SrasV1, PascalFrancis, Corpus, bibRecord, 000782

Infection control for SARS in a tertiary paediatric centre in Hong Kong

Identifieur interne : 000782 ( PascalFrancis/Corpus ); précédent : 000781; suivant : 000783

Infection control for SARS in a tertiary paediatric centre in Hong Kong

Auteurs : T. F. Leung ; P. C. Ng ; F. W. T. Cheng ; D. J. Lyon ; K. W. So ; E. K. L. Hon ; A. M. Li ; C. K. Li ; G. W. K. Wong ; E. A. S. Nelson ; J. Hui ; R. Y. T. Sung ; M. C. Yam ; T. F. Fok

Source :

The Journal of hospital infection [ 0195-6701 ] ; 2004.

RBID : Pascal:04-0558261

Descripteurs français

Pascal (Inist)
- Syndrome respiratoire aigu sévère, Maladie émergente, Infection nosocomiale, Contrôle, Hong Kong, Enfant, Coronavirus, Epidémie, Hôpital, Politique, Facteur risque, Equipe soignante, Pays de Galles, Aigu, Risque élevé, Transmission, Implémentation, Pneumonie.

English descriptors

KwdEn :
- Acute, Check, Child, Coronavirus, Emerging disease, Epidemic, Health care staff, High risk, Hong Kong, Hospital, Implementation, Nosocomial infection, Pneumonia, Policy, Risk factor, Severe acute respiratory syndrome, Transmission, Wales.

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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Format Inist (serveur)

NO :	PASCAL 04-0558261 INIST
ET :	Infection control for SARS in a tertiary paediatric centre in Hong Kong
AU :	LEUNG (T. F.); NG (P. C.); CHENG (F. W. T.); LYON (D. J.); SO (K. W.); HON (E. K. L.); LI (A. M.); LI (C. K.); WONG (G. W. K.); NELSON (E. A. S.); HUI (J.); SUNG (R. Y. T.); YAM (M. C.); FOK (T. F.)
AF :	Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital/Shatin/Hong-Kong (1 aut., 2 aut., 3 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut., 10 aut., 11 aut., 12 aut., 13 aut., 14 aut.); Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital/Shatin/Hong-Kong (4 aut.)
DT :	Publication en série; Niveau analytique
SO :	The Journal of hospital infection; ISSN 0195-6701; Royaume-Uni; Da. 2004; Vol. 56; No. 3; Pp. 215-222; Bibl. 11 ref.
LA :	Anglais
EA :	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.
CC :	002B05C02C
FD :	Syndrome respiratoire aigu sévère; Maladie émergente; Infection nosocomiale; Contrôle; Hong Kong; Enfant; Coronavirus; Epidémie; Hôpital; Politique; Facteur risque; Equipe soignante; Pays de Galles; Aigu; Risque élevé; Transmission; Implémentation; Pneumonie
FG :	Virose; Infection; Chine; Asie; Homme; Coronaviridae; Nidovirales; Virus; Grande Bretagne; Royaume Uni; Europe; Prévention; Appareil respiratoire pathologie; Poumon pathologie
ED :	Severe acute respiratory syndrome; Emerging disease; Nosocomial infection; Check; Hong Kong; Child; Coronavirus; Epidemic; Hospital; Policy; Risk factor; Health care staff; Wales; Acute; High risk; Transmission; Implementation; Pneumonia
EG :	Viral disease; Infection; China; Asia; Human; Coronaviridae; Nidovirales; Virus; Great Britain; United Kingdom; Europe; Prevention; Respiratory disease; Lung disease
SD :	Síndrome respiratorio agudo severo; Enfermedad emergente; Infección nosocomial; Control; Hong Kong; Niño; Coronavirus; Epidemia; Hospital; Política; Factor riesgo; Equipo de salud; País de Gales; Agudo; Riesgo alto; Transmisión; Implementación; Neumonía
LO :	INIST-18802.354000116587550080
ID :	04-0558261

