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Influenza outbreaks management in a French psychiatric hospital from 2004 to 2012.

Identifieur interne : 000212 ( Main/Exploration ); précédent : 000211; suivant : 000213

Influenza outbreaks management in a French psychiatric hospital from 2004 to 2012.

Auteurs : Philippe Gaspard [France] ; Anne Mosnier [France] ; Dominique Gunther [France] ; Céline Lochert [France] ; Sabrina Larocca [France] ; Pascale Minery [France] ; Françoise Stoll-Keller [France] ; Xavier Bertrand [France] ; Daniel Talon [France]

Source :

RBID : pubmed:24095038

Descripteurs français

English descriptors

Abstract

OBJECTIVE

Influenza epidemics can have consequences in terms of morbidity and mortality for the patients. This work assesses influenza outbreaks in order to validate and optimize alert and control measures in a psychiatric hospital.

METHOD

The prospective monitoring of influenza episodes was conducted for 8 years in 19 units of a mental health hospital. Rapid influenza diagnostic tests were used. The study of the episodes with confirmed influenza cases was carried out.

RESULTS

Influenza monitoring and alert were essential with information and laboratory-confirmed cases. Influenza was common with a total of 20 episodes for the studied period. A maximum of 25% (5/20) of the units were affected in 2008-2009. Rapid influenza diagnostic tests allowed a quick identification with an average time of 1.5 days. Mainly, control measures limited the spread of the influenza virus in units with patient not at high risk of complications. On the other hand, antiviral curative treatment and chemoprophylaxis are essential in units with patients at high risk of complications.

CONCLUSION

In a psychiatric hospital, influenza management has to take into account the exposed patient's risks for influenza complications and to adapt the strategy according to the risks identified.


DOI: 10.1016/j.genhosppsych.2013.01.009
PubMed: 24095038


Affiliations:


