GrippeCanadaV3, Main, Exploration, bibRecord, 000329

Risk factors for influenza among health care workers during 2009 pandemic, Toronto, Ontario, Canada.

Identifieur interne : 000329 ( Main/Exploration ); précédent : 000328; suivant : 000330

Risk factors for influenza among health care workers during 2009 pandemic, Toronto, Ontario, Canada.

Auteurs : Stefan P. Kuster [Canada] ; Brenda L. Coleman ; Janet Raboud ; Shelly Mcneil ; Gaston De Serres ; Jonathan Gubbay ; Todd Hatchette ; Kevin C. Katz ; Mark Loeb ; Donald Low ; Tony Mazzulli ; Andrew Simor ; Allison J. Mcgeer

Source :

Emerging infectious diseases [ 1080-6059 ] ; 2013.

RBID : pubmed:23631831

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Grippe humaine (), Grippe humaine (transmission), Grippe humaine (virologie), Grippe humaine (épidémiologie), Humains, Hygiène des mains (), Maladie aigüe, Mâle, Ontario (épidémiologie), Pandémies, Partie nasale du pharynx (virologie), Personnel de santé, Sous-type H1N1 du virus de la grippe A (isolement et purification), Vaccins antigrippaux (administration et posologie).
MESH :
- administration et posologie : Vaccins antigrippaux.
- isolement et purification : Sous-type H1N1 du virus de la grippe A.
- virologie : Grippe humaine, Partie nasale du pharynx.
- épidémiologie : Grippe humaine, Ontario.
- Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Grippe humaine, Humains, Hygiène des mains, Maladie aigüe, Mâle, Pandémies, Personnel de santé.

English descriptors

KwdEn :
- Acute Disease, Adult, Female, Hand Hygiene (statistics & numerical data), Health Personnel, Humans, Influenza A Virus, H1N1 Subtype (isolation & purification), Influenza Vaccines (administration & dosage), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Influenza, Human (transmission), Influenza, Human (virology), Male, Middle Aged, Nasopharynx (virology), Ontario (epidemiology), Pandemics, Risk Factors.
MESH :
- chemical , administration & dosage : Influenza Vaccines.
- geographic , epidemiology : Ontario.
- epidemiology : Influenza, Human.
- isolation & purification : Influenza A Virus, H1N1 Subtype.
- prevention & control : Influenza, Human.
- statistics & numerical data : Hand Hygiene.
- transmission : Influenza, Human.
- virology : Influenza, Human, Nasopharynx.
- Acute Disease, Adult, Female, Health Personnel, Humans, Male, Middle Aged, Pandemics, Risk Factors.

Abstract

This prospective cohort study, performed during the 2009 influenza A(H1N1) pandemic, was aimed to determine whether adults working in acute care hospitals were at higher risk than other working adults for influenza and to assess risk factors for influenza among health care workers (HCWs). We assessed the risk for influenza among 563 HCWs and 169 non-HCWs using PCR to test nasal swab samples collected during acute respiratory illness; results for 13 (2.2%) HCWs and 7 (4.1%) non-HCWs were positive for influenza. Influenza infection was associated with contact with family members who had acute respiratory illnesses (adjusted odds ratio [AOR]: 6.9, 95% CI 2.2-21.8); performing aerosol-generating medical procedures (AOR 2.0, 95% CI 1.1-3.5); and low self-reported adherence to hand hygiene recommendations (AOR 0.9, 95% CI 0.7-1.0). Contact with persons with acute respiratory illness, rather than workplace, was associated with influenza infection. Adherence to infection control recommendations may prevent influenza among HCWs.