Links to Exploration step

Pascal:04-0558261

Le document en format XML

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<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><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>
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</affiliation>
</author>
<author><name sortKey="Hui, J" sort="Hui, J" uniqKey="Hui J" first="J." last="Hui">J. Hui</name>
<affiliation><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>
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</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><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>
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</inist:fA14>
</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><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>
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</inist:fA14>
</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><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>
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</inist:fA14>
</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>
</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><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>
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</inist:fA14>
</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><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>
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</inist:fA14>
</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><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>
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</inist:fA14>
</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><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>
</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><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>
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</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><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>
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</inist:fA14>
</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><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>
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</inist:fA14>
</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><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>
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</inist:fA14>
</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><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>
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<sZ>13 aut.</sZ>
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</inist:fA14>
</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><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>
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</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Hui, J" sort="Hui, J" uniqKey="Hui J" first="J." last="Hui">J. Hui</name>
<affiliation><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>
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</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><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>
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</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><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>
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</inist:fA14>
</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><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>
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</inist:fA14>
</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>
</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>
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<fA05><s2>56</s2>
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<fA08 i1="01" i2="1" l="ENG"><s1>Infection control for SARS in a tertiary paediatric centre in Hong Kong</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>LEUNG (T. F.)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>NG (P. C.)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>CHENG (F. W. T.)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>LYON (D. J.)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>SO (K. W.)</s1>
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<fA11 i1="06" i2="1"><s1>HON (E. K. L.)</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>LI (A. M.)</s1>
</fA11>
<fA11 i1="08" i2="1"><s1>LI (C. K.)</s1>
</fA11>
<fA11 i1="09" i2="1"><s1>WONG (G. W. K.)</s1>
</fA11>
<fA11 i1="10" i2="1"><s1>NELSON (E. A. S.)</s1>
</fA11>
<fA11 i1="11" i2="1"><s1>HUI (J.)</s1>
</fA11>
<fA11 i1="12" i2="1"><s1>SUNG (R. Y. T.)</s1>
</fA11>
<fA11 i1="13" i2="1"><s1>YAM (M. C.)</s1>
</fA11>
<fA11 i1="14" i2="1"><s1>FOK (T. F.)</s1>
</fA11>
<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>
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<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
</fA14>
<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>
</fA14>
<fA20><s1>215-222</s1>
</fA20>
<fA21><s1>2004</s1>
</fA21>
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<s2>18802</s2>
<s5>354000116587550080</s5>
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<s1>© 2004 INIST-CNRS. All rights reserved.</s1>
