Transmission of SARS to healthcare workers. The experience of a Hong Kong ICU
Identifieur interne : 001023 ( Pmc/Checkpoint ); précédent : 001022; suivant : 001024Transmission of SARS to healthcare workers. The experience of a Hong Kong ICU
Auteurs : Charles D. Gomersall ; Gavin M. Joynt ; Oi Man Ho ; Margaret Ip ; Florence Yap ; James L. Derrick ; Patricia LeungSource :
- Intensive Care Medicine [ 0342-4642 ] ; 2006.
Abstract
To describe the extent and temporal pattern of transmission of severe acute respiratory syndrome (SARS) to intensive care unit staff.
Retrospective observational cohort study.
University hospital intensive care unit, caring solely for patients with SARS or suspected to have SARS.
Thirty-five doctors and 152 nurses and healthcare assistants who worked in the ICU during the SARS epidemic.
Sixty-seven patients with SARS were admitted to the intensive care unit. Four nurses and one healthcare assistant contracted SARS, with three of these developing symptoms within 10 days of admission of the first patient with SARS. Doctors were exposed to patients with SARS for a median (IQR) of 284 (97–376) h, while nurses and healthcare assistants were exposed for a median (IQR) of 119 (57–166) h. The ICU did not meet international standards for physical space or ventilation.
In an ICU in which infection control procedures are rigorously applied, the risk to staff of contracting SARS from patients is low, despite long staff exposure times and a sub-standard physical environment.
The electronic reference of this article is
Url:
DOI: 10.1007/s00134-006-0081-1
PubMed: 16505989
PubMed Central: 7079890
Affiliations:
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Joynt</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Anaesthesia and Intensive Care,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</nlm:aff><wicri:noCountry code="subfield">Shatin China</wicri:noCountry></affiliation></author><author><name sortKey="Ho, Oi Man" sort="Ho, Oi Man" uniqKey="Ho O" first="Oi Man" last="Ho">Oi Man Ho</name><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.415197.f</institution-id><institution-id institution-id-type="ISNI">0000000417647206</institution-id><institution>Intensive Care Unit,</institution><institution>Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</nlm:aff><wicri:noCountry code="subfield">Shatin China</wicri:noCountry></affiliation></author><author><name sortKey="Ip, Margaret" sort="Ip, Margaret" uniqKey="Ip M" first="Margaret" last="Ip">Margaret Ip</name><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Microbiology,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</nlm:aff><wicri:noCountry code="subfield">Shatin China</wicri:noCountry></affiliation></author><author><name sortKey="Yap, Florence" sort="Yap, Florence" uniqKey="Yap F" first="Florence" last="Yap">Florence Yap</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Anaesthesia and Intensive Care,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</nlm:aff><wicri:noCountry code="subfield">Shatin China</wicri:noCountry></affiliation></author><author><name sortKey="Derrick, James L" sort="Derrick, James L" uniqKey="Derrick J" first="James L." last="Derrick">James L. 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The experience of a Hong Kong ICU</title><author><name sortKey="Gomersall, Charles D" sort="Gomersall, Charles D" uniqKey="Gomersall C" first="Charles D." last="Gomersall">Charles D. Gomersall</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Anaesthesia and Intensive Care,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</nlm:aff><wicri:noCountry code="subfield">Shatin China</wicri:noCountry></affiliation></author><author><name sortKey="Joynt, Gavin M" sort="Joynt, Gavin M" uniqKey="Joynt G" first="Gavin M." last="Joynt">Gavin M. Joynt</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Anaesthesia and Intensive Care,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</nlm:aff><wicri:noCountry code="subfield">Shatin China</wicri:noCountry></affiliation></author><author><name sortKey="Ho, Oi Man" sort="Ho, Oi Man" uniqKey="Ho O" first="Oi Man" last="Ho">Oi Man Ho</name><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.415197.f</institution-id><institution-id institution-id-type="ISNI">0000000417647206</institution-id><institution>Intensive Care Unit,</institution><institution>Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</nlm:aff><wicri:noCountry code="subfield">Shatin China</wicri:noCountry></affiliation></author><author><name sortKey="Ip, Margaret" sort="Ip, Margaret" uniqKey="Ip M" first="Margaret" last="Ip">Margaret Ip</name><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Microbiology,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</nlm:aff><wicri:noCountry code="subfield">Shatin China</wicri:noCountry></affiliation></author><author><name sortKey="Yap, Florence" sort="Yap, Florence" uniqKey="Yap F" first="Florence" last="Yap">Florence Yap</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Anaesthesia and Intensive Care,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</nlm:aff><wicri:noCountry code="subfield">Shatin China</wicri:noCountry></affiliation></author><author><name sortKey="Derrick, James L" sort="Derrick, James L" uniqKey="Derrick