GrippeCanadaV3, Main, Exploration, bibRecord, 000003

Which healthcare workers work with acute respiratory illness? Evidence from Canadian acute-care hospitals during 4 influenza seasons: 2010-2011 to 2013-2014.

Identifieur interne : 000003 ( Main/Exploration ); précédent : 000002; suivant : 000004

Which healthcare workers work with acute respiratory illness? Evidence from Canadian acute-care hospitals during 4 influenza seasons: 2010-2011 to 2013-2014.

Auteurs : Lili Jiang [Canada] ; Allison Mcgeer [Canada] ; Shelly Mcneil [Canada] ; Kevin Katz [Canada] ; Mark Loeb [Canada] ; Matthew P. Muller [Canada] ; Andrew Simor [Canada] ; Jeff Powis [Canada] ; Philipp Kohler [Canada] ; Julia M. Di Bella [Canada] ; Brenda L. Coleman [Canada]

Source :

Infection control and hospital epidemiology [ 1559-6834 ] ; 2019.

RBID : pubmed:31208477

Descripteurs français

KwdFr :
- Absentéisme, Adulte, Adulte d'âge moyen, Canada, Femelle, Grippe humaine, Humains, Insuffisance respiratoire, Jeune adulte, Maladie aigüe, Mâle, Personnel de santé, Saisons, Sujet âgé, Surveillance de la population, Transmission de maladie infectieuse (), Études prospectives.
MESH :
- Absentéisme, Adulte, Adulte d'âge moyen, Canada, Femelle, Grippe humaine, Humains, Insuffisance respiratoire, Jeune adulte, Maladie aigüe, Mâle, Personnel de santé, Saisons, Sujet âgé, Surveillance de la population, Transmission de maladie infectieuse, Études prospectives.
Wicri :
- geographic : Canada.

English descriptors

KwdEn :
- Absenteeism, Acute Disease, Adult, Aged, Canada, Disease Transmission, Infectious (prevention & control), Female, Health Personnel, Humans, Influenza, Human, Male, Middle Aged, Population Surveillance, Prospective Studies, Respiratory Insufficiency, Seasons, Young Adult.
MESH :
- geographic : Canada.
- prevention & control : Disease Transmission, Infectious.
- Absenteeism, Acute Disease, Adult, Aged, Female, Health Personnel, Humans, Influenza, Human, Male, Middle Aged, Population Surveillance, Prospective Studies, Respiratory Insufficiency, Seasons, Young Adult.

Abstract

BACKGROUND

Healthcare workers (HCWs) are at risk of acquiring and transmitting respiratory viruses while working in healthcare settings.

OBJECTIVES

To investigate the incidence of and factors associated with HCWs working during an acute respiratory illness (ARI).

METHODS

HCWs from 9 Canadian hospitals were prospectively enrolled in active surveillance for ARI during the 2010-2011 to 2013-2014 influenza seasons. Daily illness diaries during ARI episodes collected information on symptoms and work attendance.

RESULTS

At least 1 ARI episode was reported by 50.4% of participants each study season. Overall, 94.6% of ill individuals reported working at least 1 day while symptomatic, resulting in an estimated 1.9 days of working while symptomatic and 0.5 days of absence during an ARI per participant season. In multivariable analysis, the adjusted relative risk of working while symptomatic was higher for physicians and lower for nurses relative to other HCWs. Participants were more likely to work if symptoms were less severe and on the illness onset date compared to subsequent days. The most cited reason for working while symptomatic was that symptoms were mild and the HCW felt well enough to work (67%). Participants were more likely to state that they could not afford to stay home if they did not have paid sick leave and were younger.

CONCLUSIONS

HCWs worked during most episodes of ARI, most often because their symptoms were mild. Further data are needed to understand how best to balance the costs and risks of absenteeism versus those associated with working while ill.