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<fC01 i1="01" l="ENG"><s0>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.</s0>
</fC01>
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<s5>01</s5>
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<fC03 i1="01" i2="X" l="ENG"><s0>Severe acute respiratory syndrome</s0>
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<s5>01</s5>
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<fC03 i1="01" i2="X" l="SPA"><s0>Síndrome respiratorio agudo severo</s0>
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<s5>01</s5>
</fC03>
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<s5>02</s5>
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<fC03 i1="02" i2="X" l="ENG"><s0>Emerging disease</s0>
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<s5>02</s5>
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<s5>02</s5>
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<fC03 i1="03" i2="X" l="FRE"><s0>Infection nosocomiale</s0>
<s2>NM</s2>
<s5>03</s5>
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<fC03 i1="03" i2="X" l="ENG"><s0>Nosocomial infection</s0>
<s2>NM</s2>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Infección nosocomial</s0>
<s2>NM</s2>
<s5>03</s5>
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<fC03 i1="04" i2="X" l="FRE"><s0>Contrôle</s0>
<s5>07</s5>
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<fC03 i1="04" i2="X" l="ENG"><s0>Check</s0>
<s5>07</s5>
</fC03>
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<s5>07</s5>
</fC03>
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<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Hong Kong</s0>
<s2>NG</s2>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Hong Kong</s0>
<s2>NG</s2>
<s5>08</s5>
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<fC03 i1="06" i2="X" l="FRE"><s0>Enfant</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Child</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Niño</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Coronavirus</s0>
<s2>NW</s2>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Coronavirus</s0>
<s2>NW</s2>
<s5>10</s5>
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<fC03 i1="07" i2="X" l="SPA"><s0>Coronavirus</s0>
<s2>NW</s2>
<s5>10</s5>
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<fC03 i1="08" i2="X" l="FRE"><s0>Epidémie</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Epidemic</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Epidemia</s0>
<s5>14</s5>
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<s5>15</s5>
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<fC03 i1="09" i2="X" l="ENG"><s0>Hospital</s0>
<s5>15</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Hospital</s0>
<s5>15</s5>
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<s5>17</s5>
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<s5>17</s5>
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<s5>17</s5>
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<s5>18</s5>
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<s5>18</s5>
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<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Equipe soignante</s0>
<s5>19</s5>
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<fC03 i1="12" i2="X" l="ENG"><s0>Health care staff</s0>
<s5>19</s5>
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<fC03 i1="12" i2="X" l="SPA"><s0>Equipo de salud</s0>
<s5>19</s5>
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<fC03 i1="13" i2="X" l="FRE"><s0>Pays de Galles</s0>
<s2>NG</s2>
<s5>20</s5>
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<fC03 i1="13" i2="X" l="ENG"><s0>Wales</s0>
<s2>NG</s2>
<s5>20</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA"><s0>País de Gales</s0>
<s2>NG</s2>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE"><s0>Aigu</s0>
<s5>21</s5>
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<fC03 i1="14" i2="X" l="ENG"><s0>Acute</s0>
<s5>21</s5>
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<fC03 i1="14" i2="X" l="SPA"><s0>Agudo</s0>
<s5>21</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE"><s0>Risque élevé</s0>
<s5>22</s5>
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<fC03 i1="15" i2="X" l="ENG"><s0>High risk</s0>
<s5>22</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA"><s0>Riesgo alto</s0>
<s5>22</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE"><s0>Transmission</s0>
<s5>23</s5>
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<fC03 i1="16" i2="X" l="ENG"><s0>Transmission</s0>
<s5>23</s5>
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<fC03 i1="16" i2="X" l="SPA"><s0>Transmisión</s0>
<s5>23</s5>
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<fC03 i1="17" i2="X" l="FRE"><s0>Implémentation</s0>
<s5>24</s5>
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<fC03 i1="17" i2="X" l="ENG"><s0>Implementation</s0>
<s5>24</s5>
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<fC03 i1="17" i2="X" l="SPA"><s0>Implementación</s0>
<s5>24</s5>
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<fC03 i1="18" i2="X" l="FRE"><s0>Pneumonie</s0>
<s5>35</s5>
</fC03>
<fC03 i1="18" i2="X" l="ENG"><s0>Pneumonia</s0>
<s5>35</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA"><s0>Neumonía</s0>
