Infection control practices for SARS in Lao People's Democratic Republic, Taiwan, and Thailand: Experience from mobile SARS containment teams, 2003
Identifieur interne : 000B85 ( Ncbi/Curation ); précédent : 000B84; suivant : 000B86Infection control practices for SARS in Lao People's Democratic Republic, Taiwan, and Thailand: Experience from mobile SARS containment teams, 2003
Auteurs : Nolan E. Lee [États-Unis] ; Potjaman Siriarayapon [Thaïlande] ; Jordan Tappero [Thaïlande] ; Kow-Tong Chen [Taïwan] ; Dean Shuey [Laos] ; Khanchit Limpakarnjanarat [Thaïlande] ; Achara Chavavanich [Thaïlande] ; Scott F. Dowell [Thaïlande]Source :
- American Journal of Infection Control [ 0196-6553 ] ; 2004.
Abstract
Despite available recommendations on infection control for severe acute respiratory syndrome (SARS), information is limited on actual practices in Asian hospitals during the epidemic. We describe practices observed by mobile SARS containment teams (mobile teams) during outbreak investigations.
We retrospectively summarized infection control practices observed in hospitals visited by mobile teams in the Lao People's Democratic Republic (PDR), Taiwan, and Thailand, during March and April 2003.
Mobile teams investigated 22 reports of SARS in 20 hospitals (1, 5, and 14 hospitals in Lao PDR, Taiwan, and Thailand, respectively). Facilities ranged from urban hospitals with negative-pressure isolation rooms and high-efficiency particulate air filtration to rural hospitals with patient rooms open to outside air circulation and intermittent running water. At the time of mobile team visits, 5 (25%) hospitals implemented infection control practices consistent with World Health Organization recommendations on visitor policies, private negative-pressure rooms, and personal protective equipment.
Early in the SARS epidemic, mobile teams found wide variations in infection control practices and resources among Asian hospitals evaluating patients for SARS, indicating the importance of ongoing assessment during SARS preparedness. Mobile teams are one mechanism to assess practices and promote implementation of recommended infection control measures.
Url:
DOI: 10.1016/j.ajic.2004.03.005
PubMed: 15525911
PubMed Central: 7119115
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Lee</name><affiliation wicri:level="2"><nlm:aff id="affa">From the Epidemic Intelligence Service assigned to the Los Angeles County Department of Health Services, Centers for Disease Control and Prevention, Atlanta, GA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>From the Epidemic Intelligence Service assigned to the Los Angeles County Department of Health Services, Centers for Disease Control and Prevention, Atlanta</wicri:cityArea></affiliation></author><author><name sortKey="Siriarayapon, Potjaman" sort="Siriarayapon, Potjaman" uniqKey="Siriarayapon P" first="Potjaman" last="Siriarayapon">Potjaman Siriarayapon</name><affiliation wicri:level="1"><nlm:aff id="affb">International Field Epidemiology Training Program—Thailand, Ministry of Public Health, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>International Field Epidemiology Training Program—Thailand, Ministry of Public Health, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Tappero, Jordan" sort="Tappero, Jordan" uniqKey="Tappero J" first="Jordan" last="Tappero">Jordan Tappero</name><affiliation wicri:level="1"><nlm:aff id="affc">Thailand Ministry of Public Health—US CDC Collaboration, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Thailand Ministry of Public Health—US CDC Collaboration, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Kow Tong" sort="Chen, Kow Tong" uniqKey="Chen K" first="Kow-Tong" last="Chen">Kow-Tong Chen</name><affiliation wicri:level="1"><nlm:aff id="affd">Taiwan Center for Disease Control, Department of Health, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Taiwan Center for Disease Control, Department of Health, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Shuey, Dean" sort="Shuey, Dean" uniqKey="Shuey D" first="Dean" last="Shuey">Dean Shuey</name><affiliation wicri:level="1"><nlm:aff id="affe">World Health Organization, Vientiane, Lao People's Democratic Republic</nlm:aff><country xml:lang="fr">Laos</country><wicri:regionArea>World Health Organization, Vientiane</wicri:regionArea><wicri:noRegion>Vientiane</wicri:noRegion></affiliation></author><author><name sortKey="Limpakarnjanarat, Khanchit" sort="Limpakarnjanarat, Khanchit" uniqKey="Limpakarnjanarat K" first="Khanchit" last="Limpakarnjanarat">Khanchit Limpakarnjanarat</name><affiliation wicri:level="1"><nlm:aff id="afff">International Emerging Infections Program, Thailand Ministry of Public Health—US CDC Collaboration, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>International Emerging Infections Program, Thailand Ministry of Public Health—US CDC Collaboration, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Chavavanich, Achara" sort="Chavavanich, Achara" uniqKey="Chavavanich A" first="Achara" last="Chavavanich">Achara Chavavanich</name><affiliation wicri:level="1"><nlm:aff id="affg">Bamrasnadur Hospital, Bangkok, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Bamrasnadur Hospital, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation></author><author><name sortKey="Dowell, Scott F" sort="Dowell, Scott F" uniqKey="Dowell S" first="Scott F." last="Dowell">Scott F. 