DOI: 10.3201/eid1904.111812
PubMed: 23631831

Affiliations:

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

to stream Main, to step Corpus: 000364
to stream Main, to step Curation: 000364

Le document en format XML

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<front><div type="abstract" xml:lang="en">This prospective cohort study, performed during the 2009 influenza A(H1N1) pandemic, was aimed to determine whether adults working in acute care hospitals were at higher risk than other working adults for influenza and to assess risk factors for influenza among health care workers (HCWs). We assessed the risk for influenza among 563 HCWs and 169 non-HCWs using PCR to test nasal swab samples collected during acute respiratory illness; results for 13 (2.2%) HCWs and 7 (4.1%) non-HCWs were positive for influenza. Influenza infection was associated with contact with family members who had acute respiratory illnesses (adjusted odds ratio [AOR]: 6.9, 95% CI 2.2-21.8); performing aerosol-generating medical procedures (AOR 2.0, 95% CI 1.1-3.5); and low self-reported adherence to hand hygiene recommendations (AOR 0.9, 95% CI 0.7-1.0). Contact with persons with acute respiratory illness, rather than workplace, was associated with influenza infection. Adherence to infection control recommendations may prevent influenza among HCWs.</div>
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<ArticleTitle>Risk factors for influenza among health care workers during 2009 pandemic, Toronto, Ontario, Canada.</ArticleTitle>
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<Abstract><AbstractText>This prospective cohort study, performed during the 2009 influenza A(H1N1) pandemic, was aimed to determine whether adults working in acute care hospitals were at higher risk than other working adults for influenza and to assess risk factors for influenza among health care workers (HCWs). We assessed the risk for influenza among 563 HCWs and 169 non-HCWs using PCR to test nasal swab samples collected during acute respiratory illness; results for 13 (2.2%) HCWs and 7 (4.1%) non-HCWs were positive for influenza. Influenza infection was associated with contact with family members who had acute respiratory illnesses (adjusted odds ratio [AOR]: 6.9, 95% CI 2.2-21.8); performing aerosol-generating medical procedures (AOR 2.0, 95% CI 1.1-3.5); and low self-reported adherence to hand hygiene recommendations (AOR 0.9, 95% CI 0.7-1.0). Contact with persons with acute respiratory illness, rather than workplace, was associated with influenza infection. Adherence to infection control recommendations may prevent influenza among HCWs.</AbstractText>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kuster</LastName>
<ForeName>Stefan P</ForeName>
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<AffiliationInfo><Affiliation>Department of Microbiology, Mount Sinai Hospital, and University of Toronto, Toronto, Ontario, Canada. spkuster@gmail.com</Affiliation>
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<Author ValidYN="Y"><LastName>Coleman</LastName>
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<Initials>BL</Initials>
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<Author ValidYN="Y"><LastName>Raboud</LastName>
<ForeName>Janet</ForeName>
<Initials>J</Initials>
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<Author ValidYN="Y"><LastName>McNeil</LastName>
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<ForeName>Gaston</ForeName>
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<Author ValidYN="Y"><LastName>Gubbay</LastName>
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<MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
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<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
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<Keyword MajorTopicYN="N">health care worker</Keyword>
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<Keyword MajorTopicYN="N">respiratory</Keyword>
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<InvestigatorList><Investigator ValidYN="Y"><LastName>Borgundvaag</LastName>
<ForeName>Bjug</ForeName>
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<Investigator ValidYN="Y"><LastName>Green</LastName>
<ForeName>Karen</ForeName>
<Initials>K</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Moore</LastName>
<ForeName>Christine</ForeName>
<Initials>C</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Drews</LastName>
<ForeName>Steven</ForeName>
<Initials>S</Initials>
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<Investigator ValidYN="Y"><LastName>Holness</LastName>
<ForeName>D Linn</ForeName>
<Initials>DL</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Muller</LastName>
<ForeName>Matthew</ForeName>
<Initials>M</Initials>
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<Investigator ValidYN="Y"><LastName>Johnstone</LastName>
<ForeName>Jennifer</ForeName>
<Initials>J</Initials>
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<Investigator ValidYN="Y"><LastName>Langley</LastName>
<ForeName>Joanne</ForeName>
<Initials>J</Initials>
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<Investigator ValidYN="Y"><LastName>Kwong</LastName>
<ForeName>Jeffrey C</ForeName>
<Initials>JC</Initials>
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<Investigator ValidYN="Y"><LastName>Nichol</LastName>
<ForeName>Kathryn</ForeName>
<Initials>K</Initials>
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Risk factors for influenza among health care workers during 2009 pandemic, Toronto, Ontario, Canada.

Risk factors for influenza among health care workers during 2009 pandemic, Toronto, Ontario, Canada.

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