Serveur d'exploration SRAS

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Taiwan's traffic control bundle and the elimination of nosocomial severe acute respiratory syndrome among healthcare workers

Identifieur interne : 000B10 ( Pmc/Checkpoint ); précédent : 000B09; suivant : 000B11

Taiwan's traffic control bundle and the elimination of nosocomial severe acute respiratory syndrome among healthcare workers

Auteurs : M.-Y. Yen [République populaire de Chine] ; Y.-E. Lin [République populaire de Chine] ; C.-H. Lee [République populaire de Chine] ; M.-S. Ho [République populaire de Chine] ; F.-Y. Huang [République populaire de Chine] ; S.-C. Chang [République populaire de Chine] ; Y.-C. Liu [République populaire de Chine]

Source :

RBID : PMC:7114589

Abstract

Summary

The traffic control bundle consists of procedures designed to help prevent epidemic nosocomial infection. We retrospectively studied the serial infection control measures to determine factors most effective in preventing nosocomial infections of healthcare workers (HCWs) during the 2003 Taiwanese severe acute respiratory syndrome (SARS) epidemic. Fever screening stations, triage of fever patients, separating SARS patients from other patients, separation of entrances and passageways between patients and HCWs, and increasing hand-washing facilities all demonstrated a protective effect for HCWs (univariate analysis; P < 0.05). By multiple logistic regression: (i) checkpoint alcohol dispensers for glove-on hand rubbing between zones of risk, and (ii) fever screening at the fever screen station outside the emergency department, were the significant methods effectively minimising nosocomial SARS infection of HCWs (P < 0.05). The traffic control bundle should be implemented in future epidemics as a tool to achieve strict infection control measures.


Url:
DOI: 10.1016/j.jhin.2010.12.002
PubMed: 21316802
PubMed Central: 7114589


Affiliations:


