The 2003 SARS outbreak and its impact on infection control practices
Identifieur interne : 001215 ( Pmc/Checkpoint ); précédent : 001214; suivant : 001216The 2003 SARS outbreak and its impact on infection control practices
Auteurs : Karen ShawSource :
- Public Health [ 0033-3506 ] ; 2005.
Abstract
Severe Acute Respiratory Syndrome (SARS) emerged recently as a new infectious disease that was transmitted efficiently in the healthcare setting and particularly affected healthcare workers (HCWs), patients and visitors. The efficiency of transmission within healthcare facilities was recognised following significant hospital outbreaks of SARS in Canada, China, Hong Kong, Singapore, Taiwan and Vietnam.
The causative agent of SARS was identified as a novel coronavirus, the SARS coronavirus. This was largely spread by direct or indirect contact with large respiratory droplets, although airborne transmission has also been reported. High infection rates among HCWs led initially to the theory that SARS was highly contagious and the concept of ‘super-spreading events’. Such events illustrated that lack of infection control (IC) measures or failure to comply with IC precautions could lead to large-scale hospital outbreaks. SARS was eventually contained by the stringent application of IC measures that limited exposure of HCWs to potentially infectious individuals. As the ‘global village’ becomes smaller and other microbial threats to health emerge, or re-emerge, there is an urgent need to develop a global strategy for infection control in hospitals.
This paper provides an overview of the main IC practices employed during the 2003 SARS outbreak, including management measures, dedicated SARS hospitals, personal protective equipment, isolation, handwashing, environmental decontamination, education and training. The psychological and psychosocial impact on HCWs during the outbreak are also discussed. Requirements for IC programmes in the post-SARS period are proposed based on the major lessons learnt from the SARS outbreak.
Url:
DOI: 10.1016/j.puhe.2005.10.002
PubMed: 16297415
PubMed Central: 7118748
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The 2003 SARS outbreak and its impact on infection control practices</title><author><name sortKey="Shaw, Karen" sort="Shaw, Karen" uniqKey="Shaw K" first="Karen" last="Shaw">Karen Shaw</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16297415</idno><idno type="pmc">7118748</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118748</idno><idno type="RBID">PMC:7118748</idno><idno type="doi">10.1016/j.puhe.2005.10.002</idno><date when="2005">2005</date><idno type="wicri:Area/Pmc/Corpus">001449</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001449</idno><idno type="wicri:Area/Pmc/Curation">001449</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001449</idno><idno type="wicri:Area/Pmc/Checkpoint">001215</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001215</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The 2003 SARS outbreak and its impact on infection control practices</title><author><name sortKey="Shaw, Karen" sort="Shaw, Karen" uniqKey="Shaw K" first="Karen" last="Shaw">Karen Shaw</name></author></analytic><series><title level="j">Public Health</title><idno type="ISSN">0033-3506</idno><idno type="eISSN">1476-5616</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>Severe Acute Respiratory Syndrome (SARS) emerged recently as a new infectious disease that was transmitted efficiently in the healthcare setting and particularly affected healthcare workers (HCWs), patients and visitors. The efficiency of transmission within healthcare facilities was recognised following significant hospital outbreaks of SARS in Canada, China, Hong Kong, Singapore, Taiwan and Vietnam.</p><p>The causative agent of SARS was identified as a novel coronavirus, the SARS coronavirus. This was largely spread by direct or indirect contact with large respiratory droplets, although airborne transmission has also been reported. High infection rates among HCWs led initially to the theory that SARS was highly contagious and the concept of ‘super-spreading events’. Such events illustrated that lack of infection control (IC) measures or failure to comply with IC precautions could lead to large-scale hospital outbreaks. SARS was eventually contained by the stringent application of IC measures that limited exposure of HCWs to potentially infectious individuals. As the ‘global village’ becomes smaller and other microbial threats to health emerge, or re-emerge, there is an urgent need to develop a global strategy for infection control in hospitals.