PandemieGrippaleV1, Main, Curation, bibRecord, 001820

Impact of the 2009 Influenza A (H1N1) Pandemic on Healthcare Workers at a Tertiary Care Center in New York City

Identifieur interne : 001820 ( Main/Curation ); précédent : 001819; suivant : 001821

Impact of the 2009 Influenza A (H1N1) Pandemic on Healthcare Workers at a Tertiary Care Center in New York City

Auteurs : Nahid Bhadelia [États-Unis] ; Rajiv Sonti [États-Unis] ; Jennifer Wright Mccarthy [États-Unis] ; Jaclyn Vorenkamp [États-Unis] ; HAOMIAO JIA [États-Unis] ; Lisa Saiman [États-Unis] ; E. Yoko Furuya [États-Unis]

Source :

Infection control and hospital epidemiology [ 0899-823X ] ; 2013.

RBID : Pascal:13-0248077

Descripteurs français

Pascal (Inist)
- Infection, Equipe soignante, New York, Santé publique, Pandémie, Virus grippal A(H1N1).
Wicri :
- topic : Santé publique.

English descriptors

KwdEn :
- Health care staff, Infection, Influenza A (H1N1), New York, Public health.

Abstract

BACKGROUND AND OBJECTIVE. Assessing the impact of 2009 influenza A (H1N1) on healthcare workers (HCWs) is important for pandemic planning. METHODS. We retrospectively analyzed employee health records of HCWs at a tertiary care center in New York City with influenza-like illnesses (ILI) and confirmed influenza from March 31, 2009, to February 28, 2010. We evaluated HCWs' clinical presentations during the first and second wave of the pandemic, staff absenteeism, exposures among HCWs, and association between high-risk occupational exposures to respiratory secretions and infection. RESULTS. During the pandemic, 40% (141/352) of HCWs with ILI tested positive for influenza, representing a 1% attack rate among our 13,066 employees. HCWs with influenza were more likely to have fever, cough, and tachycardia. When compared with the second wave, cases in the first wave were sicker and at higher risk of exposure to patients' respiratory secretions (P = .049). HCWs with ILI- with and without confirmed influenza-missed on average 4.7 and 2.7 work days, respectively (P = .001). Among HCWs asked about working while ill, 65% (153/235) reported they did so (mean, 2 days). CONCLUSIONS. HCWs in the first wave had more severe ILI than those in the second wave and were more likely to be exposed to patients' respiratory secretions. HCWs with ILI often worked while ill. Timely strategies to educate and support HCWs were critical to managing this population during the pandemic.

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<placeName><region type="state">État de New York</region>
</placeName>
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<author><name sortKey="Furuya, E Yoko" sort="Furuya, E Yoko" uniqKey="Furuya E" first="E. Yoko" last="Furuya">E. Yoko Furuya</name>
<affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Medicine, Columbia University</s1>
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<settlement type="city">New York</settlement>
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<affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Department of Infection Prevention and Control, NewYork-Presbyterian Hospital</s1>
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<series><title level="j" type="main">Infection control and hospital epidemiology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Health care staff</term>
<term>Infection</term>
<term>Influenza A (H1N1)</term>
<term>New York</term>
<term>Public health</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Infection</term>
<term>Equipe soignante</term>
<term>New York</term>
<term>Santé publique</term>
<term>Pandémie</term>
<term>Virus grippal A(H1N1)</term>
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<front><div type="abstract" xml:lang="en">BACKGROUND AND OBJECTIVE. Assessing the impact of 2009 influenza A (H1N1) on healthcare workers (HCWs) is important for pandemic planning. METHODS. We retrospectively analyzed employee health records of HCWs at a tertiary care center in New York City with influenza-like illnesses (ILI) and confirmed influenza from March 31, 2009, to February 28, 2010. We evaluated HCWs' clinical presentations during the first and second wave of the pandemic, staff absenteeism, exposures among HCWs, and association between high-risk occupational exposures to respiratory secretions and infection. RESULTS. During the pandemic, 40% (141/352) of HCWs with ILI tested positive for influenza, representing a 1% attack rate among our 13,066 employees. HCWs with influenza were more likely to have fever, cough, and tachycardia. When compared with the second wave, cases in the first wave were sicker and at higher risk of exposure to patients' respiratory secretions (P = .049). HCWs with ILI- with and without confirmed influenza-missed on average 4.7 and 2.7 work days, respectively (P = .001). Among HCWs asked about working while ill, 65% (153/235) reported they did so (mean, 2 days). CONCLUSIONS. HCWs in the first wave had more severe ILI than those in the second wave and were more likely to be exposed to patients' respiratory secretions. HCWs with ILI often worked while ill. Timely strategies to educate and support HCWs were critical to managing this population during the pandemic.</div>
</front>
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Impact of the 2009 Influenza A (H1N1) Pandemic on Healthcare Workers at a Tertiary Care Center in New York City

Impact of the 2009 Influenza A (H1N1) Pandemic on Healthcare Workers at a Tertiary Care Center in New York City

Source :

Descripteurs français

English descriptors

Abstract

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

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri