SARS Transmission among Hospital Workers in Hong Kong
Identifieur interne : 001519 ( Pmc/Checkpoint ); précédent : 001518; suivant : 001520SARS Transmission among Hospital Workers in Hong Kong
Auteurs : Joseph T. F. Lau [Hong Kong] ; Kitty S. Fung [Hong Kong] ; Tze Wai Wong [Hong Kong] ; Jean H. Kim [Hong Kong] ; Eric Wong [Hong Kong] ; Sydney Chung [Hong Kong] ; Deborah Ho [Hong Kong] ; Louis Y. Chan [Hong Kong] ; S. F. Lui ; Augustine Cheng [Hong Kong]Source :
- Emerging Infectious Diseases [ 1080-6040 ] ; 2004.
Abstract
Despite infection control measures, breakthrough transmission of severe acute respiratory syndrome (SARS) occurred for many hospital workers in Hong Kong. We conducted a case-control study of 72 hospital workers with SARS and 144 matched controls. Inconsistent use of goggles, gowns, gloves, and caps was associated with a higher risk for SARS infection (unadjusted odds ratio 2.42 to 20.54, p < 0.05). The likelihood of SARS infection was strongly associated with the amount of personal protection equipment perceived to be inadequate, having <2 hours of infection control training, and not understanding infection control procedures. No significant differences existed between the case and control groups in the proportion of workers who performed high-risk procedures, reported minor protection equipment problems, or had social contact with SARS-infected persons. Perceived inadequacy of personal protection equipment supply, infection control training <2 hours, and inconsistent use of personal protection equipment when in contact with SARS patients were significant independent risk factors for SARS infection.
Url:
DOI: 10.3201/eid1002.030534
PubMed: 15030698
PubMed Central: 3322933
Affiliations:
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Fung</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Wong, Tze Wai" sort="Wong, Tze Wai" uniqKey="Wong T" first="Tze Wai" last="Wong">Tze Wai Wong</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Kim, Jean H" sort="Kim, Jean H" uniqKey="Kim J" first="Jean H." last="Kim">Jean H. Kim</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Wong, Eric" sort="Wong, Eric" uniqKey="Wong E" first="Eric" last="Wong">Eric Wong</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Chung, Sydney" sort="Chung, Sydney" uniqKey="Chung S" first="Sydney" last="Chung">Sydney Chung</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Ho, Deborah" sort="Ho, Deborah" uniqKey="Ho D" first="Deborah" last="Ho">Deborah Ho</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Chan, Louis Y" sort="Chan, Louis Y" uniqKey="Chan L" first="Louis Y." last="Chan">Louis Y. 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Lui</name><affiliation><nlm:aff id="aff2">Hospital Authority, Government of Hong Kong, Hong Kong SAR</nlm:aff><wicri:noCountry code="subfield">Hong Kong SAR</wicri:noCountry></affiliation></author><author><name sortKey="Cheng, Augustine" sort="Cheng, Augustine" uniqKey="Cheng A" first="Augustine" last="Cheng">Augustine Cheng</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">15030698</idno><idno type="pmc">3322933</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3322933</idno><idno type="RBID">PMC:3322933</idno><idno type="doi">10.3201/eid1002.030534</idno><date when="2004">2004</date><idno type="wicri:Area/Pmc/Corpus">000F46</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000F46</idno><idno type="wicri:Area/Pmc/Curation">000F46</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000F46</idno><idno type="wicri:Area/Pmc/Checkpoint">001519</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001519</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">SARS Transmission among Hospital Workers in Hong Kong</title><author><name sortKey="Lau, Joseph T F" sort="Lau, Joseph T F" uniqKey="Lau J" first="Joseph T. F." last="Lau">Joseph T. F. Lau</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Fung, Kitty S" sort="Fung, Kitty S" uniqKey="Fung K" first="Kitty S." last="Fung">Kitty S. Fung</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Wong, Tze Wai" sort="Wong, Tze Wai" uniqKey="Wong T" first="Tze Wai" last="Wong">Tze