Infection control influence of Middle East respiratory syndrome coronavirus: A hospital-based analysis
Identifieur interne : 000936 ( Main/Exploration ); précédent : 000935; suivant : 000937Infection control influence of Middle East respiratory syndrome coronavirus: A hospital-based analysis
Auteurs : Jaffar A. Al-Tawfiq [Arabie saoudite, États-Unis] ; Rana Abdrabalnabi [Arabie saoudite] ; Alla Taher [Arabie saoudite] ; Shantymole Mathew [Arabie saoudite] ; Kamal Abdul Rahman [Arabie saoudite]Source :
- American Journal of Infection Control [ 0196-6553 ] ; 2018.
Descripteurs français
- KwdFr :
- Coûts des soins de santé (), Hygiène des mains (), Hôpitaux, Infection croisée (), Infection croisée (transmission), Infection croisée (épidémiologie), Infections à coronavirus (), Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Lutte contre l'infection (), Transmission de maladie infectieuse (), Équipement de protection individuelle ().
- MESH :
English descriptors
- KwdEn :
- Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Coronavirus Infections (transmission), Cross Infection (epidemiology), Cross Infection (prevention & control), Cross Infection (transmission), Disease Transmission, Infectious (prevention & control), Equipment and Supplies Utilization (statistics & numerical data), Hand Hygiene (methods), Health Care Costs (statistics & numerical data), Hospitals, Infection Control (methods), Personal Protective Equipment (statistics & numerical data).
- MESH :
- epidemiology : Coronavirus Infections, Cross Infection.
- methods : Hand Hygiene, Infection Control.
- prevention & control : Coronavirus Infections, Cross Infection, Disease Transmission, Infectious.
- statistics & numerical data : Equipment and Supplies Utilization, Health Care Costs, Personal Protective Equipment.
- transmission : Coronavirus Infections, Cross Infection.
- Hospitals.
Abstract
Middle East respiratory syndrome coronavirus (MERS-CoV) caused multiple outbreaks. Such outbreaks increase economic and infection control burdens. We studied the infection control influence of MERS-CoV using a hospital-based analysis.
Our hospital had 17 positive and 82 negative cases of MERS-CoV between April 1, 2013, and June 3, 2013. The study evaluated the impact of these cases on the use of gloves, surgical masks, N95 respirators, alcohol-based hand sanitizer, and soap, as well as hand hygiene compliance rates.
During the study, the use of personal protective equipment during MERS-CoV compared with theperiod before MERS-CoV increased dramatically from 2,947.4 to 10,283.9 per 1,000 patient-days (
There was a significant increase in the utilization of surgical masks, respirators, soap and alcohol-based hand sanitizers. Such an increase is a challenge and adds cost to the healthcare system.
Url:
DOI: 10.1016/j.ajic.2018.09.015
PubMed: 30502108
PubMed Central: 7115328
Affiliations:
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A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran</wicri:regionArea><wicri:noRegion>Dhahran</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="aff0002">Indiana University School of Medicine, Indianapolis, IN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Indiana University School of Medicine, Indianapolis, IN</wicri:regionArea><placeName><region type="state">Indiana</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff0003">Johns Hopkins University School of Medicine, Baltimore, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Johns Hopkins University School of Medicine, Baltimore, MD</wicri:regionArea><placeName><region 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(methods)</term><term>Personal Protective Equipment (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Coûts des soins de santé ()</term><term>Hygiène des mains ()</term><term>Hôpitaux</term><term>Infection croisée ()</term><term>Infection croisée (transmission)</term><term>Infection croisée (épidémiologie)</term><term>Infections à coronavirus ()</term><term>Infections à coronavirus (transmission)</term><term>Infections à coronavirus (épidémiologie)</term><term>Lutte contre l'infection ()</term><term>Transmission de maladie infectieuse ()</term><term>Équipement de protection individuelle ()</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Cross Infection</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Hand Hygiene</term><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Cross Infection</term><term>Disease Transmission, Infectious</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Equipment and Supplies Utilization</term><term>Health