Using an integrated infection control strategy during outbreak control to minimize nosocomial infection of severe acute respiratory syndrome among healthcare workers
Identifieur interne : 004570 ( Main/Exploration ); précédent : 004569; suivant : 004571Using an integrated infection control strategy during outbreak control to minimize nosocomial infection of severe acute respiratory syndrome among healthcare workers
Auteurs : M.-Y. Yen [République populaire de Chine] ; Y. E. Lin [République populaire de Chine] ; I.-J. Su [République populaire de Chine] ; F.-Y. Huang [République populaire de Chine] ; F.-Y. Huang [République populaire de Chine] ; M.-S. Ho [République populaire de Chine] ; S.-C. Chang [République populaire de Chine] ; K.-H. Tan [République populaire de Chine] ; K.-T. Chen [République populaire de Chine] ; H. Chang [République populaire de Chine] ; Y.-C. Liu [République populaire de Chine] ; C.-H. Loh [République populaire de Chine] ; L.-S. Wang [République populaire de Chine] ; C.-H Lee [République populaire de Chine]Source :
- The Journal of Hospital Infection [ 0195-6701 ] ; 2005.
Descripteurs français
- KwdFr :
- Femelle, Flambées de maladies, Humains, Hôpitaux militaires, Infection croisée (), Infection croisée (transmission), Infection croisée (épidémiologie), Lutte contre l'infection (), Lutte contre l'infection (organisation et administration), Personnel de santé, Syndrome respiratoire aigu sévère (), Syndrome respiratoire aigu sévère (transmission), Syndrome respiratoire aigu sévère (épidémiologie), Taïwan (épidémiologie), Transmission de maladie infectieuse du patient au professionnel de santé (), Virus du SRAS.
- MESH :
- organisation et administration : Lutte contre l'infection.
- épidémiologie : Infection croisée, Syndrome respiratoire aigu sévère, Taïwan.
- Femelle, Flambées de maladies, Humains, Hôpitaux militaires, Infection croisée, Lutte contre l'infection, Personnel de santé, Syndrome respiratoire aigu sévère, Transmission de maladie infectieuse du patient au professionnel de santé, Virus du SRAS.
- Wicri :
- geographic : Taïwan.
English descriptors
- KwdEn :
- Cross Infection (epidemiology), Cross Infection (prevention & control), Cross Infection (transmission), Disease Outbreaks, Female, Health Personnel, Hospitals, Military, Humans, Infection Control (methods), Infection Control (organization & administration), Infectious Disease Transmission, Patient-to-Professional (prevention & control), SARS Virus, Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (prevention & control), Severe Acute Respiratory Syndrome (transmission), Taiwan (epidemiology).
- MESH :
- geographic , epidemiology : Taiwan.
- epidemiology : Cross Infection, Severe Acute Respiratory Syndrome.
- methods : Infection Control.
- organization & administration : Infection Control.
- prevention & control : Cross Infection, Infectious Disease Transmission, Patient-to-Professional, Severe Acute Respiratory Syndrome.
- transmission : Cross Infection, Severe Acute Respiratory Syndrome.
- Disease Outbreaks, Female, Health Personnel, Hospitals, Military, Humans, SARS Virus.
Abstract
Healthcare workers (HCWs) are at risk of acquiring severe acute respiratory syndrome (SARS) while caring for SARS patients. Personal protective equipment and negative pressure isolation rooms (NPIRs) have not been completely successful in protecting HCWs. We introduced an innovative, integrated infection control strategy involving triaging patients using barriers, zones of risk, and extensive installation of alcohol dispensers for glove-on hand rubbing. This integrated infection control approach was implemented at a SARS designated hospital (‘study hospital’) where NPIRs were not available. The number of HCWs who contracted SARS in the study hospital was compared with the number of HCWs who contracted SARS in 86 Taiwan hospitals that did not use the integrated infection control strategy. Two HCWs contracted SARS in the study hospital (0.03 cases/bed) compared with 93 HCWs in the other hospitals (0.13 cases/bed) during the same three-week period. Our strategy appeared to be effective in reducing the incidence of HCWs contracting SARS. The advantages included rapid implementation without NPIRs, flexibility to transfer patients, and re-inforcement for HCWs to comply with infection control procedures, especially handwashing. The efficacy and low cost are major advantages, especially in countries with large populations at risk and fewer economic resources.