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PMC:7114589

Le document en format XML

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<p>The traffic control bundle consists of procedures designed to help prevent epidemic nosocomial infection. We retrospectively studied the serial infection control measures to determine factors most effective in preventing nosocomial infections of healthcare workers (HCWs) during the 2003 Taiwanese severe acute respiratory syndrome (SARS) epidemic. Fever screening stations, triage of fever patients, separating SARS patients from other patients, separation of entrances and passageways between patients and HCWs, and increasing hand-washing facilities all demonstrated a protective effect for HCWs (univariate analysis;
<italic>P</italic>
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<italic>P</italic>
 < 0.05). The traffic control bundle should be implemented in future epidemics as a tool to achieve strict infection control measures.</p>
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<journal-id journal-id-type="nlm-ta">J Hosp Infect</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Hosp. Infect</journal-id>
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<journal-title>The Journal of Hospital Infection</journal-title>
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<subject>Article</subject>
</subj-group>
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<title-group>
<article-title>Taiwan's traffic control bundle and the elimination of nosocomial severe acute respiratory syndrome among healthcare workers</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" id="au1">
<name>
<surname>Yen</surname>
<given-names>M.-Y.</given-names>
</name>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author" id="au2">
<name>
<surname>Lin</surname>
<given-names>Y.-E.</given-names>
</name>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author" id="au3">
<name>
<surname>Lee</surname>
<given-names>C.-H.</given-names>
</name>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author" id="au4">
<name>
<surname>Ho</surname>
<given-names>M.-S.</given-names>
</name>
<xref rid="aff4" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author" id="au5">
<name>
<surname>Huang</surname>
<given-names>F.-Y.</given-names>
</name>
<xref rid="aff5" ref-type="aff">e</xref>
</contrib>
<contrib contrib-type="author" id="au6">
<name>
<surname>Chang</surname>
<given-names>S.-C.</given-names>
</name>
<xref rid="aff6" ref-type="aff">f</xref>
</contrib>
<contrib contrib-type="author" id="au7">
<name>
<surname>Liu</surname>
<given-names>Y.-C.</given-names>
</name>
<email>yungchingliuster@gmail.com</email>
<xref rid="aff7" ref-type="aff">g</xref>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>a</label>
National Yang-Ming University, Taipei City Hospital, Taipei, Taiwan, ROC</aff>
<aff id="aff2">
<label>b</label>
National Kaohsiung Normal University, Kaohsiung, Taiwan, ROC</aff>
<aff id="aff3">
<label>c</label>
National Yang-Ming University, Taipei Veterans General Hospital, Taipei, Taiwan, ROC</aff>
<aff id="aff4">
<label>d</label>
Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan, ROC</aff>
<aff id="aff5">
<label>e</label>
Mackay Memorial Hospital, Taipei, Taiwan, ROC</aff>
<aff id="aff6">
<label>f</label>
National Taiwan University Hospital, Taipei, Taiwan, ROC</aff>
<aff id="aff7">
<label>g</label>
Taipei Medical University, Shuang Ho Hospital, Taipei, Taiwan, ROC</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author. Address: Section of Infectious Diseases, Taipei Medical University – Shuang Ho Hospital, No. 291, Chung-Jen Rd, Chung-Ho City, Taipei County, Taiwan, ROC. Tel.: +886-2-2392203; fax: +886-2-22480166.
<email>yungchingliuster@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>12</day>
<month>2</month>
<year>2011</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub">
<month>4</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub">
<day>12</day>
<month>2</month>
<year>2011</year>
</pub-date>
<volume>77</volume>
<issue>4</issue>
<fpage>332</fpage>
<lpage>337</lpage>
<history>
<date date-type="received">
<day>27</day>
<month>4</month>
<year>2010</year>
</date>
<date date-type="accepted">
<day>2</day>
<month>12</month>
<year>2010</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2010 the Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2010</copyright-year>
<copyright-holder>the Healthcare Infection Society</copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract>
<title>Summary</title>
<p>The traffic control bundle consists of procedures designed to help prevent epidemic nosocomial infection. We retrospectively studied the serial infection control measures to determine factors most effective in preventing nosocomial infections of healthcare workers (HCWs) during the 2003 Taiwanese severe acute respiratory syndrome (SARS) epidemic. Fever screening stations, triage of fever patients, separating SARS patients from other patients, separation of entrances and passageways between patients and HCWs, and increasing hand-washing facilities all demonstrated a protective effect for HCWs (univariate analysis;
<italic>P</italic>
 < 0.05). By multiple logistic regression: (i) checkpoint alcohol dispensers for glove-on hand rubbing between zones of risk, and (ii) fever screening at the fever screen station outside the emergency department, were the significant methods effectively minimising nosocomial SARS infection of HCWs (
<italic>P</italic>
 < 0.05). The traffic control bundle should be implemented in future epidemics as a tool to achieve strict infection control measures.</p>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>Nosocomial infection</kwd>
<kwd>Personal protective equipment</kwd>
<kwd>SARS (severe acute respiratory syndrome)</kwd>
<kwd>SARS coronavirus (SARS-CoV)</kwd>
<kwd>Taiwan</kwd>
<kwd>Traffic control bundle</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>République populaire de Chine</li>
</country>
</list>
<tree>
<country name="République populaire de Chine">
<noRegion>
<name sortKey="Yen, M Y" sort="Yen, M Y" uniqKey="Yen M" first="M.-Y." last="Yen">M.-Y. Yen</name>
</noRegion>
<name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S.-C." last="Chang">S.-C. Chang</name>
<name sortKey="Ho, M S" sort="Ho, M S" uniqKey="Ho M" first="M.-S." last="Ho">M.-S. Ho</name>
<name sortKey="Huang, F Y" sort="Huang, F Y" uniqKey="Huang F" first="F.-Y." last="Huang">F.-Y. Huang</name>
<name sortKey="Lee, C H" sort="Lee, C H" uniqKey="Lee C" first="C.-H." last="Lee">C.-H. Lee</name>
<name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y.-E." last="Lin">Y.-E. Lin</name>
<name sortKey="Liu, Y C" sort="Liu, Y C" uniqKey="Liu Y" first="Y.-C." last="Liu">Y.-C. Liu</name>
</country>
</tree>
</affiliations>
</record>

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