Which preventive measures might protect health care workers from SARS?
Identifieur interne : 002974 ( Main/Curation ); précédent : 002973; suivant : 002975Which preventive measures might protect health care workers from SARS?
Auteurs : Wei-Qing Chen [République populaire de Chine] ; Wen-Hua Ling [République populaire de Chine] ; Ci-Yong Lu [République populaire de Chine] ; Yuan-Tao Hao [République populaire de Chine] ; Zhong-Ning Lin [République populaire de Chine] ; Li Ling [République populaire de Chine] ; Jian Huang [République populaire de Chine] ; Gang Li [République populaire de Chine] ; Guang-Mei Yan [République populaire de Chine]Source :
- BMC Public Health [ 1471-2458 ] ; 2009.
Abstract
Despite the use of a series of preventive measures, a high incidence of severe acute respiratory syndrome (SARS) was observed among health care workers (HCWs) during the SARS epidemic. This study aimed to determine which preventive measures may have been effective in protecting HCWs from infection, and which were not effective.
A retrospective study was performed among 758 'frontline' health care workers who cared for SARS patients at the Second Affiliated Hospital and the Third Affiliated Hospital of Sun Yat-sen University. The HCWs with IgG against SARS and those without IgG against SARS were respectively defined as the "case group" and the "control group", and logistic regression was conducted to explore the risk factors for SARS infection in HCWs.
After adjusting for age, gender, marital status, educational level, professional title, and the department in which an individual worked, the results of a multivariate logistic regression analysis indicated that incidence of SARS among HCWs was significantly and positively associated with: performing tracheal intubations for SARS patients, methods used for air ventilation in wards, avoiding face-to-face interaction with SARS patients, the number of pairs of gloves worn by HCWs, and caring for serious SARS cases.
Some measures, particularly good air ventilation in SARS wards, may be effective in minimizing or preventing SARS transmission among HCWs in hospitals.
The online version of this article (doi:10.1186/1471-2458-9-81) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/1471-2458-9-81
PubMed: 19284644
PubMed Central: 2666722
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China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>74 Zhongshan Road II, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Ling, Wen Hua" sort="Ling, Wen Hua" uniqKey="Ling W" first="Wen-Hua" last="Ling">Wen-Hua Ling</name><affiliation wicri:level="3"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.12981.33</institution-id><institution-id institution-id-type="ISNI">000000012360039X</institution-id><institution>Department of Nutrition, School of Public Health,</institution><institution>Sun Yat-Sen University,</institution></institution-wrap>74 Zhongshan Road II, Guangzhou, P.R. 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China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>74 Zhongshan Road II, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Huang, Jian" sort="Huang, Jian" uniqKey="Huang J" first="Jian" last="Huang">Jian Huang</name><affiliation wicri:level="3"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.12981.33</institution-id><institution-id institution-id-type="ISNI">000000012360039X</institution-id><institution>Department of Surgery,</institution><institution>the Second Affiliated Hospital, Sun Yat-Sen University,</institution></institution-wrap>107 Yanjiangxi Road, Guangzhou, P.R. China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>107 Yanjiangxi Road, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Li, Gang" sort="Li, Gang" uniqKey="Li G" first="Gang" last="Li">Gang Li</name><affiliation wicri:level="3"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="GRID">grid.12981.33</institution-id><institution-id institution-id-type="ISNI">000000012360039X</institution-id><institution>Department of Infection,</institution><institution>the Third Affiliated Hospital, Sun Yat-Sen University,</institution></institution-wrap>Dinggang, Shipai, Guangzhou, P.R. China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Dinggang, Shipai, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Yan, Guang Mei" sort="Yan, Guang Mei" uniqKey="Yan G" first="Guang-Mei" last="Yan">Guang-Mei Yan</name><affiliation wicri:level="3"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="GRID">grid.12981.33</institution-id><institution-id institution-id-type="ISNI">000000012360039X</institution-id><institution>Department of Pharmacology,</institution><institution>Zhongshan School of Medicine, Sun Yat-Sen University,</institution></institution-wrap>74 Zhongshan Road II, Guangzhou, P.R. China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>74 Zhongshan Road II, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Despite the use of a series of preventive measures, a high incidence of severe acute respiratory syndrome (SARS) was observed among health care workers (HCWs) during the SARS epidemic. This study aimed to determine which preventive measures may have been effective in protecting HCWs from infection, and which were not effective.</p></sec><sec><title>Methods</title><p>A retrospective study was performed among 758 'frontline' health care workers who cared for SARS patients at the Second Affiliated Hospital and the Third Affiliated Hospital of Sun Yat-sen University. The HCWs with IgG against SARS and those without IgG against SARS were respectively defined as the "case group" and the "control group", and logistic regression was conducted to explore the risk factors for SARS infection in HCWs.</p></sec><sec><title>Results</title><p>After adjusting for age, gender, marital status, educational level, professional title, and the department in which an individual worked, the results of a multivariate logistic regression analysis indicated that incidence of SARS among HCWs was significantly and positively associated with: performing tracheal intubations for SARS patients, methods used for air ventilation in wards, avoiding face-to-face interaction with SARS patients, the number of pairs of gloves worn by HCWs, and caring for serious SARS cases.</p></sec><sec><title>Conclusion</title><p>Some measures, particularly good air ventilation in SARS wards, may be effective in minimizing or preventing SARS transmission among HCWs in hospitals.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/1471-2458-9-81) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Koh, D" uniqKey="Koh D">D Koh</name></author><author><name sortKey="Lim, Mk" uniqKey="Lim M">MK Lim</name></author><author><name sortKey="Chia, Se" uniqKey="Chia S">SE Chia</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Seto, Wh" uniqKey="Seto W">WH Seto</name></author><author><name sortKey="Tsang, D" uniqKey="Tsang D">D Tsang</name></author><author><name sortKey="Yung, Rwh" uniqKey="Yung R">RWH Yung</name></author><author><name sortKey="Ching, Ty" uniqKey="Ching T">TY Ching</name></author><author><name sortKey="Ng, Tk" uniqKey="Ng T">TK Ng</name></author><author><name sortKey="Ho, M" uniqKey="Ho M">M 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