Url:
DOI: 10.1016/j.jhin.2005.02.011
PubMed: 16153744
PubMed Central: 7132502
Affiliations:
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Le document en format XML
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Yen</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff10">Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y. E." last="Lin">Y. E. Lin</name><affiliation wicri:level="1"><nlm:aff id="aff2">Graduate Institute of Environmental Education, National Kaohsiung Normal University, Kaohsiung, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Graduate Institute of Environmental Education, National Kaohsiung Normal University, Kaohsiung, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Su, I J" sort="Su, I J" uniqKey="Su I" first="I.-J." last="Su">I.-J. Su</name><affiliation wicri:level="1"><nlm:aff id="aff3">Centers for Disease Control, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Centers for Disease Control, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Huang, F Y" sort="Huang, F Y" uniqKey="Huang F" first="F.-Y." last="Huang">F.-Y. Huang</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Paediatric Infectious Diseases, Mackay Memorial Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Paediatric Infectious Diseases, Mackay Memorial Hospital, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Huang, F Y" sort="Huang, F Y" uniqKey="Huang F" first="F.-Y." last="Huang">F.-Y. Huang</name><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Anaesthesiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Anaesthesiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Ho, M S" sort="Ho, M S" uniqKey="Ho M" first="M.-S." last="Ho">M.-S. Ho</name><affiliation wicri:level="1"><nlm:aff id="aff6">Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S.-C." last="Chang">S.-C. Chang</name><affiliation wicri:level="1"><nlm:aff id="aff3">Centers for Disease Control, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Centers for Disease Control, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Tan, K H" sort="Tan, K H" uniqKey="Tan K" first="K.-H." last="Tan">K.-H. Tan</name><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Surgery, Armed Force Sung-Shan Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Surgery, Armed Force Sung-Shan Hospital, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Chen, K T" sort="Chen, K T" uniqKey="Chen K" first="K.-T." last="Chen">K.-T. Chen</name><affiliation wicri:level="1"><nlm:aff id="aff3">Centers for Disease Control, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Centers for Disease Control, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Chang, H" sort="Chang, H" uniqKey="Chang H" first="H." last="Chang">H. Chang</name><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Anaesthesiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Anaesthesiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Y C" sort="Liu, Y C" uniqKey="Liu Y" first="Y.-C." last="Liu">Y.-C. Liu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Loh, C H" sort="Loh, C H" uniqKey="Loh C" first="C.-H." last="Loh">C.-H. Loh</name><affiliation wicri:level="1"><nlm:aff id="aff8">Department of Community Health, Tri-service General Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Community Health, Tri-service General Hospital, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Wang, L S" sort="Wang, L S" uniqKey="Wang L" first="L.-S." last="Wang">L.-S. Wang</name><affiliation wicri:level="1"><nlm:aff id="aff9">Department of Infectious Diseases, Buddhist Tzu-Chi General Hospital, Hwalien, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, Buddhist Tzu-Chi General Hospital, Hwalien, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Lee, C H" sort="Lee, C H" uniqKey="Lee C" first="C.-H" last="Lee">C.-H Lee</name><affiliation wicri:level="1"><nlm:aff id="aff10">Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Journal of Hospital Infection</title><idno type="ISSN">0195-6701</idno><idno type="eISSN">1532-2939</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cross Infection (epidemiology)</term><term>Cross Infection (prevention & control)</term><term>Cross Infection (transmission)</term><term>Disease Outbreaks</term><term>Female</term><term>Health Personnel</term><term>Hospitals, Military</term><term>Humans</term><term>Infection Control (methods)</term><term>Infection Control (organization & administration)</term><term>Infectious Disease Transmission, Patient-to-Professional (prevention & control)</term><term>SARS Virus</term><term>Severe Acute Respiratory Syndrome (epidemiology)</term><term>Severe Acute Respiratory Syndrome (prevention & control)</term><term>Severe Acute Respiratory Syndrome (transmission)</term><term>Taiwan (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Hôpitaux militaires</term><term>Infection croisée ()</term><term>Infection croisée (transmission)</term><term>Infection croisée (épidémiologie)</term><term>Lutte contre l'infection ()</term><term>Lutte contre l'infection (organisation et administration)</term><term>Personnel de santé</term><term>Syndrome respiratoire aigu sévère ()</term><term>Syndrome respiratoire aigu sévère (transmission)</term><term>Syndrome respiratoire aigu sévère (épidémiologie)</term><term>Taïwan (épidémiologie)</term><term>Transmission de maladie infectieuse du patient au professionnel de santé ()</term><term>Virus du SRAS</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Taiwan</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cross Infection</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Lutte contre l'infection</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cross Infection</term><term>Infectious Disease Transmission, Patient-to-Professional</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Cross