Care Costs</term><term>Personal Protective Equipment</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term><term>Cross Infection</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infection croisée</term><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Hospitals</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Coûts des soins de santé</term><term>Hygiène des mains</term><term>Hôpitaux</term><term>Infection croisée</term><term>Infections à coronavirus</term><term>Lutte contre l'infection</term><term>Transmission de maladie infectieuse</term><term>Équipement de protection individuelle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Middle East respiratory syndrome coronavirus (MERS-CoV) caused multiple outbreaks. Such outbreaks increase economic and infection control burdens. We studied the infection control influence of MERS-CoV using a hospital-based analysis.</p></sec><sec><title>Methods</title><p>Our hospital had 17 positive and 82 negative cases of MERS-CoV between April 1, 2013, and June 3, 2013. The study evaluated the impact of these cases on the use of gloves, surgical masks, N95 respirators, alcohol-based hand sanitizer, and soap, as well as hand hygiene compliance rates.</p></sec><sec><title>Results</title><p>During the study, the use of personal protective equipment during MERS-CoV compared with theperiod before MERS-CoV increased dramatically from 2,947.4 to 10,283.9 per 1,000 patient-days (<italic>P</italic><.0000001) for surgical masks and from 22 to 232 per 1,000 patient-days (<italic>P</italic> <.0000001) for N95 masks. The use of alcohol-based hand sanitizer and soap showed a significant increase in utilized amount (<italic>P</italic><.0000001). Hand hygiene compliance rates increased from 73% just before the occurrence of the first MERS case to 88% during MERS cases (<italic>P</italic> = .0001). The monthly added cost was $16,400 for included infection control items.</p></sec><sec><title>Conclusions</title><p>There was a significant increase in the utilization of surgical masks, respirators, soap and alcohol-based hand sanitizers. Such an increase is a challenge and adds cost to the healthcare system.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zaki, Am" uniqKey="Zaki A">AM Zaki</name></author><author><name sortKey="Van Boheemen, S" uniqKey="Van Boheemen S">S van Boheemen</name></author><author><name sortKey="Bestebroer, Tm" uniqKey="Bestebroer T">TM Bestebroer</name></author><author><name sortKey="Osterhaus, Adme" uniqKey="Osterhaus A">ADME Osterhaus</name></author><author><name sortKey="Fouchier, Ram" uniqKey="Fouchier R">RAM Fouchier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Assiri, A" uniqKey="Assiri A">A Assiri</name></author><author><name sortKey="Mcgeer, A" uniqKey="Mcgeer A">A McGeer</name></author><author><name sortKey="Perl, Tm" uniqKey="Perl T">TM Perl</name></author><author><name sortKey="Price, Cs" uniqKey="Price C">CS Price</name></author><author><name sortKey="Al Rabeeah, Aa" uniqKey="Al 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Ms" uniqKey="Abed M">MS Abed</name></author><author><name sortKey="Al Yami, N" uniqKey="Al Yami N">N Al-Yami</name></author><author><name sortKey="Birrer, Rb" uniqKey="Birrer R">RB Birrer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Tawfiq, Ja" uniqKey="Al Tawfiq J">JA Al-Tawfiq</name></author><author><name sortKey="Treble, M" uniqKey="Treble M">M Treble</name></author><author><name sortKey="Abdrabalnabi, R" uniqKey="Abdrabalnabi R">R Abdrabalnabi</name></author><author><name sortKey="Okeahialam, C" uniqKey="Okeahialam C">C Okeahialam</name></author><author><name sortKey="Khazindar, S" uniqKey="Khazindar S">S Khazindar</name></author><author><name sortKey="Myers, S" uniqKey="Myers S">S. 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Al-Tawfiq</name></noRegion><name sortKey="Abdrabalnabi, Rana" sort="Abdrabalnabi, Rana" uniqKey="Abdrabalnabi R" first="Rana" last="Abdrabalnabi">Rana Abdrabalnabi</name><name sortKey="Mathew, Shantymole" sort="Mathew, Shantymole" uniqKey="Mathew S" first="Shantymole" last="Mathew">Shantymole Mathew</name><name sortKey="Rahman, Kamal Abdul" sort="Rahman, Kamal Abdul" uniqKey="Rahman K" first="Kamal Abdul" last="Rahman">Kamal Abdul Rahman</name><name sortKey="Taher, Alla" sort="Taher, Alla" uniqKey="Taher A" first="Alla" last="Taher">Alla Taher</name></country><country name="États-Unis"><region name="Indiana"><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name></region><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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