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Precautions in ophthalmic practice in a hospital with a major acute SARS outbreak: an experience from Hong Kong

Identifieur interne : 000F32 ( Ncbi/Merge ); précédent : 000F31; suivant : 000F33

Precautions in ophthalmic practice in a hospital with a major acute SARS outbreak: an experience from Hong Kong

Auteurs : W-M Chan [République populaire de Chine] ; D T L. Liu [République populaire de Chine] ; P K S. Chan [République populaire de Chine] ; K K L. Chong [République populaire de Chine] ; K S C. Yuen [République populaire de Chine] ; T Y H. Chiu [République populaire de Chine] ; B S M. Tam [République populaire de Chine] ; J S K. Ng [République populaire de Chine] ; D S C. Lam [République populaire de Chine]

Source :

RBID : PMC:7091695

Descripteurs français

English descriptors

Abstract

Many new infectious diseases in humans have been derived from animal sources in the past 20 years. Some are highly contagious and fatal. Vaccination may not be available and antiviral drugs are not effective enough. Infectious control is important in clinical medicine and in Ophthalmology. Severe acute respiratory syndrome (SARS), as an example, is a highly contagious respiratory disease that has recently been reported in Asia, North America, and Europe. Within a matter of weeks, the outbreak has evolved to become a global health threat and more than 30 countries have been afflicted with a novel Coronavirus strain (SARS-CoV) that is the aetiologic agent of SARS. The primary route of transmission of SARS appears involving close person-to-person contact through droplets. Ophthalmologists may be particularly susceptible to the infection as routine ophthalmic examinations like direct ophthalmoscopy and slit-lamp examination are usually performed in a setting that has close doctor–patient contact. Being the Ophthalmology Department of the only hospital in the world that has just gone through the largest outbreak of SARS, we would like to share our strategy, measures, and experiences of preventing contracting or spreading of SARS infection as an infection control model. SARS is one of the many viruses against which personnel will need protecting in an ophthalmic setting. The experiences attained and the measures established might also apply to other infectious conditions spreading by droplets such as the avian influenza with H5N1.


