Transmission of SARS to healthcare workers. The experience of a Hong Kong ICU
Identifieur interne : 000405 ( Pmc/Curation ); précédent : 000404; suivant : 000406Transmission 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
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000405
Links to Exploration step
PMC:7079890Curation
No country items
Charles D. Gomersall<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>
<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>
<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>
<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>
<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>
<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>
<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>
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Transmission of SARS to healthcare workers. 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>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">16505989</idno>
<idno type="pmc">7079890</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079890</idno>
<idno type="RBID">PMC:7079890</idno>
<idno type="doi">10.1007/s00134-006-0081-1</idno>
<date when="2006">2006</date>
<idno type="wicri:Area/Pmc/Corpus">000405</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000405</idno>
<idno type="wicri:Area/Pmc/Curation">000405</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000405</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Transmission of SARS to healthcare workers. 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 Szeto</name>
</author>
<author><name sortKey="Chung, S" uniqKey="Chung S">S Chung</name>
</author>
<author><name sortKey="Sung, Jjy" uniqKey="Sung J">JJY Sung</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Mortal Mmwr, Morb" uniqKey="Mortal Mmwr M">Morb Mortal MMWR</name>
</author>
<author><name sortKey="Mcgeer, A" uniqKey="Mcgeer A">A McGeer</name>
</author>
<author><name sortKey="Henry, B" uniqKey="Henry B">B Henry</name>
</author>
<author><name sortKey="Ofner, M" uniqKey="Ofner M">M Ofner</name>
</author>
<author><name sortKey="Rose, D" uniqKey="Rose D">D Rose</name>
</author>
<author><name sortKey="Hlywka, T" uniqKey="Hlywka T">T Hlywka</name>
</author>
<author><name sortKey="Levie, J" uniqKey="Levie J">J Levie</name>
</author>
<author><name sortKey="Mcqueen, J" uniqKey="Mcqueen J">J McQueen</name>
</author>
<author><name sortKey="Smith, S" uniqKey="Smith S">S Smith</name>
</author>
<author><name sortKey="Moss, L" uniqKey="Moss L">L Moss</name>
</author>
<author><name sortKey="Smith, A" uniqKey="Smith A">A Smith</name>
</author>
<author><name sortKey="Green, K" uniqKey="Green K">K Green</name>
</author>
<author><name sortKey="Walter, Sd" uniqKey="Walter S">SD Walter</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Christian, Md" uniqKey="Christian M">MD Christian</name>
</author>
<author><name sortKey="Loutfy, M" uniqKey="Loutfy M">M Loutfy</name>
</author>
<author><name sortKey="Mcdonald, Lc" uniqKey="Mcdonald L">LC McDonald</name>
</author>
<author><name sortKey="Martinez, Kf" uniqKey="Martinez K">KF Martinez</name>
</author>
<author><name sortKey="Ofner, M" uniqKey="Ofner M">M Ofner</name>
</author>
<author><name sortKey="Wong, T" uniqKey="Wong T">T Wong</name>
</author>
<author><name sortKey="Wallington, T" uniqKey="Wallington T">T Wallington</name>
</author>
<author><name sortKey="Gold, Wl" uniqKey="Gold W">WL Gold</name>
</author>
<author><name sortKey="Mederski, B" uniqKey="Mederski B">B 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" uniqKey="Antonio G">GE Antonio</name>