DOI: 10.1017/ice.2019.141
PubMed: 31208477

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Absenteeism</term>
<term>Acute Disease</term>
<term>Adult</term>
<term>Aged</term>
<term>Canada</term>
<term>Disease Transmission, Infectious (prevention & control)</term>
<term>Female</term>
<term>Health Personnel</term>
<term>Humans</term>
<term>Influenza, Human</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Population Surveillance</term>
<term>Prospective Studies</term>
<term>Respiratory Insufficiency</term>
<term>Seasons</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Canada</term>
<term>Femelle</term>
<term>Grippe humaine</term>
<term>Humains</term>
<term>Insuffisance respiratoire</term>
<term>Jeune adulte</term>
<term>Maladie aigüe</term>
<term>Mâle</term>
<term>Personnel de santé</term>
<term>Saisons</term>
<term>Sujet âgé</term>
<term>Surveillance de la population</term>
<term>Transmission de maladie infectieuse ()</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Disease Transmission, Infectious</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Absenteeism</term>
<term>Acute Disease</term>
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Health Personnel</term>
<term>Humans</term>
<term>Influenza, Human</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Population Surveillance</term>
<term>Prospective Studies</term>
<term>Respiratory Insufficiency</term>
<term>Seasons</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Absentéisme</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Canada</term>
<term>Femelle</term>
<term>Grippe humaine</term>
<term>Humains</term>
<term>Insuffisance respiratoire</term>
<term>Jeune adulte</term>
<term>Maladie aigüe</term>
<term>Mâle</term>
<term>Personnel de santé</term>
<term>Saisons</term>
<term>Sujet âgé</term>
<term>Surveillance de la population</term>
<term>Transmission de maladie infectieuse</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Healthcare workers (HCWs) are at risk of acquiring and transmitting respiratory viruses while working in healthcare settings.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>To investigate the incidence of and factors associated with HCWs working during an acute respiratory illness (ARI).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>HCWs from 9 Canadian hospitals were prospectively enrolled in active surveillance for ARI during the 2010-2011 to 2013-2014 influenza seasons. Daily illness diaries during ARI episodes collected information on symptoms and work attendance.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>At least 1 ARI episode was reported by 50.4% of participants each study season. Overall, 94.6% of ill individuals reported working at least 1 day while symptomatic, resulting in an estimated 1.9 days of working while symptomatic and 0.5 days of absence during an ARI per participant season. In multivariable analysis, the adjusted relative risk of working while symptomatic was higher for physicians and lower for nurses relative to other HCWs. Participants were more likely to work if symptoms were less severe and on the illness onset date compared to subsequent days. The most cited reason for working while symptomatic was that symptoms were mild and the HCW felt well enough to work (67%). Participants were more likely to state that they could not afford to stay home if they did not have paid sick leave and were younger.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>HCWs worked during most episodes of ARI, most often because their symptoms were mild. Further data are needed to understand how best to balance the costs and risks of absenteeism versus those associated with working while ill.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2020</Year>
<Month>04</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>04</Month>
<Day>17</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1559-6834</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>40</Volume>
<Issue>8</Issue>
<PubDate><Year>2019</Year>
<Month>08</Month>
</PubDate>
</JournalIssue>
<Title>Infection control and hospital epidemiology</Title>
<ISOAbbreviation>Infect Control Hosp Epidemiol</ISOAbbreviation>
</Journal>
<ArticleTitle>Which healthcare workers work with acute respiratory illness? Evidence from Canadian acute-care hospitals during 4 influenza seasons: 2010-2011 to 2013-2014.</ArticleTitle>
<Pagination><MedlinePgn>889-896</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1017/ice.2019.141</ELocationID>
<Abstract><AbstractText Label="BACKGROUND">Healthcare workers (HCWs) are at risk of acquiring and transmitting respiratory viruses while working in healthcare settings.</AbstractText>
<AbstractText Label="OBJECTIVES">To investigate the incidence of and factors associated with HCWs working during an acute respiratory illness (ARI).</AbstractText>
<AbstractText Label="METHODS">HCWs from 9 Canadian hospitals were prospectively enrolled in active surveillance for ARI during the 2010-2011 to 2013-2014 influenza seasons. Daily illness diaries during ARI episodes collected information on symptoms and work attendance.</AbstractText>
<AbstractText Label="RESULTS">At least 1 ARI episode was reported by 50.4% of participants each study season. Overall, 94.6% of ill individuals reported working at least 1 day while symptomatic, resulting in an estimated 1.9 days of working while symptomatic and 0.5 days of absence during an ARI per participant season. In multivariable analysis, the adjusted relative risk of working while symptomatic was higher for physicians and lower for nurses relative to other HCWs. Participants were more likely to work if symptoms were less severe and on the illness onset date compared to subsequent days. The most cited reason for working while symptomatic was that symptoms were mild and the HCW felt well enough to work (67%). Participants were more likely to state that they could not afford to stay home if they did not have paid sick leave and were younger.</AbstractText>
<AbstractText Label="CONCLUSIONS">HCWs worked during most episodes of ARI, most often because their symptoms were mild. Further data are needed to understand how best to balance the costs and risks of absenteeism versus those associated with working while ill.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jiang</LastName>
<ForeName>Lili</ForeName>
<Initials>L</Initials>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>McGeer</LastName>
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<Initials>A</Initials>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>McNeil</LastName>
<ForeName>Shelly</ForeName>
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<AffiliationInfo><Affiliation>Queen Elizabeth II Hospital,Halifax, Nova Scotia,Canada.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Katz</LastName>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Loeb</LastName>
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<Author ValidYN="Y"><LastName>Muller</LastName>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Simor</LastName>
<ForeName>Andrew</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>University of Toronto,Toronto, Ontario,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Powis</LastName>
<ForeName>Jeff</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Toronto East Health Network,Toronto, Ontario,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kohler</LastName>
<ForeName>Philipp</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Sinai Health System,Toronto, Ontario,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Di Bella</LastName>
<ForeName>Julia M</ForeName>
<Initials>JM</Initials>
<AffiliationInfo><Affiliation>University of Toronto,Toronto, Ontario,Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Coleman</LastName>
<ForeName>Brenda L</ForeName>
<Initials>BL</Initials>
<Identifier Source="ORCID">0000-0002-7144-4827</Identifier>
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   |texte=   Which healthcare workers work with acute respiratory illness? Evidence from Canadian acute-care hospitals during 4 influenza seasons: 2010-2011 to 2013-2014.
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Which healthcare workers work with acute respiratory illness? Evidence from Canadian acute-care hospitals during 4 influenza seasons: 2010-2011 to 2013-2014.

Which healthcare workers work with acute respiratory illness? Evidence from Canadian acute-care hospitals during 4 influenza seasons: 2010-2011 to 2013-2014.

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