<s5>35</s5>
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<fC07 i1="01" i2="X" l="FRE"><s0>Virose</s0>
<s2>NM</s2>
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<fC07 i1="01" i2="X" l="ENG"><s0>Viral disease</s0>
<s2>NM</s2>
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<fC07 i1="01" i2="X" l="SPA"><s0>Virosis</s0>
<s2>NM</s2>
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<fC07 i1="02" i2="X" l="FRE"><s0>Infection</s0>
<s2>NM</s2>
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<fC07 i1="02" i2="X" l="ENG"><s0>Infection</s0>
<s2>NM</s2>
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<fC07 i1="02" i2="X" l="SPA"><s0>Infección</s0>
<s2>NM</s2>
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<s2>NG</s2>
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<s2>NG</s2>
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<fC07 i1="05" i2="X" l="SPA"><s0>Hombre</s0>
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<s2>NW</s2>
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<fC07 i1="06" i2="X" l="ENG"><s0>Coronaviridae</s0>
<s2>NW</s2>
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<fC07 i1="06" i2="X" l="SPA"><s0>Coronaviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="09" i2="X" l="FRE"><s0>Grande Bretagne</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="09" i2="X" l="ENG"><s0>Great Britain</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="09" i2="X" l="SPA"><s0>Gran Bretaña</s0>
<s2>NG</s2>
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<fC07 i1="10" i2="X" l="FRE"><s0>Royaume Uni</s0>
<s2>NG</s2>
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<s2>NG</s2>
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<fC07 i1="10" i2="X" l="SPA"><s0>Reino Unido</s0>
<s2>NG</s2>
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<fC07 i1="11" i2="X" l="FRE"><s0>Europe</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="11" i2="X" l="ENG"><s0>Europe</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="11" i2="X" l="SPA"><s0>Europa</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="12" i2="X" l="FRE"><s0>Prévention</s0>
<s5>37</s5>
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<fC07 i1="12" i2="X" l="ENG"><s0>Prevention</s0>
<s5>37</s5>
</fC07>
<fC07 i1="12" i2="X" l="SPA"><s0>Prevención</s0>
<s5>37</s5>
</fC07>
<fC07 i1="13" i2="X" l="FRE"><s0>Appareil respiratoire pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="13" i2="X" l="ENG"><s0>Respiratory disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="13" i2="X" l="SPA"><s0>Aparato respiratorio patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="14" i2="X" l="FRE"><s0>Poumon pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="14" i2="X" l="ENG"><s0>Lung disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="14" i2="X" l="SPA"><s0>Pulmón patología</s0>
<s5>39</s5>
</fC07>
<fN21><s1>320</s1>
</fN21>
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<fN82><s1>OTO</s1>
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<server><NO>PASCAL 04-0558261 INIST</NO>
<ET>Infection control for SARS in a tertiary paediatric centre in Hong Kong</ET>
<AU>LEUNG (T. F.); NG (P. C.); CHENG (F. W. T.); LYON (D. J.); SO (K. W.); HON (E. K. L.); LI (A. M.); LI (C. K.); WONG (G. W. K.); NELSON (E. A. S.); HUI (J.); SUNG (R. Y. T.); YAM (M. C.); FOK (T. F.)</AU>
<AF>Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital/Shatin/Hong-Kong (1 aut., 2 aut., 3 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut., 10 aut., 11 aut., 12 aut., 13 aut., 14 aut.); Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital/Shatin/Hong-Kong (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>The Journal of hospital infection; ISSN 0195-6701; Royaume-Uni; Da. 2004; Vol. 56; No. 3; Pp. 215-222; Bibl. 11 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B05C02C</CC>
<FD>Syndrome respiratoire aigu sévère; Maladie émergente; Infection nosocomiale; Contrôle; Hong Kong; Enfant; Coronavirus; Epidémie; Hôpital; Politique; Facteur risque; Equipe soignante; Pays de Galles; Aigu; Risque élevé; Transmission; Implémentation; Pneumonie</FD>
<FG>Virose; Infection; Chine; Asie; Homme; Coronaviridae; Nidovirales; Virus; Grande Bretagne; Royaume Uni; Europe; Prévention; Appareil respiratoire pathologie; Poumon pathologie</FG>
<ED>Severe acute respiratory syndrome; Emerging disease; Nosocomial infection; Check; Hong Kong; Child; Coronavirus; Epidemic; Hospital; Policy; Risk factor; Health care staff; Wales; Acute; High risk; Transmission; Implementation; Pneumonia</ED>
<EG>Viral disease; Infection; China; Asia; Human; Coronaviridae; Nidovirales; Virus; Great Britain; United Kingdom; Europe; Prevention; Respiratory disease; Lung disease</EG>
<SD>Síndrome respiratorio agudo severo; Enfermedad emergente; Infección nosocomial; Control; Hong Kong; Niño; Coronavirus; Epidemia; Hospital; Política; Factor riesgo; Equipo de salud; País de Gales; Agudo; Riesgo alto; Transmisión; Implementación; Neumonía</SD>
<LO>INIST-18802.354000116587550080</LO>
<ID>04-0558261</ID>
</server>
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Infection control for SARS in a tertiary paediatric centre in Hong Kong

Infection control for SARS in a tertiary paediatric centre in Hong Kong

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