Med. 2001 Sep 24;161(17):2116-22</Citation><ArticleIdList><ArticleId IdType="pubmed">11570941</ArticleId></ArticleIdList></Reference><Reference><Citation>Eur Respir J. 2003 Feb;21(2):303-7</Citation><ArticleIdList><ArticleId IdType="pubmed">12608445</ArticleId></ArticleIdList></Reference><Reference><Citation>Emerg Infect Dis. 2004 Feb;10(2):210-6</Citation><ArticleIdList><ArticleId IdType="pubmed">15030685</ArticleId></ArticleIdList></Reference><Reference><Citation>Br J Gen Pract. 2004 Sep;54(506):684-9</Citation><ArticleIdList><ArticleId IdType="pubmed">15353055</ArticleId></ArticleIdList></Reference><Reference><Citation>Infect Control Hosp Epidemiol. 2004 Nov;25(11):923-8</Citation><ArticleIdList><ArticleId IdType="pubmed">15566025</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2005 Mar 12-18;365(9463):989-96</Citation><ArticleIdList><ArticleId IdType="pubmed">15767002</ArticleId></ArticleIdList></Reference><Reference><Citation>Emerg Infect Dis. 2006 Jan;12(1):88-94</Citation><ArticleIdList><ArticleId IdType="pubmed">16494723</ArticleId></ArticleIdList></Reference><Reference><Citation>BMC Med. 2006 Jul 10;4:17</Citation><ArticleIdList><ArticleId IdType="pubmed">16831228</ArticleId></ArticleIdList></Reference><Reference><Citation>Emerg Infect Dis. 2006 Jul;12(7):1156-9</Citation><ArticleIdList><ArticleId IdType="pubmed">16836841</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Recomm Rep. 2007 Jul 13;56(RR-6):1-54</Citation><ArticleIdList><ArticleId IdType="pubmed">17625497</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Epidemiol. 2008 Apr 1;167(7):775-85</Citation><ArticleIdList><ArticleId IdType="pubmed">18230677</ArticleId></ArticleIdList></Reference><Reference><Citation>Emerg Infect Dis. 2007 Sep;13(9):1307-13</Citation><ArticleIdList><ArticleId IdType="pubmed">18252100</ArticleId></ArticleIdList></Reference><Reference><Citation>Curr Opin Infect Dis. 2008 Aug;21(4):337-43</Citation><ArticleIdList><ArticleId IdType="pubmed">18594283</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 1978 Mar 16;298(11):587-92</Citation><ArticleIdList><ArticleId IdType="pubmed">628375</ArticleId></ArticleIdList></Reference><Reference><Citation>Infect Control Hosp Epidemiol. 1996 Oct;17(10):641-8</Citation><ArticleIdList><ArticleId IdType="pubmed">8899437</ArticleId></ArticleIdList></Reference><Reference><Citation>BMJ. 1996 Nov 16;313(7067):1241-2</Citation><ArticleIdList><ArticleId IdType="pubmed">8939114</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Infect Control. 1997 Aug;25(4):357-62</Citation><ArticleIdList><ArticleId IdType="pubmed">9276549</ArticleId></ArticleIdList></Reference><Reference><Citation>Commun Dis Rep CDR Rev. 1997 Dec 12;7(13):R195-200</Citation><ArticleIdList><ArticleId IdType="pubmed">9447784</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Berlin</li></region><settlement><li>Berlin</li></settlement></list><tree><noCountry><name sortKey="Buchholz, Udo" sort="Buchholz, Udo" uniqKey="Buchholz U" first="Udo" last="Buchholz">Udo Buchholz</name><name sortKey="Diner, Genia" sort="Diner, Genia" uniqKey="Diner G" first="Genia" last="Diner">Genia Diner</name><name sortKey="Gerlach, Frank" sort="Gerlach, Frank" uniqKey="Gerlach F" first="Frank" last="Gerlach">Frank Gerlach</name><name sortKey="Haaman, Frank" sort="Haaman, Frank" uniqKey="Haaman F" first="Frank" last="Haaman">Frank Haaman</name><name sortKey="Krause, Gerard" sort="Krause, Gerard" uniqKey="Krause G" first="Gérard" last="Krause">Gérard Krause</name><name sortKey="Nienhaus, Albert" sort="Nienhaus, Albert" uniqKey="Nienhaus A" first="Albert" last="Nienhaus">Albert Nienhaus</name><name sortKey="Schweiger, Brunhilde" sort="Schweiger, Brunhilde" uniqKey="Schweiger B" first="Brunhilde" last="Schweiger">Brunhilde Schweiger</name></noCountry><country name="Allemagne"><region name="Berlin"><name sortKey="Williams, Chris J" sort="Williams, Chris J" uniqKey="Williams C" first="Chris J" last="Williams">Chris J. Williams</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/GrippeAllemagneV4/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000339 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000339 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= GrippeAllemagneV4
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:20067628
|texte= Seasonal influenza risk in hospital healthcare workers is more strongly associated with household than occupational exposures: results from a prospective cohort study in Berlin, Germany, 2006/07.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:20067628" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a GrippeAllemagneV4
| This area was generated with Dilib version V0.6.35. |  |