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


Le document en format XML

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<settlement type="city">Strasbourg</settlement>
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<name sortKey="Bertrand, Xavier" sort="Bertrand, Xavier" uniqKey="Bertrand X" first="Xavier" last="Bertrand">Xavier Bertrand</name>
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<nlm:affiliation>UMR 6249 Chrono-environnement, Université de Franche-Comté, Besançon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<name sortKey="Talon, Daniel" sort="Talon, Daniel" uniqKey="Talon D" first="Daniel" last="Talon">Daniel Talon</name>
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<nlm:affiliation>UMR 6249 Chrono-environnement, Université de Franche-Comté, Besançon, France.</nlm:affiliation>
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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Antiviral Agents (therapeutic use)</term>
<term>Cross Infection (prevention & control)</term>
<term>Disease Outbreaks (prevention & control)</term>
<term>France (epidemiology)</term>
<term>Hospitals, Psychiatric (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infection Control (methods)</term>
<term>Influenza Vaccines (therapeutic use)</term>
<term>Influenza, Human (diagnosis)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (therapy)</term>
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<term>Middle Aged (MeSH)</term>
<term>Protective Clothing (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Antiviraux (usage thérapeutique)</term>
<term>France (épidémiologie)</term>
<term>Grippe humaine (diagnostic)</term>
<term>Grippe humaine (thérapie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Hôpitaux psychiatriques (MeSH)</term>
<term>Infection croisée (prévention et contrôle)</term>
<term>Masques (MeSH)</term>
<term>Prévention des infections (méthodes)</term>
<term>Sujet âgé (MeSH)</term>
<term>Vaccins antigrippaux (usage thérapeutique)</term>
<term>Vêtements de protection (MeSH)</term>
<term>Épidémies de maladies (prévention et contrôle)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Antiviral Agents</term>
<term>Influenza Vaccines</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Infection Control</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Prévention des infections</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Cross Infection</term>
<term>Disease Outbreaks</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr">
<term>Infection croisée</term>
<term>Épidémies de maladies</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr">
<term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Antiviraux</term>
<term>Vaccins antigrippaux</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>France</term>
<term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Hospitals, Psychiatric</term>
<term>Humans</term>
<term>Masks</term>
<term>Middle Aged</term>
<term>Protective Clothing</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Humains</term>
<term>Hôpitaux psychiatriques</term>
<term>Masques</term>
<term>Sujet âgé</term>
<term>Vêtements de protection</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>Influenza epidemics can have consequences in terms of morbidity and mortality for the patients. This work assesses influenza outbreaks in order to validate and optimize alert and control measures in a psychiatric hospital.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHOD</b>
</p>
<p>The prospective monitoring of influenza episodes was conducted for 8 years in 19 units of a mental health hospital. Rapid influenza diagnostic tests were used. The study of the episodes with confirmed influenza cases was carried out.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Influenza monitoring and alert were essential with information and laboratory-confirmed cases. Influenza was common with a total of 20 episodes for the studied period. A maximum of 25% (5/20) of the units were affected in 2008-2009. Rapid influenza diagnostic tests allowed a quick identification with an average time of 1.5 days. Mainly, control measures limited the spread of the influenza virus in units with patient not at high risk of complications. On the other hand, antiviral curative treatment and chemoprophylaxis are essential in units with patients at high risk of complications.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>In a psychiatric hospital, influenza management has to take into account the exposed patient's risks for influenza complications and to adapt the strategy according to the risks identified.</p>
</div>
</front>
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<Title>General hospital psychiatry</Title>
<ISOAbbreviation>Gen Hosp Psychiatry</ISOAbbreviation>
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<ArticleTitle>Influenza outbreaks management in a French psychiatric hospital from 2004 to 2012.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Influenza epidemics can have consequences in terms of morbidity and mortality for the patients. This work assesses influenza outbreaks in order to validate and optimize alert and control measures in a psychiatric hospital.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">The prospective monitoring of influenza episodes was conducted for 8 years in 19 units of a mental health hospital. Rapid influenza diagnostic tests were used. The study of the episodes with confirmed influenza cases was carried out.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Influenza monitoring and alert were essential with information and laboratory-confirmed cases. Influenza was common with a total of 20 episodes for the studied period. A maximum of 25% (5/20) of the units were affected in 2008-2009. Rapid influenza diagnostic tests allowed a quick identification with an average time of 1.5 days. Mainly, control measures limited the spread of the influenza virus in units with patient not at high risk of complications. On the other hand, antiviral curative treatment and chemoprophylaxis are essential in units with patients at high risk of complications.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In a psychiatric hospital, influenza management has to take into account the exposed patient's risks for influenza complications and to adapt the strategy according to the risks identified.</AbstractText>
