Severe Acute Respiratory Syndrome Coronavirus on Hospital Surfaces
Identifieur interne : 000301 ( Istex/Curation ); précédent : 000300; suivant : 000302Severe Acute Respiratory Syndrome Coronavirus on Hospital Surfaces
Auteurs : Scott F. Dowell [Géorgie (pays), Thaïlande] ; James M. Simmerman [Géorgie (pays), Thaïlande] ; Dean D. Erdman [Thaïlande] ; Jiunn-Shyan Julian Wu [Thaïlande] ; Achara Chaovavanich [Géorgie (pays)] ; Massoud Javadi [Géorgie (pays), Thaïlande] ; Jyh-Yuan Yang [Thaïlande] ; Larry J. Anderson [Thaïlande] ; Suxiang Tong [Thaïlande] ; Mei Shang Ho [Taïwan]Source :
- Clinical Infectious Diseases [ 1058-4838 ] ; 2004.
Abstract
Background. Health care workers continued to contract severe acute respiratory syndrome (SARS), even after barrier precautions were widely implemented. Methods. We explored the possible contribution of contaminated hospital surfaces to SARS transmission by swabbing surfaces in 2 hospitals and testing the swab samples by reverse-transcriptase polymerase chain reaction (RT-PCR) and viral culture. Results. Twenty-six of 94 swab samples tested positive for viral RNA. Swab samples of respiratory secretions from each of the 4 patients examined tested positive by RT-PCR, as were 12 of 43 swabs from patient rooms and 10 of 47 swabs from other parts of the hospital, including the computer mouses at 2 nursing stations and the handrail of the public elevator. Specimens from areas with patients with SARS in the most infectious phase of illness (days 5–15 after onset) were more likely to be RNA positive than were swab specimens from elsewhere (24 of 63 samples vs. 2 of 31 samples; P = .001). All cultures showed no growth. Conclusions. Although the viruses identified may have been noninfectious, health care workers should be aware that SARS coronavirus can contaminate environmental surfaces in the hospital, and fomites should be considered to be a possible mode of transmission of SARS.
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DOI: 10.1086/422652
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Dowell</name><affiliation wicri:level="1"><mods:affiliation>International Emerging Infections Program, Centers for Disease Control and Prevention, Atlanta, Georgia</mods:affiliation><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>International Emerging Infections Program, Centers for Disease Control and Prevention, Atlanta</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Ministry of Public Health, Nonthaburi, Thailand</mods:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Ministry of Public Health, Nonthaburi</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>E-mail: scottd@tuc.or.th</mods:affiliation><country wicri:rule="url">Thaïlande</country></affiliation><affiliation wicri:level="1"><mods:affiliation>Reprints or correspondence: Dr. Scott F. 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Dowell</name><affiliation wicri:level="1"><mods:affiliation>International Emerging Infections Program, Centers for Disease Control and Prevention, Atlanta, Georgia</mods:affiliation><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>International Emerging Infections Program, Centers for Disease Control and Prevention, Atlanta</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Ministry of Public Health, Nonthaburi, Thailand</mods:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Ministry of Public Health, Nonthaburi</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>E-mail: scottd@tuc.or.th</mods:affiliation><country wicri:rule="url">Thaïlande</country></affiliation><affiliation wicri:level="1"><mods:affiliation>Reprints or correspondence: Dr. Scott F. Dowell, International Emerging Infections Program, Dept. of Disease Control, Bldg. 7, Ministry of Public Health, Tivanon Rd., Nonthaburi 11000, Thailand (scottd@tuc.or.th).</mods:affiliation><country wicri:rule="url">Thaïlande</country><wicri:regionArea>Reprints or correspondence: Dr. Scott F. Dowell, International Emerging Infections Program, Dept. of Disease Control, Bldg. 7, Ministry of Public Health, Tivanon Rd., Nonthaburi 11000</wicri:regionArea></affiliation></author><author><name sortKey="Simmerman, James M" sort="Simmerman, James M" uniqKey="Simmerman J" first="James M." last="Simmerman">James M. Simmerman</name><affiliation wicri:level="1"><mods:affiliation>International Emerging Infections Program, Centers for Disease Control and Prevention, Atlanta, Georgia</mods:affiliation><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>International Emerging Infections Program, Centers for Disease Control and Prevention, Atlanta</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Ministry of Public Health, Nonthaburi, Thailand</mods:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Ministry of Public Health, Nonthaburi</wicri:regionArea></affiliation></author><author><name sortKey="Erdman, Dean D" sort="Erdman, Dean D" uniqKey="Erdman D" first="Dean D." last="Erdman">Dean D. Erdman</name><affiliation wicri:level="1"><mods:affiliation>Ministry of Public Health, Nonthaburi, Thailand</mods:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Ministry of Public Health, Nonthaburi</wicri:regionArea></affiliation></author><author><name sortKey="Wu, Jiunn Shyan Julian" sort="Wu, Jiunn