Lack of SARS Transmission among Healthcare Workers, United States
Identifieur interne : 005263 ( Main/Exploration ); précédent : 005262; suivant : 005264Lack of SARS Transmission among Healthcare Workers, United States
Auteurs : Benjamin J. Park [États-Unis] ; Angela J. Peck [États-Unis] ; Matthew J. Kuehnert [États-Unis] ; Claire Newbern [États-Unis] ; Chad Smelser [États-Unis] ; James A. Comer [États-Unis] ; Daniel Jernigan [États-Unis] ; L. Clifford Mcdonald [États-Unis]Source :
- Emerging Infectious Diseases [ 1080-6040 ] ; 2004.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Facteurs de risque, Facteurs temps, Facteurs épidémiologiques, Humains, Mâle, Ontario (épidémiologie), Pennsylvanie (épidémiologie), Santé publique, Syndrome respiratoire aigu sévère (transmission), Syndrome respiratoire aigu sévère (épidémiologie), Traçage des contacts, Voyage, États-Unis d'Amérique (épidémiologie).
- MESH :
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Contact Tracing, Epidemiologic Factors, Humans, Male, Middle Aged, Ontario (epidemiology), Pennsylvania (epidemiology), Public Health, Risk Factors, Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (transmission), Time Factors, Travel, United States (epidemiology).
- MESH :
- geographic , epidemiology : Ontario, Pennsylvania, United States.
- epidemiology : Severe Acute Respiratory Syndrome.
- transmission : Severe Acute Respiratory Syndrome.
- Contact Tracing, Epidemiologic Factors, Humans, Male, Middle Aged, Public Health, Risk Factors, Time Factors, Travel.
Abstract
Healthcare workers accounted for a large proportion of persons with severe acute respiratory syndrome (SARS) during the worldwide epidemic of early 2003. We conducted an investigation of healthcare workers exposed to laboratory-confirmed SARS patients in the United States to evaluate infection-control practices and possible SARS-associated coronavirus (SARS-CoV) transmission. We identified 110 healthcare workers with exposure within droplet range (i.e., 3 feet) to six SARS-CoV–positive patients. Forty-five healthcare workers had exposure without any mask use, 72 had exposure without eye protection, and 40 reported direct skin-to-skin contact. Potential droplet- and aerosol-generating procedures were infrequent: 5% of healthcare workers manipulated a patient’s airway, and 4% administered aerosolized medication. Despite numerous unprotected exposures, there was no serologic evidence of healthcare-related SARS-CoV transmission. Lack of transmission in the United States may be related to the relative absence of high-risk procedures or patients, factors that may place healthcare workers at higher risk for infection.
Url:
DOI: 10.3201/eid1002.030793
PubMed: 15030686
PubMed Central: 3322937
Affiliations:
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Le document en format XML
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Park</name><affiliation wicri:level="2"><nlm:aff id="aff1">Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, Georgia</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Peck, Angela J" sort="Peck, Angela J" uniqKey="Peck A" first="Angela J." last="Peck">Angela J. Peck</name><affiliation wicri:level="2"><nlm:aff id="aff1">Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, Georgia</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Kuehnert, Matthew J" sort="Kuehnert, Matthew J" uniqKey="Kuehnert M" first="Matthew J." last="Kuehnert">Matthew J. Kuehnert</name><affiliation wicri:level="2"><nlm:aff id="aff1">Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, Georgia</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Newbern, Claire" sort="Newbern, Claire" uniqKey="Newbern C" first="Claire" last="Newbern">Claire Newbern</name><affiliation wicri:level="2"><nlm:aff id="aff1">Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, Georgia</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2">Philadelphia Department of Public Health, Philadelphia, Pennsylvania, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Philadelphia Department of Public Health, Philadelphia, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Smelser, Chad" sort="Smelser, Chad" uniqKey="Smelser C" first="Chad" last="Smelser">Chad Smelser</name><affiliation wicri:level="2"><nlm:aff id="aff1">Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, Georgia</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff3">New Mexico Department of Health, Albuquerque, New Mexico, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>New Mexico Department of Health, Albuquerque, New Mexico</wicri:regionArea><placeName><region type="state">Nouveau-Mexique</region></placeName></affiliation></author><author><name sortKey="Comer, James A" sort="Comer, James A" uniqKey="Comer J" first="James A." last="Comer">James A. Comer</name><affiliation wicri:level="2"><nlm:aff id="aff1">Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, Georgia</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Jernigan, Daniel" sort="Jernigan, Daniel" uniqKey="Jernigan