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Risk factors for SARS infection among hospital healthcare workers in Beijing: a case control study

Identifieur interne : 000C79 ( Pmc/Checkpoint ); précédent : 000C78; suivant : 000C80

Risk factors for SARS infection among hospital healthcare workers in Beijing: a case control study

Auteurs : Wei Liu ; Fang Tang ; Li-Qun Fang ; Sake J. De Vlas ; Huai-Jian Ma ; Jie-Ping Zhou ; Caspar W. N. Looman ; Jan Hendrik Richardus ; Wu-Chun Cao

Source :

RBID : PMC:7169729

Abstract

Summary

Objective  To evaluate possible severe acute respiratory syndrome (SARS) infection associated risk factors in a SARS affected hospital in Beijing by means of a case control study.

Methods  Fifty‐one infected and 426 uninfected staff members were asked about risk behaviours and protective measures when attending to SARS patients. Univariate and multivariate logistic regression analyses were performed to identify the major risk and protective factors.

Results  Multivariate analysis confirmed the strong role of performing chest compression (or intubation, which is highly correlated), contact with respiratory secretion, and emergency care experience as risk factors to acquire SARS infection. For the studied protective measures, wearing 16‐layer cotton surgical mask, wearing 12‐layer cotton surgical mask, wearing multiple layers of mask, taking prophylactic medicine, taking training and nose washing turned out to be protective against infection.

Conclusions  This study highlighted activities associated with increased and decreased risk for SARS infection during close contact with SARS patients. These findings may help to guide recommendations for the protection of high‐risk occupational groups.


Url:
DOI: 10.1111/j.1365-3156.2009.02255.x
PubMed: NONE
PubMed Central: 7169729


Affiliations:


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PMC:7169729

Le document en format XML

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<title>Summary</title>
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<bold>Objective </bold>
To evaluate possible severe acute respiratory syndrome (SARS) infection associated risk factors in a SARS affected hospital in Beijing by means of a case control study.</p>
<p>
<bold>Methods </bold>
Fifty‐one infected and 426 uninfected staff members were asked about risk behaviours and protective measures when attending to SARS patients. Univariate and multivariate logistic regression analyses were performed to identify the major risk and protective factors.</p>
<p>
<bold>Results </bold>
Multivariate analysis confirmed the strong role of performing chest compression (or intubation, which is highly correlated), contact with respiratory secretion, and emergency care experience as risk factors to acquire SARS infection. For the studied protective measures, wearing 16‐layer cotton surgical mask, wearing 12‐layer cotton surgical mask, wearing multiple layers of mask, taking prophylactic medicine, taking training and nose washing turned out to be protective against infection.</p>
<p>
<bold>Conclusions </bold>
This study highlighted activities associated with increased and decreased risk for SARS infection during close contact with SARS patients. These findings may help to guide recommendations for the protection of high‐risk occupational groups.</p>
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<italic>et al.</italic>
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<surname>Ma</surname>
<given-names>Huai‐Jian</given-names>
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<sup>3</sup>
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<sup>4</sup>
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<sup>1</sup>
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 Beijing Institute of Microbiology and Epidemiology, State Key Laboratory of Pathogen and Biosecurity, P.R. China</aff>
<aff id="a2">
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<sup>2</sup>
</label>
 Department of Public Health, Erasmus MC, University Medical Center Rotterdam, The Netherlands</aff>
<aff id="a3">
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<sup>3</sup>
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 Department of Infectious Disease, Anhui Provincial Corps Hospital, Chinese People’s Armed Police Forces, Anhui, P.R. China</aff>
<aff id="a4">
<label>
<sup>4</sup>
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 Institute of Remote Sensing Application, China Academy of Sciences, Beijing, P.R. China</aff>
<author-notes>
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<bold>Corresponding Author Wu‐Chun Cao</bold>
, Beijing Institute of Microbiology and Epidemiology, State Key Laboratory of Pathogen and Biosecurity, 20 Dong‐Da Street, Feng Tai District, 100071 Beijing, P.R. China. E‐mail:
<email>caowc@nic.bmi.ac.cn</email>
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<pub-date pub-type="epub">
<day>05</day>
<month>6</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="ppub">
<month>11</month>
<year>2009</year>
</pub-date>
<volume>14</volume>
<issue>Suppl 1</issue>
<issue-id pub-id-type="doi">10.1111/tmi.2009.14.issue-s1</issue-id>
<issue-title content-type="special-issue-title">SARS in China</issue-title>
<fpage>52</fpage>
<lpage>59</lpage>
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<copyright-statement content-type="article-copyright">© 2009 The Authors. Journal compilation © 2009 Blackwell Publishing Ltd</copyright-statement>
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<license-p>This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.</license-p>
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<self-uri content-type="pdf" xlink:href="file:TMI-14-52.pdf"></self-uri>
<abstract>
<title>Summary</title>
<p>
<bold>Objective </bold>
To evaluate possible severe acute respiratory syndrome (SARS) infection associated risk factors in a SARS affected hospital in Beijing by means of a case control study.</p>
<p>
<bold>Methods </bold>
Fifty‐one infected and 426 uninfected staff members were asked about risk behaviours and protective measures when attending to SARS patients. Univariate and multivariate logistic regression analyses were performed to identify the major risk and protective factors.</p>
<p>
<bold>Results </bold>
Multivariate analysis confirmed the strong role of performing chest compression (or intubation, which is highly correlated), contact with respiratory secretion, and emergency care experience as risk factors to acquire SARS infection. For the studied protective measures, wearing 16‐layer cotton surgical mask, wearing 12‐layer cotton surgical mask, wearing multiple layers of mask, taking prophylactic medicine, taking training and nose washing turned out to be protective against infection.</p>
<p>
<bold>Conclusions </bold>
This study highlighted activities associated with increased and decreased risk for SARS infection during close contact with SARS patients. These findings may help to guide recommendations for the protection of high‐risk occupational groups.</p>
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