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

Identifieur interne : 001B76 ( PascalFrancis/Curation ); précédent : 001B75; suivant : 001B77

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 :

RBID : Pascal:13-0248077

Descripteurs français

English descriptors

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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A11 01  1    @1 BHADELIA (Nahid)
A11 02  1    @1 SONTI (Rajiv)
A11 03  1    @1 WRIGHT MCCARTHY (Jennifer)
A11 04  1    @1 VORENKAMP (Jaclyn)
A11 05  1    @1 HAOMIAO JIA
A11 06  1    @1 SAIMAN (Lisa)
A11 07  1    @1 FURUYA (E. Yoko)
A14 01      @1 Department of Medicine, Boston University Medical Center @2 Boston, Massachusetts @3 USA @Z 1 aut.
A14 02      @1 Department of Medicine, Columbia University @2 New York, New York @3 USA @Z 2 aut. @Z 7 aut.
A14 03      @1 Workforce Health and Safety, NewYork-Presbyterian Hospital @2 New York, New York @3 USA @Z 3 aut. @Z 4 aut.
A14 04      @1 Department of Biostatistics, Columbia University @2 New York, New York @3 USA @Z 5 aut.
A14 05      @1 Department of Pediatrics, Columbia University @2 New York, New York @3 USA @Z 6 aut.
A14 06      @1 Department of Infection Prevention and Control, NewYork-Presbyterian Hospital @2 New York, New York @3 USA @Z 6 aut. @Z 7 aut.
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C01 01    ENG  @0 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.
C02 01  X    @0 002B30A11
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C03 02  X  FRE  @0 Equipe soignante @5 07
C03 02  X  ENG  @0 Health care staff @5 07
C03 02  X  SPA  @0 Equipo de salud @5 07
C03 03  X  FRE  @0 New York @2 NG @5 08
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C03 05  X  FRE  @0 Pandémie @4 INC @5 86
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C07 01  X  ENG  @0 United States @2 NG
C07 01  X  SPA  @0 Estados Unidos @2 NG
C07 02  X  FRE  @0 Amérique du Nord @2 NG
C07 02  X  ENG  @0 North America @2 NG
C07 02  X  SPA  @0 America del norte @2 NG
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C07 03  X  ENG  @0 America @2 NG
C07 03  X  SPA  @0 America @2 NG
N21       @1 238
N44 01      @1 OTO
N82       @1 OTO

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Pascal:13-0248077

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<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>
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<s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B30A11</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Infection</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Infection</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Infección</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Equipe soignante</s0>
<s5>07</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Health care staff</s0>
<s5>07</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Equipo de salud</s0>
<s5>07</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>New York</s0>
<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>New York</s0>
<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Nueva York</s0>
<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Santé publique</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Public health</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Salud pública</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Pandémie</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Virus grippal A(H1N1)</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Influenza A (H1N1)</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Etats-Unis</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>United States</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Estados Unidos</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Amérique du Nord</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>North America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>America del norte</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Amérique</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>America</s0>
<s2>NG</s2>
</fC07>
<fN21>
<s1>238</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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