An outbreak of severe acute respiratory syndrome among hospital workers in a community hospital in Hong Kong
Identifieur interne : 006419 ( Main/Exploration ); précédent : 006418; suivant : 006420An outbreak of severe acute respiratory syndrome among hospital workers in a community hospital in Hong Kong
Auteurs : Alice S. Ho [Hong Kong] ; Joseph J. Y. Sung ; Moira Chan-YeungSource :
- Annals of internal medicine [ 0003-4819 ] ; 2003.
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- Pascal (Inist)
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English descriptors
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Abstract
Background: During outbreaks, hospital workers are at high risk for nosocomial infection with severe acute respiratory syndrome (SARS)-associated coronavirus. Objective: To examine how hospital workers became infected and whether they transmit the virus to their families. Design: Retrospective descriptive study. Setting: 529-bed community hospital in Hong Kong. Patients: 40 hospital workers infected with SARS-associated coronavirus over a 6-week period (25 March through 5 May 2003). Measurements: Percentage of infected hospital workers according to job category. Results: The cumulative incidence was highest among health care assistants, followed by physicians and nurses (8%, 5%, and 4%, respectively). Most hospital workers were infected from direct contact with patients with SARS, who primarily were in general wards and had unsuspected infection. At the time of contact, all hospital workers had used masks but not necessarily other protective devices. Affected hospital workers did not infect their families. Conclusion: Before isolation of all patients with clinically confirmed or suspected SARS, routine use of several protective devices, and training of staff in infection control, many health care workers were infected with SARS from patients with unsuspected cases.
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Sung</name></author><author><name sortKey="Chan Yeung, Moira" sort="Chan Yeung, Moira" uniqKey="Chan Yeung M" first="Moira" last="Chan-Yeung">Moira Chan-Yeung</name></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">04-0093623</idno><date when="2003">2003</date><idno type="stanalyst">PASCAL 04-0093623 INIST</idno><idno type="RBID">Pascal:04-0093623</idno><idno type="wicri:Area/PascalFrancis/Corpus">000930</idno><idno type="wicri:Area/PascalFrancis/Curation">000060</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000982</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000982</idno><idno type="wicri:doubleKey">0003-4819:2003:Ho A:an:outbreak:of</idno><idno type="wicri:Area/Main/Merge">006931</idno><idno type="wicri:Area/Main/Curation">006419</idno><idno type="wicri:Area/Main/Exploration">006419</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">An outbreak of severe acute respiratory syndrome among hospital workers in a community hospital in Hong Kong</title><author><name sortKey="Ho, Alice S" sort="Ho, Alice S" uniqKey="Ho A" first="Alice S." last="Ho">Alice S. Ho</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Alice Ho Miu Ling Nethersole Hospital, The Chinese University of Hong Kong, and The University of Hong Kong</s1><s2>Hong Kong</s2><s3>HKG</s3></inist:fA14><country>Hong Kong</country><wicri:noRegion>Hong Kong</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Sung, Joseph J Y" sort="Sung, Joseph J Y" uniqKey="Sung J" first="Joseph J. Y." last="Sung">Joseph J. Y. Sung</name></author><author><name sortKey="Chan Yeung, Moira" sort="Chan Yeung, Moira" uniqKey="Chan Yeung M" first="Moira" last="Chan-Yeung">Moira Chan-Yeung</name></author></analytic><series><title level="j" type="main">Annals of internal medicine</title><title level="j" type="abbreviated">Ann. intern. med.</title><idno type="ISSN">0003-4819</idno><imprint><date when="2003">2003</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Annals of internal medicine</title><title level="j" type="abbreviated">Ann. intern. med.</title><idno type="ISSN">0003-4819</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult respiratory distress syndrome</term><term>Coronavirus</term><term>Critically ill</term><term>Epidemiology</term><term>Health care staff</term><term>Hong Kong</term><term>Hospital</term><term>Human</term><term>Transmission mode</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Détresse respiratoire adulte syndrome</term><term>Malade état grave</term><term>Coronavirus</term><term>Hôpital</term><term>Equipe soignante</term><term>Hong Kong</term><term>Mode transmission</term><term>Epidémiologie</term><term>Homme</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Hong Kong</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: During outbreaks, hospital workers are at high risk for nosocomial infection with severe acute respiratory syndrome (SARS)-associated coronavirus. Objective: To examine how hospital workers became infected and whether they transmit the virus to their families. Design: Retrospective descriptive study. Setting: 529-bed community hospital in Hong Kong. Patients: 40 hospital workers infected with SARS-associated coronavirus over a 6-week period (25 March through 5 May 2003). Measurements: Percentage of infected hospital workers according to job category. Results: The cumulative incidence was highest among health care assistants, followed by physicians and nurses (8%, 5%, and 4%, respectively). Most hospital workers were infected from direct contact with patients with SARS, who primarily were in general wards and had unsuspected infection. At the time of contact, all hospital workers had used masks but not necessarily other protective devices. Affected hospital workers did not infect their families. Conclusion: Before isolation of all patients with clinically confirmed or suspected SARS, routine use of several protective devices, and training of staff in infection control, many health care workers were infected with SARS from patients with unsuspected cases.</div></front></TEI><affiliations><list><country><li>Hong Kong</li></country><settlement><li>Sha Tin</li></settlement><orgName><li>Université chinoise de Hong Kong</li></orgName></list><tree><noCountry><name sortKey="Chan Yeung, Moira" sort="Chan Yeung, Moira" uniqKey="Chan Yeung M" first="Moira" last="Chan-Yeung">Moira Chan-Yeung</name><name sortKey="Sung, Joseph J Y" sort="Sung, Joseph J Y" uniqKey="Sung J" first="Joseph J. Y." last="Sung">Joseph J. Y. Sung</name></noCountry><country name="Hong Kong"><noRegion><name sortKey="Ho, Alice S" sort="Ho, Alice S" uniqKey="Ho A" first="Alice S." last="Ho">Alice S. Ho</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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