D" first="Daniel" last="Jernigan">Daniel Jernigan</name><affiliation wicri:level="2"><nlm:aff id="aff1">Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, Georgia</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Mcdonald, L Clifford" sort="Mcdonald, L Clifford" uniqKey="Mcdonald L" first="L. Clifford" last="Mcdonald">L. Clifford Mcdonald</name><affiliation wicri:level="2"><nlm:aff id="aff1">Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, Georgia</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></analytic><series><title level="j">Emerging Infectious Diseases</title><idno type="ISSN">1080-6040</idno><idno type="eISSN">1080-6059</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Contact Tracing</term><term>Epidemiologic Factors</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Ontario (epidemiology)</term><term>Pennsylvania (epidemiology)</term><term>Public Health</term><term>Risk Factors</term><term>Severe Acute Respiratory Syndrome (epidemiology)</term><term>Severe Acute Respiratory Syndrome (transmission)</term><term>Time Factors</term><term>Travel</term><term>United States (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Facteurs épidémiologiques</term><term>Humains</term><term>Mâle</term><term>Ontario (épidémiologie)</term><term>Pennsylvanie (épidémiologie)</term><term>Santé publique</term><term>Syndrome respiratoire aigu sévère (transmission)</term><term>Syndrome respiratoire aigu sévère (épidémiologie)</term><term>Traçage des contacts</term><term>Voyage</term><term>États-Unis d'Amérique (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ontario</term><term>Pennsylvania</term><term>United States</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ontario</term><term>Pennsylvanie</term><term>Syndrome respiratoire aigu sévère</term><term>États-Unis d'Amérique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Contact Tracing</term><term>Epidemiologic Factors</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Public Health</term><term>Risk Factors</term><term>Time Factors</term><term>Travel</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Facteurs épidémiologiques</term><term>Humains</term><term>Mâle</term><term>Santé publique</term><term>Traçage des contacts</term><term>Voyage</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Healthcare workers accounted for a large proportion of persons with severe acute respiratory syndrome (SARS) during the worldwide epidemic of early 2003. We conducted an investigation of healthcare workers exposed to laboratory-confirmed SARS patients in the United States to evaluate infection-control practices and possible SARS-associated coronavirus (SARS-CoV) transmission. We identified 110 healthcare workers with exposure within droplet range (i.e., 3 feet) to six SARS-CoV–positive patients. Forty-five healthcare workers had exposure without any mask use, 72 had exposure without eye protection, and 40 reported direct skin-to-skin contact. Potential droplet- and aerosol-generating procedures were infrequent: 5% of healthcare workers manipulated a patient’s airway, and 4% administered aerosolized medication. Despite numerous unprotected exposures, there was no serologic evidence of healthcare-related SARS-CoV transmission. Lack of transmission in the United States may be related to the relative absence of high-risk procedures or patients, factors that may place healthcare workers at higher risk for infection.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li><li>Nouveau-Mexique</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Park, Benjamin J" sort="Park, Benjamin J" uniqKey="Park B" first="Benjamin J." last="Park">Benjamin J. Park</name></region><name sortKey="Comer, James A" sort="Comer, James A" uniqKey="Comer J" first="James A." last="Comer">James A. Comer</name><name sortKey="Jernigan, Daniel" sort="Jernigan, Daniel" uniqKey="Jernigan D" first="Daniel" last="Jernigan">Daniel Jernigan</name><name sortKey="Kuehnert, Matthew J" sort="Kuehnert, Matthew J" uniqKey="Kuehnert M" first="Matthew J." last="Kuehnert">Matthew J. Kuehnert</name><name sortKey="Mcdonald, L Clifford" sort="Mcdonald, L Clifford" uniqKey="Mcdonald L" first="L. Clifford" last="Mcdonald">L. Clifford Mcdonald</name><name sortKey="Newbern, Claire" sort="Newbern, Claire" uniqKey="Newbern C" first="Claire" last="Newbern">Claire Newbern</name><name sortKey="Newbern, Claire" sort="Newbern, Claire" uniqKey="Newbern C" first="Claire" last="Newbern">Claire Newbern</name><name sortKey="Peck, Angela J" sort="Peck, Angela J" uniqKey="Peck A" first="Angela J." last="Peck">Angela J. Peck</name><name sortKey="Smelser, Chad" sort="Smelser, Chad" uniqKey="Smelser C" first="Chad" last="Smelser">Chad Smelser</name><name sortKey="Smelser, Chad" sort="Smelser, Chad" uniqKey="Smelser C" first="Chad" last="Smelser">Chad Smelser</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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