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Lee</name><affiliation wicri:level="2"><nlm:aff id="affa">From the Epidemic Intelligence Service assigned to the Los Angeles County Department of Health Services, Centers for Disease Control and Prevention, Atlanta, GA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>From the Epidemic Intelligence Service assigned to the Los Angeles County Department of Health Services, Centers for Disease Control and Prevention, Atlanta</wicri:cityArea></affiliation></author><author><name sortKey="Siriarayapon, Potjaman" sort="Siriarayapon, Potjaman" uniqKey="Siriarayapon P" first="Potjaman" last="Siriarayapon">Potjaman Siriarayapon</name><affiliation wicri:level="1"><nlm:aff id="affb">International Field Epidemiology Training Program—Thailand, Ministry of Public Health, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>International Field Epidemiology Training Program—Thailand, Ministry of Public Health, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Tappero, Jordan" sort="Tappero, Jordan" uniqKey="Tappero J" first="Jordan" last="Tappero">Jordan Tappero</name><affiliation wicri:level="1"><nlm:aff id="affc">Thailand Ministry of Public Health—US CDC Collaboration, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Thailand Ministry of Public Health—US CDC Collaboration, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Kow Tong" sort="Chen, Kow Tong" uniqKey="Chen K" first="Kow-Tong" last="Chen">Kow-Tong Chen</name><affiliation wicri:level="1"><nlm:aff id="affd">Taiwan Center for Disease Control, Department of Health, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Taiwan Center for Disease Control, Department of Health, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Shuey, Dean" sort="Shuey, Dean" uniqKey="Shuey D" first="Dean" last="Shuey">Dean Shuey</name><affiliation wicri:level="1"><nlm:aff id="affe">World Health Organization, Vientiane, Lao People's Democratic Republic</nlm:aff><country xml:lang="fr">Laos</country><wicri:regionArea>World Health Organization, Vientiane</wicri:regionArea><wicri:noRegion>Vientiane</wicri:noRegion></affiliation></author><author><name sortKey="Limpakarnjanarat, Khanchit" sort="Limpakarnjanarat, Khanchit" uniqKey="Limpakarnjanarat K" first="Khanchit" last="Limpakarnjanarat">Khanchit Limpakarnjanarat</name><affiliation wicri:level="1"><nlm:aff id="afff">International Emerging Infections Program, Thailand Ministry of Public Health—US CDC Collaboration, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>International Emerging Infections Program, Thailand Ministry of Public Health—US CDC Collaboration, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author><author><name sortKey="Chavavanich, Achara" sort="Chavavanich, Achara" uniqKey="Chavavanich A" first="Achara" last="Chavavanich">Achara Chavavanich</name><affiliation wicri:level="1"><nlm:aff id="affg">Bamrasnadur Hospital, Bangkok, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Bamrasnadur Hospital, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation></author><author><name sortKey="Dowell, Scott F" sort="Dowell, Scott F" uniqKey="Dowell S" first="Scott F." last="Dowell">Scott F. Dowell</name><affiliation wicri:level="1"><nlm:aff id="afff">International Emerging Infections Program, Thailand Ministry of Public Health—US CDC Collaboration, Nonthaburi, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>International Emerging Infections Program, Thailand Ministry of Public Health—US CDC Collaboration, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author></analytic><series><title level="j">American Journal of Infection Control</title><idno type="ISSN">0196-6553</idno><idno type="eISSN">1527-3296</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Despite available recommendations on infection control for severe acute respiratory syndrome (SARS), information is limited on actual practices in Asian hospitals during the epidemic. We describe practices observed by mobile SARS containment teams (mobile teams) during outbreak investigations.</p></sec><sec><title>Methods</title><p>We retrospectively summarized infection control practices observed in hospitals visited by mobile teams in the Lao People's Democratic Republic (PDR), Taiwan, and Thailand, during March and April 2003.</p></sec><sec><title>Results</title><p>Mobile teams investigated 22 reports of SARS in 20 hospitals (1, 5, and 14 hospitals in Lao PDR, Taiwan, and Thailand, respectively). Facilities ranged from urban hospitals with negative-pressure isolation rooms and high-efficiency particulate air filtration to rural hospitals with patient rooms open to outside air circulation and intermittent running water. At the time of mobile team visits, 5 (25%) hospitals implemented infection control practices consistent with World Health Organization recommendations on visitor policies, private negative-pressure rooms, and personal protective equipment.</p></sec><sec><title>Conclusions</title><p>Early in the SARS epidemic, mobile teams found wide variations in infection control practices and resources among Asian hospitals evaluating patients for SARS, indicating the importance of ongoing assessment during SARS preparedness. Mobile teams are one mechanism to assess practices and promote implementation of recommended infection control measures.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ksiazek, T G" uniqKey="Ksiazek T">T.G. Ksiazek</name></author><author><name sortKey="Erdman, D" uniqKey="Erdman D">D. Erdman</name></author><author><name sortKey="Goldsmith, C S" uniqKey="Goldsmith C">C.S. 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