Wai Wong</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Kim, Jean H" sort="Kim, Jean H" uniqKey="Kim J" first="Jean H." last="Kim">Jean H. Kim</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Wong, Eric" sort="Wong, Eric" uniqKey="Wong E" first="Eric" last="Wong">Eric Wong</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Chung, Sydney" sort="Chung, Sydney" uniqKey="Chung S" first="Sydney" last="Chung">Sydney Chung</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Ho, Deborah" sort="Ho, Deborah" uniqKey="Ho D" first="Deborah" last="Ho">Deborah Ho</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Chan, Louis Y" sort="Chan, Louis Y" uniqKey="Chan L" first="Louis Y." last="Chan">Louis Y. Chan</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Lui, S F" sort="Lui, S F" uniqKey="Lui S" first="S. F." last="Lui">S. F. Lui</name><affiliation><nlm:aff id="aff2">Hospital Authority, Government of Hong Kong, Hong Kong SAR</nlm:aff><wicri:noCountry code="subfield">Hong Kong SAR</wicri:noCountry></affiliation></author><author><name sortKey="Cheng, Augustine" sort="Cheng, Augustine" uniqKey="Cheng A" first="Augustine" last="Cheng">Augustine Cheng</name><affiliation wicri:level="4"><nlm:aff id="aff1">Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</nlm:aff><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author></analytic><series><title level="j">Emerging Infectious Diseases</title><idno type="ISSN">1080-6040</idno><idno type="eISSN">1080-6059</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Despite infection control measures, breakthrough transmission of severe acute respiratory syndrome (SARS) occurred for many hospital workers in Hong Kong. We conducted a case-control study of 72 hospital workers with SARS and 144 matched controls. Inconsistent use of goggles, gowns, gloves, and caps was associated with a higher risk for SARS infection (unadjusted odds ratio 2.42 to 20.54, p < 0.05). The likelihood of SARS infection was strongly associated with the amount of personal protection equipment perceived to be inadequate, having <2 hours of infection control training, and not understanding infection control procedures. No significant differences existed between the case and control groups in the proportion of workers who performed high-risk procedures, reported minor protection equipment problems, or had social contact with SARS-infected persons. Perceived inadequacy of personal protection equipment supply, infection control training <2 hours, and inconsistent use of personal protection equipment when in contact with SARS patients were significant independent risk factors for SARS infection.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Emerg Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">Emerging Infect. Dis</journal-id><journal-id journal-id-type="publisher-id">EID</journal-id><journal-title-group><journal-title>Emerging Infectious Diseases</journal-title></journal-title-group><issn pub-type="ppub">1080-6040</issn><issn pub-type="epub">1080-6059</issn><publisher><publisher-name>Centers for Disease Control and Prevention</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">15030698</article-id><article-id pub-id-type="pmc">3322933</article-id><article-id pub-id-type="publisher-id">03-0534</article-id><article-id pub-id-type="doi">10.3201/eid1002.030534</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>SARS Transmission among Hospital Workers in Hong Kong</article-title><alt-title alt-title-type="running-head">Infection Control</alt-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Lau</surname><given-names>Joseph T.F.</given-names></name><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Fung</surname><given-names>Kitty S.</given-names></name><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Wong</surname><given-names>Tze Wai</given-names></name><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Kim</surname><given-names>Jean H.