Infection control for SARS in a tertiary paediatric centre in Hong Kong
Identifieur interne : 005F78 ( Main/Merge ); précédent : 005F77; suivant : 005F79Infection control for SARS in a tertiary paediatric centre in Hong Kong
Auteurs : T. F. Leung [Hong Kong] ; P. C. Ng [Hong Kong] ; F. W. T. Cheng [Hong Kong] ; D. J. Lyon [Hong Kong] ; K. W. So [Hong Kong] ; E. K. L. Hon [Hong Kong] ; A. M. Li [Hong Kong] ; C. K. Li [Hong Kong] ; G. W. K. Wong [Hong Kong] ; E. A. S. Nelson [Hong Kong] ; J. Hui [Hong Kong] ; R. Y. T. Sung [Hong Kong] ; M. C. Yam [Hong Kong] ; T. F. Fok [Hong Kong]Source :
- The Journal of hospital infection [ 0195-6701 ] ; 2004.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Hong Kong.
- topic : Enfant, Politique, Pays de Galles.
English descriptors
- KwdEn :
Abstract
Severe acute respiratory syndrome (SARS) is an emerging infectious disease. After the appearance of an index patient in Hong Kong in February 2003, SARS outbreaks occurred rapidly in hospitals and spread to the community. The aim of this retrospective study is to evaluate the effectiveness of a triage policy and risk-stratified infection control measures in preventing nosocomial SARS infection among paediatric healthcare workers (HCWs) at the Prince of Wales Hospital, a general hospital to which children with SARS are referred in Hong Kong. The acute paediatric wards were stratified into three areas: (1) ultra high-risk area, (2) high-risk area and (3) moderate-risk area according to different risk levels of nosocomial SARS transmission. The implementation of different levels of infection control precautions was guided by this risk stratification strategy. Between 13 March and 23 June, 38 patients with probable and suspected SARS, 90 patients with non-SARS pneumonia, and 510 patients without pneumonia were admitted into our unit. All probable SARS cases were isolated in negative-pressure rooms. Twenty-six HCWs worked in the ultra high-risk area caring for SARS patients and 88 HCWs managed non-SARS patients in other ward areas. None of the HCWs developed clinical features suggestive of SARS. In addition, there was no nosocomial spread of SARS-associated coronavirus to other patients or visitors during this period. In conclusion, stringent infection control precautions, appropriate triage and prompt isolation of potential SARS patients may have contributed to a lack of nosocomial spread and HCW acquisition of SARS in our unit.
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Pascal:04-0558261Le document en format XML
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Lyon</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>4 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="So, K W" sort="So, K W" uniqKey="So K" first="K. W." last="So">K. W. So</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Hon, E K L" sort="Hon, E K L" uniqKey="Hon E" first="E. K. L." last="Hon">E. K. L. Hon</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Li, A M" sort="Li, A M" uniqKey="Li A" first="A. M." last="Li">A. M. 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Nelson</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Hui, J" sort="Hui, J" uniqKey="Hui J" first="J." last="Hui">J. Hui</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</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, R Y T" sort="Sung, R Y T" uniqKey="Sung R" first="R. Y. T." last="Sung">R. Y. T. Sung</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Yam, M C" sort="Yam, M C" uniqKey="Yam M" first="M. C." last="Yam">M. C. Yam</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Fok, T F" sort="Fok, T F" uniqKey="Fok T" first="T. F." last="Fok">T. F. Fok</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">04-0558261</idno><date when="2004">2004</date><idno type="stanalyst">PASCAL 04-0558261 INIST</idno><idno type="RBID">Pascal:04-0558261</idno><idno type="wicri:Area/PascalFrancis/Corpus">000782</idno><idno type="wicri:Area/PascalFrancis/Curation">000208</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000827</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000827</idno><idno type="wicri:doubleKey">0195-6701:2004:Leung T:infection:control:for</idno><idno type="wicri:Area/Main/Merge">005F78</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Infection control for SARS in a tertiary paediatric centre in Hong Kong</title><author><name sortKey="Leung, T F" sort="Leung, T F" uniqKey="Leung T" first="T. F." last="Leung">T. F. Leung</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Ng, P C" sort="Ng, P C" uniqKey="Ng P" first="P. C." last="Ng">P. C. Ng</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Cheng, F W T" sort="Cheng, F W T" uniqKey="Cheng F" first="F. W. T." last="Cheng">F. W. T. Cheng</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Lyon, D J" sort="Lyon, D J" uniqKey="Lyon D" first="D. J." last="Lyon">D. J. Lyon</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>4 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="So, K W" sort="So, K W" uniqKey="So K" first="K. W." last="So">K. W. So</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Hon, E K L" sort="Hon, E K L" uniqKey="Hon E" first="E. K. L." last="Hon">E. K. L. Hon</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Li, A M" sort="Li, A M" uniqKey="Li A" first="A. M." last="Li">A. M. Li</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Li, C K" sort="Li, C K" uniqKey="Li C" first="C. K." last="Li">C. K. Li</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Wong, G W K" sort="Wong, G W K" uniqKey="Wong G" first="G. W. K." last="Wong">G. W. K. Wong</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Nelson, E