Infection control influence of Middle East respiratory syndrome coronavirus: A hospital-based analysis
Identifieur interne : 000A43 ( Pmc/Curation ); précédent : 000A42; suivant : 000A44Infection 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.
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
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Infection control influence of Middle East respiratory syndrome coronavirus: A hospital-based analysis</title>
<author><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>
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<affiliation wicri:level="1"><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>
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<affiliation wicri:level="1"><nlm:aff id="aff0003">Johns Hopkins University School of Medicine, Baltimore, MD, USA</nlm:aff>
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<wicri:regionArea>Johns Hopkins University School of Medicine, Baltimore, MD</wicri:regionArea>
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<author><name sortKey="Abdrabalnabi, Rana" sort="Abdrabalnabi, Rana" uniqKey="Abdrabalnabi R" first="Rana" last="Abdrabalnabi">Rana Abdrabalnabi</name>
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<author><name sortKey="Taher, Alla" sort="Taher, Alla" uniqKey="Taher A" first="Alla" last="Taher">Alla Taher</name>
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<author><name sortKey="Mathew, Shantymole" sort="Mathew, Shantymole" uniqKey="Mathew S" first="Shantymole" last="Mathew">Shantymole Mathew</name>
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<author><name sortKey="Rahman, Kamal Abdul" sort="Rahman, Kamal Abdul" uniqKey="Rahman K" first="Kamal Abdul" last="Rahman">Kamal Abdul Rahman</name>
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<series><title level="j">American Journal of Infection Control</title>
<idno type="ISSN">0196-6553</idno>
<idno type="eISSN">1527-3296</idno>
<imprint><date when="2018">2018</date>
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<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>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Infect Control</journal-id>
<journal-id journal-id-type="iso-abbrev">Am J Infect Control</journal-id>
<journal-title-group><journal-title>American Journal of Infection Control</journal-title>
</journal-title-group>
<issn pub-type="ppub">0196-6553</issn>
<issn pub-type="epub">1527-3296</issn>
<publisher><publisher-name>Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">30502108</article-id>
<article-id pub-id-type="pmc">7115328</article-id>
<article-id pub-id-type="publisher-id">S0196-6553(18)30944-1</article-id>
<article-id pub-id-type="doi">10.1016/j.ajic.2018.09.015</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Infection control influence of Middle East respiratory syndrome coronavirus: A hospital-based analysis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" id="au0001"><name><surname>Al-Tawfiq</surname>
<given-names>Jaffar A.</given-names>
</name>
<degrees>MD, FACP, FRCPE, FRCPL</degrees>
<email>jaltawfi@yahoo.com</email>
<xref rid="aff0001" ref-type="aff">a</xref>
<xref rid="aff0002" ref-type="aff">b</xref>
<xref rid="aff0003" ref-type="aff">c</xref>
<xref rid="cor0001" ref-type="corresp">⁎</xref>
</contrib>
<contrib contrib-type="author" id="au0002"><name><surname>Abdrabalnabi</surname>
<given-names>Rana</given-names>
</name>
<degrees>RN, MPH</degrees>
<xref rid="aff0004" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author" id="au0003"><name><surname>Taher</surname>
<given-names>Alla</given-names>
</name>
<degrees>RN</degrees>
<xref rid="aff0004" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author" id="au0004"><name><surname>Mathew</surname>
<given-names>Shantymole</given-names>
</name>
<degrees>RN</degrees>
<xref rid="aff0004" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author" id="au0005"><name><surname>Rahman</surname>
<given-names>Kamal Abdul</given-names>
</name>
<degrees>RN</degrees>
<xref rid="aff0004" ref-type="aff">d</xref>
</contrib>
</contrib-group>
<aff id="aff0001"><label>a</label>
Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</aff>
<aff id="aff0002"><label>b</label>
Indiana University School of Medicine, Indianapolis, IN, USA</aff>
<aff id="aff0003"><label>c</label>
Johns Hopkins University School of Medicine, Baltimore, MD, USA</aff>
<aff id="aff0004"><label>d</label>
Infection Control Unit, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</aff>
<author-notes><corresp id="cor0001"><label>⁎</label>
Address correspondence to Jaffar A. Al-Tawfiq, MD, Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, PO Box 11705, Dhahran 31311, Saudi Arabia. <email>jaltawfi@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>28</day>
<month>11</month>
<year>2018</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>4</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>11</month>
<year>2018</year>
</pub-date>
<volume>47</volume>
<issue>4</issue>
<fpage>431</fpage>
<lpage>434</lpage>
<permissions><copyright-statement>© 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2018</copyright-year>
<copyright-holder>Association for Professionals in Infection Control and Epidemiology, Inc.</copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="abs0002"><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>
</abstract>
<kwd-group id="keys0001"><title>Key Words</title>
<kwd>MERS</kwd>
<kwd>Personal Protective Equipment</kwd>
<kwd>Cost</kwd>
<kwd>Economic impact</kwd>
<kwd>Healthcare</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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