</p><p>This paper provides an overview of the main IC practices employed during the 2003 SARS outbreak, including management measures, dedicated SARS hospitals, personal protective equipment, isolation, handwashing, environmental decontamination, education and training. The psychological and psychosocial impact on HCWs during the outbreak are also discussed. Requirements for IC programmes in the post-SARS period are proposed based on the major lessons learnt from the SARS outbreak.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Varia, M" uniqKey="Varia M">M. Varia</name></author><author><name sortKey="Wilson, S" uniqKey="Wilson S">S. Wilson</name></author><author><name sortKey="Sarwal, S" uniqKey="Sarwal S">S. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Public Health</journal-id><journal-id journal-id-type="iso-abbrev">Public Health</journal-id><journal-title-group><journal-title>Public Health</journal-title></journal-title-group><issn pub-type="ppub">0033-3506</issn><issn pub-type="epub">1476-5616</issn><publisher><publisher-name>The Royal Institute of Public Health. Published by Elsevier Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">16297415</article-id><article-id pub-id-type="pmc">7118748</article-id><article-id pub-id-type="publisher-id">S0033-3506(05)00236-2</article-id><article-id pub-id-type="doi">10.1016/j.puhe.2005.10.002</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>The 2003 SARS outbreak and its impact on infection control practices</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Shaw</surname><given-names>Karen</given-names></name><email>karen.shaw@hpa.org.uk</email><xref rid="cor1" ref-type="corresp">⁎</xref></contrib></contrib-group><aff>Health Protection Agency, South East Regional Office, 6th Floor New Court, 48 Carey Street, London WC2A 2JE, UK</aff><author-notes><corresp id="cor1"><label>⁎</label>Corresponding author. Tel.: +44 20 74920431; fax: +44 20 74920481. <email>karen.shaw@hpa.org.uk</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>16</day><month>11</month><year>2005</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>1</month><year>2006</year></pub-date><pub-date pub-type="epub"><day>16</day><month>11</month><year>2005</year></pub-date><volume>120</volume><issue>1</issue><fpage>8</fpage><lpage>14</lpage><permissions><copyright-statement>Copyright © 2005 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.</copyright-statement><copyright-year>2005</copyright-year><copyright-holder>The Royal Institute of Public Health</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>Severe Acute Respiratory Syndrome (SARS) emerged recently as a new infectious disease that was transmitted efficiently in the healthcare setting and particularly affected healthcare workers (HCWs), patients and visitors. The efficiency of transmission within healthcare facilities was recognised following significant hospital outbreaks of SARS in Canada, China, Hong Kong, Singapore, Taiwan and Vietnam.</p><p>The causative agent of SARS was identified as a novel coronavirus, the SARS coronavirus. This was largely spread by direct or indirect contact with large respiratory droplets, although airborne transmission has also been reported. High infection rates among HCWs led initially to the theory that SARS was highly contagious and the concept of ‘super-spreading events’. Such events illustrated that lack of infection control (IC) measures or failure to comply with IC precautions could lead to large-scale hospital outbreaks. SARS was eventually contained by the stringent application of IC measures that limited exposure of HCWs to potentially infectious individuals. As the ‘global village’ becomes smaller and other microbial threats to health emerge, or re-emerge, there is an urgent need to develop a global strategy for infection control in hospitals.</p><p>This paper provides an overview of the main IC practices employed during the 2003 SARS outbreak, including management measures, dedicated SARS hospitals, personal protective equipment, isolation, handwashing, environmental decontamination, education and training. The psychological and psychosocial impact on HCWs during the outbreak are also discussed. Requirements for IC programmes in the post-SARS period are proposed based on the major lessons learnt from the SARS outbreak.</p></abstract><kwd-group><title>Keywords</title><kwd>Severe Acute Respiratory</kwd><kwd>Syndrome</kwd><kwd>Healthcare workers</kwd><kwd>Infection control</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Shaw, Karen" sort="Shaw, Karen" uniqKey="Shaw K" first="Karen" last="Shaw">Karen Shaw</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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