Infection</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infection croisée</term><term>Syndrome respiratoire aigu sévère</term><term>Taïwan</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Disease Outbreaks</term><term>Female</term><term>Health Personnel</term><term>Hospitals, Military</term><term>Humans</term><term>SARS Virus</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Hôpitaux militaires</term><term>Infection croisée</term><term>Lutte contre l'infection</term><term>Personnel de santé</term><term>Syndrome respiratoire aigu sévère</term><term>Transmission de maladie infectieuse du patient au professionnel de santé</term><term>Virus du SRAS</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Taïwan</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>Healthcare workers (HCWs) are at risk of acquiring severe acute respiratory syndrome (SARS) while caring for SARS patients. Personal protective equipment and negative pressure isolation rooms (NPIRs) have not been completely successful in protecting HCWs. We introduced an innovative, integrated infection control strategy involving triaging patients using barriers, zones of risk, and extensive installation of alcohol dispensers for glove-on hand rubbing. This integrated infection control approach was implemented at a SARS designated hospital (‘study hospital’) where NPIRs were not available. The number of HCWs who contracted SARS in the study hospital was compared with the number of HCWs who contracted SARS in 86 Taiwan hospitals that did not use the integrated infection control strategy. Two HCWs contracted SARS in the study hospital (0.03 cases/bed) compared with 93 HCWs in the other hospitals (0.13 cases/bed) during the same three-week period. Our strategy appeared to be effective in reducing the incidence of HCWs contracting SARS. The advantages included rapid implementation without NPIRs, flexibility to transfer patients, and re-inforcement for HCWs to comply with infection control procedures, especially handwashing. The efficacy and low cost are major advantages, especially in countries with large populations at risk and fewer economic resources.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lee, N" uniqKey="Lee N">N. Lee</name></author><author><name sortKey="Hui, D" uniqKey="Hui D">D. Hui</name></author><author><name sortKey="Wu, A" uniqKey="Wu A">A. Wu</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Twu, S J" uniqKey="Twu S">S.J. Twu</name></author><author><name sortKey="Chen, T J" uniqKey="Chen T">T.J. Chen</name></author><author><name sortKey="Chen, C J" uniqKey="Chen C">C.J. 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Hawryluck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chan, P K S" uniqKey="Chan P">P.K.S. Chan</name></author><author><name sortKey="To, W K" uniqKey="To W">W.-K. To</name></author><author><name sortKey="Ng, K C" uniqKey="Ng K">K.-C. Ng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hung, I F N" uniqKey="Hung I">I.F.N. Hung</name></author><author><name sortKey="Cheng, V C C" uniqKey="Cheng V">V.C.C. Cheng</name></author><author><name sortKey="Wu, A K L" uniqKey="Wu A">A.K.L. Wu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pritchard, R C" uniqKey="Pritchard R">R.C. Pritchard</name></author><author><name sortKey="Paper, R F" uniqKey="Paper R">R.F. Paper</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yang, L S" uniqKey="Yang L">L.S. Yang</name></author><author><name sortKey="Yu, S R" uniqKey="Yu S">S.R. Yu</name></author><author><name sortKey="Lin, H G" uniqKey="Lin H">H.G. Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Olsen, R J" uniqKey="Olsen R">R.J. Olsen</name></author><author><name sortKey="Lynch, P" uniqKey="Lynch P">P. Lynch</name></author><author><name sortKey="Coyle, M B" uniqKey="Coyle M">M.B. Coyle</name></author><author><name sortKey="Cummings, M J" uniqKey="Cummings M">M.J. Cummings</name></author><author><name sortKey="Bokete, T" uniqKey="Bokete T">T. Bokete</name></author><author><name sortKey="Stamm, W E" uniqKey="Stamm W">W.E. Stamm</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goldmann, D A" uniqKey="Goldmann D">D.A. Goldmann</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Yen, M Y" sort="Yen, M Y" uniqKey="Yen M" first="M.-Y." last="Yen">M.-Y. Yen</name></noRegion><name sortKey="Chang, H" sort="Chang, H" uniqKey="Chang H" first="H." last="Chang">H. Chang</name><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S.-C." last="Chang">S.-C. Chang</name><name sortKey="Chen, K T" sort="Chen, K T" uniqKey="Chen K" first="K.-T." last="Chen">K.-T. Chen</name><name sortKey="Ho, M S" sort="Ho, M S" uniqKey="Ho M" first="M.-S." last="Ho">M.-S. Ho</name><name sortKey="Huang, F Y" sort="Huang, F Y" uniqKey="Huang F" first="F.-Y." last="Huang">F.-Y. Huang</name><name sortKey="Huang, F Y" sort="Huang, F Y" uniqKey="Huang F" first="F.-Y." last="Huang">F.-Y. Huang</name><name sortKey="Lee, C H" sort="Lee, C H" uniqKey="Lee C" first="C.-H" last="Lee">C.-H Lee</name><name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y. E." last="Lin">Y. E. Lin</name><name sortKey="Liu, Y C" sort="Liu, Y C" uniqKey="Liu Y" first="Y.-C." last="Liu">Y.-C. Liu</name><name sortKey="Loh, C H" sort="Loh, C H" uniqKey="Loh C" first="C.-H." last="Loh">C.-H. Loh</name><name sortKey="Su, I J" sort="Su, I J" uniqKey="Su I" first="I.-J." last="Su">I.-J. Su</name><name sortKey="Tan, K H" sort="Tan, K H" uniqKey="Tan K" first="K.-H." last="Tan">K.-H. Tan</name><name sortKey="Wang, L S" sort="Wang, L S" uniqKey="Wang L" first="L.-S." last="Wang">L.-S. Wang</name><name sortKey="Yen, M Y" sort="Yen, M Y" uniqKey="Yen M" first="M.-Y." last="Yen">M.-Y. Yen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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