</author>
<author><name sortKey="Ahuja, At" uniqKey="Ahuja A">AT Ahuja</name>
</author>
<author><name sortKey="Leung, P" uniqKey="Leung P">P Leung</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gomersall, C" uniqKey="Gomersall C">C Gomersall</name>
</author>
<author><name sortKey="Joynt, G" uniqKey="Joynt G">G 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>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Peiris, Js" uniqKey="Peiris J">JS Peiris</name>
</author>
<author><name sortKey="Chu, Cm" uniqKey="Chu C">CM Chu</name>
</author>
<author><name sortKey="Cheng, Vc" uniqKey="Cheng V">VC Cheng</name>
</author>
<author><name sortKey="Chan, Ks" uniqKey="Chan K">KS Chan</name>
</author>
<author><name sortKey="Hung, If" uniqKey="Hung I">IF Hung</name>
</author>
<author><name sortKey="Poon, Ll" uniqKey="Poon L">LL Poon</name>
</author>
<author><name sortKey="Law, Ki" uniqKey="Law K">KI Law</name>
</author>
<author><name sortKey="Tang, Bs" uniqKey="Tang B">BS Tang</name>
</author>
<author><name sortKey="Hon, Ty" uniqKey="Hon T">TY Hon</name>
</author>
<author><name sortKey="Chan, Cs" uniqKey="Chan C">CS Chan</name>
</author>
<author><name sortKey="Chan, Kh" uniqKey="Chan K">KH Chan</name>
</author>
<author><name sortKey="Ng, Js" uniqKey="Ng J">JS Ng</name>
</author>
<author><name sortKey="Zheng, Bj" uniqKey="Zheng B">BJ Zheng</name>
</author>
<author><name sortKey="Ng, Wl" uniqKey="Ng W">WL Ng</name>
</author>
<author><name sortKey="Lai, Rw" uniqKey="Lai R">RW Lai</name>
</author>
<author><name sortKey="Guan, Y" uniqKey="Guan Y">Y Guan</name>
</author>
<author><name sortKey="Yuen, Ky" uniqKey="Yuen K">KY Yuen</name>
</author>
<author><name sortKey="Study Hku Uch, Sars" uniqKey="Study Hku Uch S">SARS study HKU/UCH</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Disease Centers, For" uniqKey="Disease Centers F">for Disease Centers</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Booth, Cm" uniqKey="Booth C">CM Booth</name>
</author>
<author><name sortKey="Matukas, Lm" uniqKey="Matukas L">LM Matukas</name>
</author>
<author><name sortKey="Tomlinson, Ga" uniqKey="Tomlinson G">GA Tomlinson</name>
</author>
<author><name sortKey="Rachlis, Ar" uniqKey="Rachlis A">AR Rachlis</name>
</author>
<author><name sortKey="Rose, Db" uniqKey="Rose D">DB Rose</name>
</author>
<author><name sortKey="Dwosh, Ha" uniqKey="Dwosh H">HA Dwosh</name>
</author>
<author><name sortKey="Walmsley, Sl" uniqKey="Walmsley S">SL Walmsley</name>
</author>
<author><name sortKey="Mazzulli, T" uniqKey="Mazzulli T">T Mazzulli</name>
</author>
<author><name sortKey="Avendano, M" uniqKey="Avendano M">M Avendano</name>
</author>
<author><name sortKey="Derkach, P" uniqKey="Derkach P">P Derkach</name>
</author>
<author><name sortKey="Ephtimios, Ie" uniqKey="Ephtimios I">IE Ephtimios</name>
</author>
<author><name sortKey="Kitai, I" uniqKey="Kitai I">I Kitai</name>
</author>
<author><name sortKey="Mederski, Bd" uniqKey="Mederski B">BD Mederski</name>
</author>
<author><name sortKey="Shadowitz, Sb" uniqKey="Shadowitz S">SB Shadowitz</name>
</author>
<author><name sortKey="Gold, Wl" uniqKey="Gold W">WL Gold</name>
</author>
<author><name sortKey="Hawryluck, La" uniqKey="Hawryluck L">LA Hawryluck</name>
</author>
<author><name sortKey="Rea, E" uniqKey="Rea E">E Rea</name>
</author>
<author><name sortKey="Chenkin, Js" uniqKey="Chenkin J">JS Chenkin</name>
</author>
<author><name sortKey="Cescon, Dw" uniqKey="Cescon D">DW Cescon</name>
</author>