J" first="James L." last="Derrick">James L. Derrick</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Anaesthesia and Intensive Care,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</nlm:aff><wicri:noCountry code="subfield">Shatin China</wicri:noCountry></affiliation></author><author><name sortKey="Leung, Patricia" sort="Leung, Patricia" uniqKey="Leung P" first="Patricia" last="Leung">Patricia Leung</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Anaesthesia and Intensive Care,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</nlm:aff><wicri:noCountry code="subfield">Shatin China</wicri:noCountry></affiliation></author></analytic><series><title level="j">Intensive Care Medicine</title><idno type="ISSN">0342-4642</idno><idno type="eISSN">1432-1238</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To describe the extent and temporal pattern of transmission of severe acute respiratory syndrome (SARS) to intensive care unit staff.</p></sec><sec><title>Design</title><p>Retrospective observational cohort study.</p></sec><sec><title>Setting</title><p>University hospital intensive care unit, caring solely for patients with SARS or suspected to have SARS.</p></sec><sec><title>Participants</title><p>Thirty-five doctors and 152 nurses and healthcare assistants who worked in the ICU during the SARS epidemic. <italic>Interventions:</italic> Infection control measures designed to prevent transmission of disease to staff were implemented.</p></sec><sec><title>Measurements and results</title><p>Sixty-seven patients with SARS were admitted to the intensive care unit. Four nurses and one healthcare assistant contracted SARS, with three of these developing symptoms within 10 days of admission of the first patient with SARS. Doctors were exposed to patients with SARS for a median (IQR) of 284 (97–376) h, while nurses and healthcare assistants were exposed for a median (IQR) of 119 (57–166) h. The ICU did not meet international standards for physical space or ventilation.</p></sec><sec><title>Conclusions</title><p>In an ICU in which infection control procedures are rigorously applied, the risk to staff of contracting SARS from patients is low, despite long staff exposure times and a sub-standard physical environment.</p></sec><sec><title>Electronic supplementary material</title><p>The electronic reference of this article is <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1007/s00134-006-0081-1">http://dx.doi.org/10.1007/s00134-006-0081-1</ext-link> The online full-text version of this article includes electronic supplementary material. This material is available to authorised users and can be accessed by means of the ESM button beneath the abstract or in the structured full-text article. To cite or link to this article you can use the above reference.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lee, N" uniqKey="Lee N">N Lee</name></author><author><name sortKey="Hui, D" uniqKey="Hui D">D Hui</name></author><author><name sortKey="Wu, A" uniqKey="Wu A">A Wu</name></author><author><name sortKey="Chan, P" uniqKey="Chan P">P Chan</name></author><author><name sortKey="Cameron, P" uniqKey="Cameron P">P Cameron</name></author><author><name sortKey="Joynt, Gm" uniqKey="Joynt G">GM Joynt</name></author><author><name sortKey="Ahuja, A" uniqKey="Ahuja A">A Ahuja</name></author><author><name sortKey="Yung, My" uniqKey="Yung M">MY Yung</name></author><author><name sortKey="Leung, Cb" uniqKey="Leung C">CB Leung</name></author><author><name sortKey="To, Kf" uniqKey="To K">KF To</name></author><author><name sortKey="Lui, Sf" uniqKey="Lui S">SF Lui</name></author><author><name sortKey="Szeto, Cc" uniqKey="Szeto C">CC 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Mederski</name></author><author><name sortKey="Green, K" uniqKey="Green K">K Green</name></author><author><name sortKey="Low, De" uniqKey="Low D">DE Low</name></author><author><name sortKey="Of On, Behalf" uniqKey="Of On B">behalf of on</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gomersall, Cd" uniqKey="Gomersall C">CD Gomersall</name></author><author><name sortKey="Joynt, Gm" uniqKey="Joynt G">GM Joynt</name></author><author><name sortKey="Lam, P" uniqKey="Lam P">P Lam</name></author><author><name sortKey="Li, T" uniqKey="Li T">T Li</name></author><author><name sortKey="Yap, F" uniqKey="Yap F">F Yap</name></author><author><name sortKey="Lam, D" uniqKey="Lam D">D Lam</name></author><author><name sortKey="Buckley, Ta" uniqKey="Buckley T">TA Buckley</name></author><author><name sortKey="Sung, Jjy" uniqKey="Sung J">JJY Sung</name></author><author><name sortKey="Hui, Ds" uniqKey="Hui D">DS Hui</name></author><author><name sortKey="Antonio, Ge" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Intensive Care Med</journal-id><journal-id journal-id-type="iso-abbrev">Intensive Care Med</journal-id><journal-title-group><journal-title>Intensive Care Medicine</journal-title></journal-title-group><issn pub-type="ppub">0342-4642</issn><issn pub-type="epub">1432-1238</issn><publisher><publisher-name>Springer-Verlag</publisher-name><publisher-loc>Berlin/Heidelberg</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">16505989</article-id><article-id pub-id-type="pmc">7079890</article-id><article-id pub-id-type="publisher-id">81</article-id><article-id pub-id-type="doi">10.1007/s00134-006-0081-1</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original</subject></subj-group></article-categories><title-group><article-title>Transmission of SARS to healthcare workers. The experience of a Hong Kong ICU</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Gomersall</surname><given-names>Charles D.