A S" sort="Nelson, E A S" uniqKey="Nelson E" first="E. A. S." last="Nelson">E. A. S. Nelson</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Hui, J" sort="Hui, J" uniqKey="Hui J" first="J." last="Hui">J. Hui</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</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, R Y T" sort="Sung, R Y T" uniqKey="Sung R" first="R. Y. T." last="Sung">R. Y. T. Sung</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Yam, M C" sort="Yam, M C" uniqKey="Yam M" first="M. C." last="Yam">M. C. Yam</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Fok, T F" sort="Fok, T F" uniqKey="Fok T" first="T. F." last="Fok">T. F. Fok</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital</s1><s2>Shatin</s2><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Shatin</wicri:noRegion><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">The Journal of hospital infection</title><title level="j" type="abbreviated">J. hosp. infect.</title><idno type="ISSN">0195-6701</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The Journal of hospital infection</title><title level="j" type="abbreviated">J. hosp. infect.</title><idno type="ISSN">0195-6701</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute</term><term>Check</term><term>Child</term><term>Coronavirus</term><term>Emerging disease</term><term>Epidemic</term><term>Health care staff</term><term>High risk</term><term>Hong Kong</term><term>Hospital</term><term>Implementation</term><term>Nosocomial infection</term><term>Pneumonia</term><term>Policy</term><term>Risk factor</term><term>Severe acute respiratory syndrome</term><term>Transmission</term><term>Wales</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Syndrome respiratoire aigu sévère</term><term>Maladie émergente</term><term>Infection nosocomiale</term><term>Contrôle</term><term>Hong Kong</term><term>Enfant</term><term>Coronavirus</term><term>Epidémie</term><term>Hôpital</term><term>Politique</term><term>Facteur risque</term><term>Equipe soignante</term><term>Pays de Galles</term><term>Aigu</term><term>Risque élevé</term><term>Transmission</term><term>Implémentation</term><term>Pneumonie</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Hong Kong</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Enfant</term><term>Politique</term><term>Pays de Galles</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Severe acute respiratory syndrome (SARS) is an emerging infectious disease. After the appearance of an index patient in Hong Kong in February 2003, SARS outbreaks occurred rapidly in hospitals and spread to the community. The aim of this retrospective study is to evaluate the effectiveness of a triage policy and risk-stratified infection control measures in preventing nosocomial SARS infection among paediatric healthcare workers (HCWs) at the Prince of Wales Hospital, a general hospital to which children with SARS are referred in Hong Kong. The acute paediatric wards were stratified into three areas: (1) ultra high-risk area, (2) high-risk area and (3) moderate-risk area according to different risk levels of nosocomial SARS transmission. The implementation of different levels of infection control precautions was guided by this risk stratification strategy. Between 13 March and 23 June, 38 patients with probable and suspected SARS, 90 patients with non-SARS pneumonia, and 510 patients without pneumonia were admitted into our unit. All probable SARS cases were isolated in negative-pressure rooms. Twenty-six HCWs worked in the ultra high-risk area caring for SARS patients and 88 HCWs managed non-SARS patients in other ward areas. None of the HCWs developed clinical features suggestive of SARS. In addition, there was no nosocomial spread of SARS-associated coronavirus to other patients or visitors during this period. In conclusion, stringent infection control precautions, appropriate triage and prompt isolation of potential SARS patients may have contributed to a lack of nosocomial spread and HCW acquisition of SARS in our unit.</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><country name="Hong Kong"><noRegion><name sortKey="Leung, T F" sort="Leung, T F" uniqKey="Leung T" first="T. F." last="Leung">T. F. Leung</name></noRegion><name sortKey="Cheng, F W T" sort="Cheng, F W T" uniqKey="Cheng F" first="F. W. T." last="Cheng">F. W. T. Cheng</name><name sortKey="Fok, T F" sort="Fok, T F" uniqKey="Fok T" first="T. F." last="Fok">T. F. Fok</name><name sortKey="Hon, E K L" sort="Hon, E K L" uniqKey="Hon E" first="E. K. L." last="Hon">E. K. L. Hon</name><name sortKey="Hui, J" sort="Hui, J" uniqKey="Hui J" first="J." last="Hui">J. Hui</name><name sortKey="Li, A M" sort="Li, A M" uniqKey="Li A" first="A. M." last="Li">A. M. Li</name><name sortKey="Li, C K" sort="Li, C K" uniqKey="Li C" first="C. K." last="Li">C. K. Li</name><name sortKey="Lyon, D J" sort="Lyon, D J" uniqKey="Lyon D" first="D. J." last="Lyon">D. J. Lyon</name><name sortKey="Nelson, E A S" sort="Nelson, E A S" uniqKey="Nelson E" first="E. A. S." last="Nelson">E. A. S. Nelson</name><name sortKey="Ng, P C" sort="Ng, P C" uniqKey="Ng P" first="P. C." last="Ng">P. C. Ng</name><name sortKey="So, K W" sort="So, K W" uniqKey="So K" first="K. W." last="So">K. W. So</name><name sortKey="Sung, R Y T" sort="Sung, R Y T" uniqKey="Sung R" first="R. Y. T." last="Sung">R. Y. T. Sung</name><name sortKey="Wong, G W K" sort="Wong, G W K" uniqKey="Wong G" first="G. W. K." last="Wong">G. W. K. Wong</name><name sortKey="Yam, M C" sort="Yam, M C" uniqKey="Yam M" first="M. C." last="Yam">M. C. Yam</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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