Shyan Julian" uniqKey="Wu J" first="Jiunn-Shyan Julian" last="Wu">Jiunn-Shyan Julian Wu</name><affiliation wicri:level="1"><mods:affiliation>Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand</mods:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Disease Control, Ministry of Public Health, Nonthaburi</wicri:regionArea></affiliation></author><author><name sortKey="Chaovavanich, Achara" sort="Chaovavanich, Achara" uniqKey="Chaovavanich A" first="Achara" last="Chaovavanich">Achara Chaovavanich</name><affiliation wicri:level="1"><mods:affiliation>Respiratory and Enteric Viruses Branch, Division of Viral and Rickettsial Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia</mods:affiliation><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Respiratory and Enteric Viruses Branch, Division of Viral and Rickettsial Diseases, Centers for Disease Control and Prevention, Atlanta</wicri:regionArea></affiliation></author><author><name sortKey="Javadi, Massoud" sort="Javadi, Massoud" uniqKey="Javadi M" first="Massoud" last="Javadi">Massoud Javadi</name><affiliation wicri:level="1"><mods:affiliation>International Emerging Infections Program, Centers for Disease Control and Prevention, Atlanta, Georgia</mods:affiliation><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>International Emerging Infections Program, Centers for Disease Control and Prevention, Atlanta</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Ministry of Public Health, Nonthaburi, Thailand</mods:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Ministry of Public Health, Nonthaburi</wicri:regionArea></affiliation></author><author><name sortKey="Yang, Jyh Yuan" sort="Yang, Jyh Yuan" uniqKey="Yang J" first="Jyh-Yuan" last="Yang">Jyh-Yuan Yang</name><affiliation wicri:level="1"><mods:affiliation>Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand</mods:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Disease Control, Ministry of Public Health, Nonthaburi</wicri:regionArea></affiliation></author><author><name sortKey="Anderson, Larry J" sort="Anderson, Larry J" uniqKey="Anderson L" first="Larry J." last="Anderson">Larry J. Anderson</name><affiliation wicri:level="1"><mods:affiliation>Ministry of Public Health, Nonthaburi, Thailand</mods:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Ministry of Public Health, Nonthaburi</wicri:regionArea></affiliation></author><author><name sortKey="Tong, Suxiang" sort="Tong, Suxiang" uniqKey="Tong S" first="Suxiang" last="Tong">Suxiang Tong</name><affiliation wicri:level="1"><mods:affiliation>Ministry of Public Health, Nonthaburi, Thailand</mods:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Ministry of Public Health, Nonthaburi</wicri:regionArea></affiliation></author><author><name sortKey="Ho, Mei Shang" sort="Ho, Mei Shang" uniqKey="Ho M" first="Mei Shang" last="Ho">Mei Shang Ho</name><affiliation wicri:level="1"><mods:affiliation>Centers for Disease Control, Academia Sinica, Taipei, Taiwan</mods:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Centers for Disease Control, Academia Sinica, Taipei</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan</mods:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Institute of Biomedical Sciences, Academia Sinica, Taipei</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Infectious Diseases</title><title level="j" type="abbrev">Clinical Infectious Diseases</title><idno type="ISSN">1058-4838</idno><idno type="eISSN">1537-6591</idno><imprint><publisher>The University of Chicago Press</publisher><date type="published">2004</date><biblScope unit="vol">39</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="652">652</biblScope><biblScope unit="page" to="657">657</biblScope></imprint><idno type="ISSN">1058-4838</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1058-4838</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Background. Health care workers continued to contract severe acute respiratory syndrome (SARS), even after barrier precautions were widely implemented. Methods. We explored the possible contribution of contaminated hospital surfaces to SARS transmission by swabbing surfaces in 2 hospitals and testing the swab samples by reverse-transcriptase polymerase chain reaction (RT-PCR) and viral culture. Results. Twenty-six of 94 swab samples tested positive for viral RNA. Swab samples of respiratory secretions from each of the 4 patients examined tested positive by RT-PCR, as were 12 of 43 swabs from patient rooms and 10 of 47 swabs from other parts of the hospital, including the computer mouses at 2 nursing stations and the handrail of the public elevator. Specimens from areas with patients with SARS in the most infectious phase of illness (days 5–15 after onset) were more likely to be RNA positive than were swab specimens from elsewhere (24 of 63 samples vs. 2 of 31 samples; P = .001). All cultures showed no growth. Conclusions. Although the viruses identified may have been noninfectious, health care workers should be aware that SARS coronavirus can contaminate environmental surfaces in the hospital, and fomites should be considered to be a possible mode of transmission of SARS.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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