</given-names></name><address><phone>+852-2632-2735</phone><fax>+852-2637-2422</fax><email>gomersall@cuhk.edu.hk</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Joynt</surname><given-names>Gavin M.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Ho</surname><given-names>Oi Man</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Ip</surname><given-names>Margaret</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Yap</surname><given-names>Florence</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Derrick</surname><given-names>James L.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Leung</surname><given-names>Patricia</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Anaesthesia and Intensive Care,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="GRID">grid.415197.f</institution-id><institution-id institution-id-type="ISNI">0000000417647206</institution-id><institution>Intensive Care Unit,</institution><institution>Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Microbiology,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Hong Kong, Shatin China</aff></contrib-group><pub-date pub-type="epub"><day>25</day><month>2</month><year>2006</year></pub-date><pub-date pub-type="ppub"><year>2006</year></pub-date><volume>32</volume><issue>4</issue><fpage>564</fpage><lpage>569</lpage><history><date date-type="received"><day>18</day><month>1</month><year>2006</year></date><date date-type="accepted"><day>18</day><month>1</month><year>2006</year></date></history><permissions><copyright-statement>© Springer-Verlag 2006</copyright-statement><license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p></license></permissions><abstract id="Abs1"><sec><title>Objective</title><p>To describe the extent and temporal pattern of transmission of severe acute respiratory syndrome (SARS) to intensive care unit staff.</p></sec><sec><title>Design</title><p>Retrospective observational cohort study.</p></sec><sec><title>Setting</title><p>University hospital intensive care unit, caring solely for patients with SARS or suspected to have SARS.</p></sec><sec><title>Participants</title><p>Thirty-five doctors and 152 nurses and healthcare assistants who worked in the ICU during the SARS epidemic. <italic>Interventions:</italic> Infection control measures designed to prevent transmission of disease to staff were implemented.</p></sec><sec><title>Measurements and results</title><p>Sixty-seven patients with SARS were admitted to the intensive care unit. Four nurses and one healthcare assistant contracted SARS, with three of these developing symptoms within 10 days of admission of the first patient with SARS. Doctors were exposed to patients with SARS for a median (IQR) of 284 (97–376) h, while nurses and healthcare assistants were exposed for a median (IQR) of 119 (57–166) h. The ICU did not meet international standards for physical space or ventilation.</p></sec><sec><title>Conclusions</title><p>In an ICU in which infection control procedures are rigorously applied, the risk to staff of contracting SARS from patients is low, despite long staff exposure times and a sub-standard physical environment.</p></sec><sec><title>Electronic supplementary material</title><p>The electronic reference of this article is <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1007/s00134-006-0081-1">http://dx.doi.org/10.1007/s00134-006-0081-1</ext-link> The online full-text version of this article includes electronic supplementary material. This material is available to authorised users and can be accessed by means of the ESM button beneath the abstract or in the structured full-text article. To cite or link to this article you can use the above reference.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Disease outbreaks</kwd><kwd>Infection control</kwd><kwd>Occupational health</kwd><kwd>Severe acute respiratory syndrome</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Springer-Verlag 2006</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Derrick, James L" sort="Derrick, James L" uniqKey="Derrick J" first="James L." last="Derrick">James L. Derrick</name><name sortKey="Gomersall, Charles D" sort="Gomersall, Charles D" uniqKey="Gomersall C" first="Charles D." last="Gomersall">Charles D. Gomersall</name><name sortKey="Ho, Oi Man" sort="Ho, Oi Man" uniqKey="Ho O" first="Oi Man" last="Ho">Oi Man Ho</name><name sortKey="Ip, Margaret" sort="Ip, Margaret" uniqKey="Ip M" first="Margaret" last="Ip">Margaret Ip</name><name sortKey="Joynt, Gavin M" sort="Joynt, Gavin M" uniqKey="Joynt G" first="Gavin M." last="Joynt">Gavin M. Joynt</name><name sortKey="Leung, Patricia" sort="Leung, Patricia" uniqKey="Leung P" first="Patricia" last="Leung">Patricia Leung</name><name sortKey="Yap, Florence" sort="Yap, Florence" uniqKey="Yap F" first="Florence" last="Yap">Florence Yap</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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