Url:
DOI: 10.1038/sj.eye.6701885
PubMed: 15877099
PubMed Central: 7091695

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PMC:7091695

Le document en format XML

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<term>Transmission de maladie infectieuse du patient au professionnel de santé</term>
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<p id="Par1">Many new infectious diseases in humans have been derived from animal sources in the past 20 years. Some are highly contagious and fatal. Vaccination may not be available and antiviral drugs are not effective enough. Infectious control is important in clinical medicine and in Ophthalmology. Severe acute respiratory syndrome (SARS), as an example, is a highly contagious respiratory disease that has recently been reported in Asia, North America, and Europe. Within a matter of weeks, the outbreak has evolved to become a global health threat and more than 30 countries have been afflicted with a novel Coronavirus strain (SARS-CoV) that is the aetiologic agent of SARS. The primary route of transmission of SARS appears involving close person-to-person contact through droplets. Ophthalmologists may be particularly susceptible to the infection as routine ophthalmic examinations like direct ophthalmoscopy and slit-lamp examination are usually performed in a setting that has close doctor–patient contact. Being the Ophthalmology Department of the only hospital in the world that has just gone through the largest outbreak of SARS, we would like to share our strategy, measures, and experiences of preventing contracting or spreading of SARS infection as an infection control model. SARS is one of the many viruses against which personnel will need protecting in an ophthalmic setting. The experiences attained and the measures established might also apply to other infectious conditions spreading by droplets such as the avian influenza with H5N1.</p>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong</wicri:regionArea>
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<name sortKey="Chiu, T Y H" sort="Chiu, T Y H" uniqKey="Chiu T" first="T Y H" last="Chiu">T Y H. Chiu</name>
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<name sortKey="Ng, J S K" sort="Ng, J S K" uniqKey="Ng J" first="J S K" last="Ng">J S K. Ng</name>
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<name sortKey="Lam, D S C" sort="Lam, D S C" uniqKey="Lam D" first="D S C" last="Lam">D S C. Lam</name>
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Hong Kong, People's Republic of China</nlm:aff>
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<wicri:regionArea>Hong Kong</wicri:regionArea>
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<title level="j">Eye</title>
<idno type="ISSN">0950-222X</idno>
<idno type="eISSN">1476-5454</idno>
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<p id="Par1">Many new infectious diseases in humans have been derived from animal sources in the past 20 years. Some are highly contagious and fatal. Vaccination may not be available and antiviral drugs are not effective enough. Infectious control is important in clinical medicine and in Ophthalmology. Severe acute respiratory syndrome (SARS), as an example, is a highly contagious respiratory disease that has recently been reported in Asia, North America, and Europe. Within a matter of weeks, the outbreak has evolved to become a global health threat and more than 30 countries have been afflicted with a novel Coronavirus strain (SARS-CoV) that is the aetiologic agent of SARS. The primary route of transmission of SARS appears involving close person-to-person contact through droplets. Ophthalmologists may be particularly susceptible to the infection as routine ophthalmic examinations like direct ophthalmoscopy and slit-lamp examination are usually performed in a setting that has close doctor–patient contact. Being the Ophthalmology Department of the only hospital in the world that has just gone through the largest outbreak of SARS, we would like to share our strategy, measures, and experiences of preventing contracting or spreading of SARS infection as an infection control model. SARS is one of the many viruses against which personnel will need protecting in an ophthalmic setting. The experiences attained and the measures established might also apply to other infectious conditions spreading by droplets such as the avian influenza with H5N1.</p>
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<term>Cross Infection (prevention & control)</term>
<term>Disease Outbreaks</term>
<term>Hong Kong (epidemiology)</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Infection Control (instrumentation)</term>
<term>Infection Control (methods)</term>
<term>Infectious Disease Transmission, Patient-to-Professional (prevention & control)</term>
<term>Ophthalmologic Surgical Procedures</term>
<term>Ophthalmology (organization & administration)</term>
<term>Outpatient Clinics, Hospital</term>
<term>Severe Acute Respiratory Syndrome (epidemiology)</term>
<term>Severe Acute Respiratory Syndrome (prevention & control)</term>
<term>Severe Acute Respiratory Syndrome (transmission)</term>
</keywords>
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<term>Flambées de maladies</term>
<term>Hong Kong (épidémiologie)</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Infection croisée ()</term>
<term>Lutte contre l'infection ()</term>
<term>Lutte contre l'infection (instrumentation)</term>
<term>Ophtalmologie (organisation et administration)</term>
<term>Procédures de chirurgie ophtalmologique</term>
<term>Services de consultations externes des hôpitaux</term>
<term>Syndrome respiratoire aigu sévère ()</term>
<term>Syndrome respiratoire aigu sévère (transmission)</term>
<term>Syndrome respiratoire aigu sévère (épidémiologie)</term>
<term>Transmission de maladie infectieuse du patient au professionnel de santé ()</term>
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<term>Hong Kong</term>
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<term>Severe Acute Respiratory Syndrome</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Infection Control</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>Ophtalmologie</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en">
<term>Ophthalmology</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>
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<keywords scheme="MESH" qualifier="transmission" xml:lang="en">
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Hong Kong</term>
<term>Lutte contre l'infection</term>
<term>Syndrome respiratoire aigu sévère</term>
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<term>Disease Outbreaks</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Ophthalmologic Surgical Procedures</term>
<term>Outpatient Clinics, Hospital</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Flambées de maladies</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Infection croisée</term>
<term>Lutte contre l'infection</term>
<term>Procédures de chirurgie ophtalmologique</term>
<term>Services de consultations externes des hôpitaux</term>
<term>Syndrome respiratoire aigu sévère</term>
<term>Transmission de maladie infectieuse du patient au professionnel de santé</term>
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<term>Hong Kong</term>
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<front>
<div type="abstract" xml:lang="en">Many new infectious diseases in humans have been derived from animal sources in the past 20 years. Some are highly contagious and fatal. Vaccination may not be available and antiviral drugs are not effective enough. Infectious control is important in clinical medicine and in Ophthalmology. Severe acute respiratory syndrome (SARS), as an example, is a highly contagious respiratory disease that has recently been reported in Asia, North America, and Europe. Within a matter of weeks, the outbreak has evolved to become a global health threat and more than 30 countries have been afflicted with a novel Coronavirus strain (SARS-CoV) that is the aetiologic agent of SARS. The primary route of transmission of SARS appears involving close person-to-person contact through droplets. Ophthalmologists may be particularly susceptible to the infection as routine ophthalmic examinations like direct ophthalmoscopy and slit-lamp examination are usually performed in a setting that has close doctor-patient contact. Being the Ophthalmology Department of the only hospital in the world that has just gone through the largest outbreak of SARS, we would like to share our strategy, measures, and experiences of preventing contracting or spreading of SARS infection as an infection control model. SARS is one of the many viruses against which personnel will need protecting in an ophthalmic setting. The experiences attained and the measures established might also apply to other infectious conditions spreading by droplets such as the avian influenza with H5N1.</div>
</front>
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