Impact of a viral respiratory epidemic on the practice of medicine and rehabilitation: Severe acute respiratory syndrome
Identifieur interne : 000833 ( PascalFrancis/Checkpoint ); précédent : 000832; suivant : 000834Impact of a viral respiratory epidemic on the practice of medicine and rehabilitation: Severe acute respiratory syndrome
Auteurs : Peter A. Lim [Singapour, États-Unis] ; YEE SIEN NG [Singapour] ; BOON KENG TAY [Singapour]Source :
- Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2004.
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- Pascal (Inist)
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- topic : Médecine.
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Abstract
Severe acute respiratory syndrome (SARS) is a new respiratory viral epidemic that originated in China but has affected many parts of the world, with devastating impact on economies and the practice of medicine and rehabilitation. A novel coronavirus has been implicated, with transmission through respiratory droplets. Rehabilitation was significantly affected by SARS, because strict infection control measures run counter to principles such as multidisciplinary interactions, patients encouraging and learning from each other, and close physical contact during therapy. Immunocompromised patients who may silently carry SARS are common in rehabilitation and include those with renal failure, diabetes, and cancer. Routine procedures such as management of feces and respiratory secretions (eg, airway suctioning, tracheotomy care) have been classified as high risk. Personal protection equipment presented not only a physical but also a psychologic barrier to therapeutic human contact. Visitor restriction to decrease chances of disease transmission are particularly difficult for long-staying rehabilitation patients. At the height of the epidemic, curtailment of patient movement stopped all transfers for rehabilitation, and physiatrists had to function as general internists. Our experiences strongly suggest that rehabilitation institutions should have emergency preparedness plans because such epidemics may recur, whether as a result of nature or of bioterrorism.
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Lim</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Rehabilitation Medicine, Singapore General Hospital</s1><s2>Singapore</s2><s3>SGP</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Singapour</country><wicri:noRegion>Singapore</wicri:noRegion></affiliation><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Physical Medicine and Rehabilitation, Baylor College of Medicine</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Yee Sien Ng" sort="Yee Sien Ng" uniqKey="Yee Sien Ng" last="Yee Sien Ng">YEE SIEN NG</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Rehabilitation Medicine, Singapore General Hospital</s1><s2>Singapore</s2><s3>SGP</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Singapour</country><wicri:noRegion>Singapore</wicri:noRegion></affiliation></author><author><name sortKey="Boon Keng Tay" sort="Boon Keng Tay" uniqKey="Boon Keng Tay" last="Boon Keng Tay">BOON KENG TAY</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Orthopaedic Surgery, Singapore General Hospital</s1><s2>Singapore</s2><s3>SGP</s3><sZ>3 aut.</sZ></inist:fA14><country>Singapour</country><wicri:noRegion>Singapore</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">04-0476826</idno><date when="2004">2004</date><idno type="stanalyst">PASCAL 04-0476826 INIST</idno><idno type="RBID">Pascal:04-0476826</idno><idno type="wicri:Area/PascalFrancis/Corpus">000818</idno><idno type="wicri:Area/PascalFrancis/Curation">000172</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000833</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000833</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Impact of a viral respiratory epidemic on the practice of medicine and rehabilitation: Severe acute respiratory syndrome</title><author><name sortKey="Lim, Peter A" sort="Lim, Peter A" uniqKey="Lim P" first="Peter A." last="Lim">Peter A. 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A novel coronavirus has been implicated, with transmission through respiratory droplets. Rehabilitation was significantly affected by SARS, because strict infection control measures run counter to principles such as multidisciplinary interactions, patients encouraging and learning from each other, and close physical contact during therapy. Immunocompromised patients who may silently carry SARS are common in rehabilitation and include those with renal failure, diabetes, and cancer. Routine procedures such as management of feces and respiratory secretions (eg, airway suctioning, tracheotomy care) have been classified as high risk. Personal protection equipment presented not only a physical but also a psychologic barrier to therapeutic human contact. Visitor restriction to decrease chances of disease transmission are particularly difficult for long-staying rehabilitation patients. At the height of the epidemic, curtailment of patient movement stopped all transfers for rehabilitation, and physiatrists had to function as general internists. 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Immunocompromised patients who may silently carry SARS are common in rehabilitation and include those with renal failure, diabetes, and cancer. Routine procedures such as management of feces and respiratory secretions (eg, airway suctioning, tracheotomy care) have been classified as high risk. Personal protection equipment presented not only a physical but also a psychologic barrier to therapeutic human contact. Visitor restriction to decrease chances of disease transmission are particularly difficult for long-staying rehabilitation patients. At the height of the epidemic, curtailment of patient movement stopped all transfers for rehabilitation, and physiatrists had to function as general internists. 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Lim</name></noRegion><name sortKey="Boon Keng Tay" sort="Boon Keng Tay" uniqKey="Boon Keng Tay" last="Boon Keng Tay">BOON KENG TAY</name><name sortKey="Yee Sien Ng" sort="Yee Sien Ng" uniqKey="Yee Sien Ng" last="Yee Sien Ng">YEE SIEN NG</name></country><country name="États-Unis"><region name="Texas"><name sortKey="Lim, Peter A" sort="Lim, Peter A" uniqKey="Lim P" first="Peter A." last="Lim">Peter A. Lim</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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