Reflection on SARS precautions in a severe intellectual disabilities hospital in Hong Kong
Identifieur interne : 004B10 ( Main/Exploration ); précédent : 004B09; suivant : 004B11Reflection on SARS precautions in a severe intellectual disabilities hospital in Hong Kong
Auteurs : S. Y. Wong [Hong Kong, Niger] ; W. W. C. Lim [Hong Kong] ; T. L. Que [Hong Kong] ; D. M. Y. Au [Hong Kong]Source :
- Journal of Intellectual Disability Research [ 0964-2633 ] ; 2005-05.
English descriptors
- Teeft :
- April, Blackwell publishing, Cent staff, Check body temperature, Clinical settings, Community activities, Contingency plan, Critical period, Disabilities hospital, Disability, Disposable gown, Droplet precaution, England journal, Environmental improvement work, Environmental layout, External hospitalization, External hospitalizations, Full face shield, General hospital, General hospitals, Guideline, Health care workers, Hong kong, Hospital authority, Improvement work, Infection, Infection control, Infection control audits, Infection control measures, Infection control precautions, Infection control training, Infectious disease, Intellectual disability research, Intellectual disability research journal, Intensive infection control training, Isolation precautions, Isolation ward, July, Latex gloves, Mainland china, Medical consultation, Operational guidelines, Outbreak, Paper towel, Past days, Patients home, Respiratory syndrome, Risk areas, Risk ward, Sars, Sars patients, Sars precaution, Sars precautions, Second audit, Staff education, Standard isolation room, Surgical mask, Syndrome, Wong, World health organization.
Abstract
Background Hong Kong went through a battle with a new respiratory disease, severe acute respiratory syndrome (SARS), from March to June 2003. All clinical settings, including rehabilitative and infirmary setting, have actively involved in fighting against the infection. The intent of this paper was to reflect on the SARS precautionary measures that had been taken in a severe intellectual disabilities hospital in Hong Kong. Methods A review on six SARS precautionary measures were conducted. They were assessment of risk, formulation of operational guidelines, implementation of infection control measures, education and training of staff, conducting audits and carrying out environmental improvement work. Results Patients were at risk of getting infected from carers, visitors, volunteers, and staff and patients of general hospitals. A SARS Quarantine Unit, isolation ward, was opened to isolate patients who might have had close contact with SARS patients during a stay in a general hospital or when they returned from home leave. Undoubtedly, both staff and relatives participated in preventing the patients from being infected. No day leave and home leave was reported and the number of hospitalization in general hospital was decreased during the critical period. Three infection control audits were conducted and improvement work was carried out subsequently. Conclusion The practice of grouping within a standard isolation room is recommended to continue in the future. Moreover, intensive infection control training for all staff is of highest importance to safeguard the health of both staff and patient.
Url:
DOI: 10.1111/j.1365-2788.2005.00687.x
Affiliations:
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Au</name><affiliation wicri:level="1"><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Occupational Department, Siu Lam Hospital, Tuen Mun</wicri:regionArea><wicri:noRegion>Tuen Mun</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Intellectual Disability Research</title><title level="j" type="alt">JOURNAL OF INTELLECTUAL DISABILITY RESEARCH</title><idno type="ISSN">0964-2633</idno><idno type="eISSN">1365-2788</idno><imprint><biblScope unit="vol">49</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="379">379</biblScope><biblScope unit="page" to="384">384</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Science Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2005-05">2005-05</date></imprint><idno type="ISSN">0964-2633</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0964-2633</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>April</term><term>Blackwell publishing</term><term>Cent staff</term><term>Check body temperature</term><term>Clinical settings</term><term>Community activities</term><term>Contingency plan</term><term>Critical period</term><term>Disabilities hospital</term><term>Disability</term><term>Disposable gown</term><term>Droplet precaution</term><term>England journal</term><term>Environmental improvement work</term><term>Environmental layout</term><term>External hospitalization</term><term>External hospitalizations</term><term>Full face shield</term><term>General hospital</term><term>General hospitals</term><term>Guideline</term><term>Health care workers</term><term>Hong kong</term><term>Hospital authority</term><term>Improvement work</term><term>Infection</term><term>Infection control</term><term>Infection control audits</term><term>Infection control measures</term><term>Infection control precautions</term><term>Infection control training</term><term>Infectious disease</term><term>Intellectual disability research</term><term>Intellectual disability research journal</term><term>Intensive infection control training</term><term>Isolation precautions</term><term>Isolation ward</term><term>July</term><term>Latex gloves</term><term>Mainland china</term><term>Medical consultation</term><term>Operational guidelines</term><term>Outbreak</term><term>Paper towel</term><term>Past days</term><term>Patients home</term><term>Respiratory syndrome</term><term>Risk areas</term><term>Risk ward</term><term>Sars</term><term>Sars patients</term><term>Sars precaution</term><term>Sars precautions</term><term>Second audit</term><term>Staff education</term><term>Standard isolation room</term><term>Surgical mask</term><term>Syndrome</term><term>Wong</term><term>World health organization</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background Hong Kong went through a battle with a new respiratory disease, severe acute respiratory syndrome (SARS), from March to June 2003. All clinical settings, including rehabilitative and infirmary setting, have actively involved in fighting against the infection. The intent of this paper was to reflect on the SARS precautionary measures that had been taken in a severe intellectual disabilities hospital in Hong Kong. Methods A review on six SARS precautionary measures were conducted. They were assessment of risk, formulation of operational guidelines, implementation of infection control measures, education and training of staff, conducting audits and carrying out environmental improvement work. Results Patients were at risk of getting infected from carers, visitors, volunteers, and staff and patients of general hospitals. A SARS Quarantine Unit, isolation ward, was opened to isolate patients who might have had close contact with SARS patients during a stay in a general hospital or when they returned from home leave. Undoubtedly, both staff and relatives participated in preventing the patients from being infected. No day leave and home leave was reported and the number of hospitalization in general hospital was decreased during the critical period. Three infection control audits were conducted and improvement work was carried out subsequently. Conclusion The practice of grouping within a standard isolation room is recommended to continue in the future. Moreover, intensive infection control training for all staff is of highest importance to safeguard the health of both staff and patient.</div></front></TEI><affiliations><list><country><li>Hong Kong</li><li>Niger</li></country></list><tree><country name="Hong Kong"><noRegion><name sortKey="Wong, S Y" sort="Wong, S Y" uniqKey="Wong S" first="S. Y." last="Wong">S. Y. Wong</name></noRegion><name sortKey="Au, D M Y" sort="Au, D M Y" uniqKey="Au D" first="D. M. Y." last="Au">D. M. Y. Au</name><name sortKey="Lim, W W C" sort="Lim, W W C" uniqKey="Lim W" first="W. W. C." last="Lim">W. W. C. Lim</name><name sortKey="Que, T L" sort="Que, T L" uniqKey="Que T" first="T. L." last="Que">T. L. Que</name></country><country name="Niger"><noRegion><name sortKey="Wong, S Y" sort="Wong, S Y" uniqKey="Wong S" first="S. Y." last="Wong">S. Y. Wong</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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