<CopyrightInformation>Copyright © 2014 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Gaspard</LastName>
<ForeName>Philippe</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Equipe Inter-établissement d'Hygiène Hospitalière, coordination GROG Géronto-Alsace - Centre Hospitalier de Rouffach, 68250 Rouffach, France; UMR 6249 Chrono-environnement, Université de Franche-Comté, Besançon, France. Electronic address: ph.gaspard@ch-rouffach.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mosnier</LastName>
<ForeName>Anne</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Coordination nationale des GROG (Groupe Régionaux d'Observation de la Grippe), 75018 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gunther</LastName>
<ForeName>Dominique</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Equipe Inter-établissement d'Hygiène Hospitalière, coordination GROG Géronto-Alsace - Centre Hospitalier de Rouffach, 68250 Rouffach, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lochert</LastName>
<ForeName>Céline</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Equipe Inter-établissement d'Hygiène Hospitalière, coordination GROG Géronto-Alsace - Centre Hospitalier de Rouffach, 68250 Rouffach, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Larocca</LastName>
<ForeName>Sabrina</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Equipe Inter-établissement d'Hygiène Hospitalière, coordination GROG Géronto-Alsace - Centre Hospitalier de Rouffach, 68250 Rouffach, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Minery</LastName>
<ForeName>Pascale</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Laboratoire de biologie médicale, Centre Hospitalier de Rouffach, 68250 Rouffach, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Stoll-Keller</LastName>
<ForeName>Françoise</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Laboratoire de Virologie, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bertrand</LastName>
<ForeName>Xavier</ForeName>
<Initials>X</Initials>
<AffiliationInfo>
<Affiliation>UMR 6249 Chrono-environnement, Université de Franche-Comté, Besançon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Talon</LastName>
<ForeName>Daniel</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>UMR 6249 Chrono-environnement, Université de Franche-Comté, Besançon, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2013</Year>
<Month>10</Month>
<Day>02</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>United States</Country>
<MedlineTA>Gen Hosp Psychiatry</MedlineTA>
<NlmUniqueID>7905527</NlmUniqueID>
<ISSNLinking>0163-8343</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D000998">Antiviral Agents</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000998" MajorTopicYN="N">Antiviral Agents</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003428" MajorTopicYN="N">Cross Infection</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004196" MajorTopicYN="N">Disease Outbreaks</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006778" MajorTopicYN="Y">Hospitals, Psychiatric</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008397" MajorTopicYN="N">Masks</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011481" MajorTopicYN="N">Protective Clothing</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Geriatrics</Keyword>
<Keyword MajorTopicYN="N">Influenza</Keyword>
<Keyword MajorTopicYN="N">Nosocomial</Keyword>
<Keyword MajorTopicYN="N">Prophylaxis</Keyword>
<Keyword MajorTopicYN="N">Psychiatry</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2012</Year>
<Month>09</Month>
<Day>27</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2013</Year>
<Month>01</Month>
<Day>13</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2013</Year>
<Month>01</Month>
<Day>15</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2013</Year>
<Month>10</Month>
<Day>8</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2013</Year>
<Month>10</Month>
<Day>8</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2014</Year>
<Month>9</Month>
<Day>2</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">24095038</ArticleId>
<ArticleId IdType="pii">S0163-8343(13)00014-5</ArticleId>
<ArticleId IdType="doi">10.1016/j.genhosppsych.2013.01.009</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Alsace (région administrative)</li>
<li>Bourgogne-Franche-Comté</li>
<li>Franche-Comté</li>
<li>Grand Est</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Besançon</li>
<li>Paris</li>
<li>Rouffach</li>
<li>Strasbourg</li>
</settlement>
<orgName>
<li>Université de Franche-Comté</li>
</orgName>
</list>
<tree>
<country name="France">
<region name="Bourgogne-Franche-Comté">
<name sortKey="Gaspard, Philippe" sort="Gaspard, Philippe" uniqKey="Gaspard P" first="Philippe" last="Gaspard">Philippe Gaspard</name>
</region>
<name sortKey="Bertrand, Xavier" sort="Bertrand, Xavier" uniqKey="Bertrand X" first="Xavier" last="Bertrand">Xavier Bertrand</name>
<name sortKey="Gunther, Dominique" sort="Gunther, Dominique" uniqKey="Gunther D" first="Dominique" last="Gunther">Dominique Gunther</name>
<name sortKey="Larocca, Sabrina" sort="Larocca, Sabrina" uniqKey="Larocca S" first="Sabrina" last="Larocca">Sabrina Larocca</name>
<name sortKey="Lochert, Celine" sort="Lochert, Celine" uniqKey="Lochert C" first="Céline" last="Lochert">Céline Lochert</name>
<name sortKey="Minery, Pascale" sort="Minery, Pascale" uniqKey="Minery P" first="Pascale" last="Minery">Pascale Minery</name>
<name sortKey="Mosnier, Anne" sort="Mosnier, Anne" uniqKey="Mosnier A" first="Anne" last="Mosnier">Anne Mosnier</name>
<name sortKey="Stoll Keller, Francoise" sort="Stoll Keller, Francoise" uniqKey="Stoll Keller F" first="Françoise" last="Stoll-Keller">Françoise Stoll-Keller</name>
<name sortKey="Talon, Daniel" sort="Talon, Daniel" uniqKey="Talon D" first="Daniel" last="Talon">Daniel Talon</name>
</country>
</tree>
</affiliations>
</record>

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