<author><name sortKey="Poutanen, Sm" uniqKey="Poutanen S">SM Poutanen</name>
</author>
<author><name sortKey="Detsky, As" uniqKey="Detsky A">AS Detsky</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Chow, Pkh" uniqKey="Chow P">PKH Chow</name>
</author>
<author><name sortKey="Ooi, Ee" uniqKey="Ooi E">EE Ooi</name>
</author>
<author><name sortKey="Tan, Hk" uniqKey="Tan H">HK Tan</name>
</author>
<author><name sortKey="Ong, Kw" uniqKey="Ong K">KW Ong</name>
</author>
<author><name sortKey="Sil, Bk" uniqKey="Sil B">BK Sil</name>
</author>
<author><name sortKey="Teo, M" uniqKey="Teo M">M Teo</name>
</author>
<author><name sortKey="Ng, T" uniqKey="Ng T">T Ng</name>
</author>
<author><name sortKey="Soo, Kc" uniqKey="Soo K">KC Soo</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ip, M" uniqKey="Ip M">M Ip</name>
</author>
<author><name sortKey="Chan, Pks" uniqKey="Chan P">PKS Chan</name>
</author>
<author><name sortKey="Lee, N" uniqKey="Lee N">N Lee</name>
</author>
<author><name sortKey="Wu, A" uniqKey="Wu A">A Wu</name>
</author>
<author><name sortKey="Ng, Tkc" uniqKey="Ng T">TKC Ng</name>
</author>
<author><name sortKey="Chan, L" uniqKey="Chan L">L Chan</name>
</author>
<author><name sortKey="Ng, A" uniqKey="Ng A">A Ng</name>
</author>
<author><name sortKey="Kwan, Hm" uniqKey="Kwan H">HM Kwan</name>
</author>
<author><name sortKey="Tsang, L" uniqKey="Tsang L">L Tsang</name>
</author>
<author><name sortKey="Chu, I" uniqKey="Chu I">I Chu</name>
</author>
<author><name sortKey="Cheung, Jlk" uniqKey="Cheung J">JLK Cheung</name>
</author>
<author><name sortKey="Sung, Jjy" uniqKey="Sung J">JJY Sung</name>
</author>
<author><name sortKey="Tam, Js" uniqKey="Tam J">JS Tam</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Tai, Dyh" uniqKey="Tai D">DYH Tai</name>
</author>
<author><name sortKey="Lew, Twk" uniqKey="Lew T">TWK Lew</name>
</author>
<author><name sortKey="Loo, S" uniqKey="Loo S">S Loo</name>
</author>
<author><name sortKey="Earnest, A" uniqKey="Earnest A">A Earnest</name>
</author>
<author><name sortKey="Chen, Mic" uniqKey="Chen M">MIC Chen</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Tai, Dyh" uniqKey="Tai D">DYH Tai</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Riley, S" uniqKey="Riley S">S Riley</name>
</author>
<author><name sortKey="Fraser, C" uniqKey="Fraser C">C Fraser</name>
</author>
<author><name sortKey="Donnelly, Ca" uniqKey="Donnelly C">CA Donnelly</name>
</author>
<author><name sortKey="Ghani, Ac" uniqKey="Ghani A">AC Ghani</name>
</author>
<author><name sortKey="Abu Raddad, Lj" uniqKey="Abu Raddad L">LJ Abu-Raddad</name>
</author>
<author><name sortKey="Hedley, Aj" uniqKey="Hedley A">AJ Hedley</name>
</author>
<author><name sortKey="Leung, Gm" uniqKey="Leung G">GM Leung</name>
</author>
<author><name sortKey="Ho, Lm" uniqKey="Ho L">LM Ho</name>
</author>
<author><name sortKey="Lam, Th" uniqKey="Lam T">TH Lam</name>
</author>
<author><name sortKey="Thach, Tq" uniqKey="Thach T">TQ Thach</name>
</author>
<author><name sortKey="Chau, P" uniqKey="Chau P">P Chau</name>
</author>
<author><name sortKey="Chan, Kp" uniqKey="Chan K">KP Chan</name>
</author>
<author><name sortKey="Lo, Sv" uniqKey="Lo S">SV Lo</name>
</author>
<author><name sortKey="Leung, Py" uniqKey="Leung P">PY Leung</name>
</author>
<author><name sortKey="Tsang, T" uniqKey="Tsang T">T Tsang</name>
</author>
<author><name sortKey="Ho, W" uniqKey="Ho W">W Ho</name>
</author>
<author><name sortKey="Lee, Kh" uniqKey="Lee K">KH Lee</name>
</author>
<author><name sortKey="Lau, Em" uniqKey="Lau E">EM Lau</name>