</given-names></name><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Wong</surname><given-names>Eric</given-names></name><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Chung</surname><given-names>Sydney</given-names></name><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Ho</surname><given-names>Deborah</given-names></name><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Chan</surname><given-names>Louis Y.</given-names></name><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Lui</surname><given-names>S.F.</given-names></name><xref ref-type="aff" rid="aff2">†</xref></contrib><contrib contrib-type="author"><name><surname>Cheng</surname><given-names>Augustine</given-names></name><xref ref-type="aff" rid="aff1">*</xref></contrib><aff id="aff1"><label>*</label>Chinese University of Hong Kong, Special Administrative Region, People’s Republic of China (SAR)</aff><aff id="aff2"><label>†</label>Hospital Authority, Government of Hong Kong, Hong Kong SAR</aff></contrib-group><author-notes><corresp id="cor1">Address for correspondence: Joseph T.F. Lau, Centre for Epidemiology and Biostatistics, Faculty of Medicine, The Chinese University of Hong Kong, 5/F, School of Public Health, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR; fax: (852) 2645-3098; email: <email xlink:href="jlau@cuhk.edu.hk">jlau@cuhk.edu.hk</email></corresp></author-notes><pub-date pub-type="ppub"><month>2</month><year>2004</year></pub-date><volume>10</volume><issue>2</issue><fpage>280</fpage><lpage>286</lpage><abstract><p>Despite infection control measures, breakthrough transmission of severe acute respiratory syndrome (SARS) occurred for many hospital workers in Hong Kong. We conducted a case-control study of 72 hospital workers with SARS and 144 matched controls. Inconsistent use of goggles, gowns, gloves, and caps was associated with a higher risk for SARS infection (unadjusted odds ratio 2.42 to 20.54, p < 0.05). The likelihood of SARS infection was strongly associated with the amount of personal protection equipment perceived to be inadequate, having <2 hours of infection control training, and not understanding infection control procedures. No significant differences existed between the case and control groups in the proportion of workers who performed high-risk procedures, reported minor protection equipment problems, or had social contact with SARS-infected persons. Perceived inadequacy of personal protection equipment supply, infection control training <2 hours, and inconsistent use of personal protection equipment when in contact with SARS patients were significant independent risk factors for SARS infection.</p></abstract><kwd-group kwd-group-type="author"><title>Keywords: </title><kwd>SARS</kwd><kwd>hospital worker</kwd><kwd>nosocomial infections</kwd><kwd>breakthrough transmission</kwd><kwd>Hong Kong</kwd><kwd>research</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Hong Kong</li></country><settlement><li>Sha Tin</li></settlement><orgName><li>Université chinoise de Hong Kong</li></orgName></list><tree><noCountry><name sortKey="Lui, S F" sort="Lui, S F" uniqKey="Lui S" first="S. F." last="Lui">S. F. Lui</name></noCountry><country name="Hong Kong"><noRegion><name sortKey="Lau, Joseph T F" sort="Lau, Joseph T F" uniqKey="Lau J" first="Joseph T. F." last="Lau">Joseph T. F. Lau</name></noRegion><name sortKey="Chan, Louis Y" sort="Chan, Louis Y" uniqKey="Chan L" first="Louis Y." last="Chan">Louis Y. Chan</name><name sortKey="Cheng, Augustine" sort="Cheng, Augustine" uniqKey="Cheng A" first="Augustine" last="Cheng">Augustine Cheng</name><name sortKey="Chung, Sydney" sort="Chung, Sydney" uniqKey="Chung S" first="Sydney" last="Chung">Sydney Chung</name><name sortKey="Fung, Kitty S" sort="Fung, Kitty S" uniqKey="Fung K" first="Kitty S." last="Fung">Kitty S. Fung</name><name sortKey="Ho, Deborah" sort="Ho, Deborah" uniqKey="Ho D" first="Deborah" last="Ho">Deborah Ho</name><name sortKey="Kim, Jean H" sort="Kim, Jean H" uniqKey="Kim J" first="Jean H." last="Kim">Jean H. Kim</name><name sortKey="Wong, Eric" sort="Wong, Eric" uniqKey="Wong E" first="Eric" last="Wong">Eric Wong</name><name sortKey="Wong, Tze Wai" sort="Wong, Tze Wai" uniqKey="Wong T" first="Tze Wai" last="Wong">Tze Wai Wong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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