</author>
<author><name sortKey="Ferguson, Nm" uniqKey="Ferguson N">NM Ferguson</name>
</author>
<author><name sortKey="Anderson, Rm" uniqKey="Anderson R">RM Anderson</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Shen, Z" uniqKey="Shen Z">Z Shen</name>
</author>
<author><name sortKey="Ning, F" uniqKey="Ning F">F Ning</name>
</author>
<author><name sortKey="Zhou, W" uniqKey="Zhou W">W Zhou</name>
</author>
<author><name sortKey="He, X" uniqKey="He X">X He</name>
</author>
<author><name sortKey="Lin, C" uniqKey="Lin C">C Lin</name>
</author>
<author><name sortKey="Chin, Dp" uniqKey="Chin D">DP Chin</name>
</author>
<author><name sortKey="Zhu, Z" uniqKey="Zhu Z">Z Zhu</name>
</author>
<author><name sortKey="Schuchat, A" uniqKey="Schuchat A">A Schuchat</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ha, Ld" uniqKey="Ha L">LD Ha</name>
</author>
<author><name sortKey="Bloom, Sa" uniqKey="Bloom S">SA Bloom</name>
</author>
<author><name sortKey="Nguyen, Qh" uniqKey="Nguyen Q">QH Nguyen</name>
</author>
<author><name sortKey="Maloney, Sa" uniqKey="Maloney S">SA Maloney</name>
</author>
<author><name sortKey="Mq, Le" uniqKey="Mq L">Le MQ</name>
</author>
<author><name sortKey="Leitmeyer, Kc" uniqKey="Leitmeyer K">KC Leitmeyer</name>
</author>
<author><name sortKey="Anh, Bh" uniqKey="Anh B">BH Anh</name>
</author>
<author><name sortKey="Reynolds, Mg" uniqKey="Reynolds M">MG Reynolds</name>
</author>
<author><name sortKey="Montgomery, Jm" uniqKey="Montgomery J">JM Montgomery</name>
</author>
<author><name sortKey="Comer, Ja" uniqKey="Comer J">JA Comer</name>
</author>
<author><name sortKey="Horby, Pw" uniqKey="Horby P">PW Horby</name>
</author>
<author><name sortKey="Plant, Aj" uniqKey="Plant A">AJ Plant</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Seto, Wh" uniqKey="Seto W">WH Seto</name>
</author>
<author><name sortKey="Tsang, D" uniqKey="Tsang D">D Tsang</name>
</author>
<author><name sortKey="Yung, Rw" uniqKey="Yung R">RW Yung</name>
</author>
<author><name sortKey="Ching, Ty" uniqKey="Ching T">TY Ching</name>
</author>
<author><name sortKey="Ng, Tk" uniqKey="Ng T">TK Ng</name>
</author>
<author><name sortKey="Ho, M" uniqKey="Ho M">M Ho</name>
</author>
<author><name sortKey="Ho, Lm" uniqKey="Ho L">LM Ho</name>
</author>
<author><name sortKey="Peiris, Js" uniqKey="Peiris J">JS Peiris</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Lau, Jtf" uniqKey="Lau J">JTF Lau</name>
</author>
<author><name sortKey="Fung, Ks" uniqKey="Fung K">KS Fung</name>
</author>
<author><name sortKey="Wong, Tw" uniqKey="Wong T">TW Wong</name>
</author>
<author><name sortKey="Kim, Jh" uniqKey="Kim J">JH Kim</name>
</author>
<author><name sortKey="Wong, E" uniqKey="Wong E">E Wong</name>
</author>
<author><name sortKey="Chung, S" uniqKey="Chung S">S Chung</name>
</author>
<author><name sortKey="Ho, D" uniqKey="Ho D">D Ho</name>
</author>
<author><name sortKey="Chan, Ly" uniqKey="Chan L">LY Chan</name>
</author>
<author><name sortKey="Lui, Sf" uniqKey="Lui S">SF Lui</name>
</author>
<author><name sortKey="Cheng, A" uniqKey="Cheng A">A Cheng</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Chia, Se" uniqKey="Chia S">SE Chia</name>
</author>
<author><name sortKey="Koh, D" uniqKey="Koh D">D Koh</name>
</author>
<author><name sortKey="Fones, C" uniqKey="Fones C">C Fones</name>
</author>
<author><name sortKey="Qian, F" uniqKey="Qian F">F Qian</name>
</author>
<author><name sortKey="Ng, V" uniqKey="Ng V">V Ng</name>
</author>
<author><name sortKey="Tan, Bh" uniqKey="Tan B">BH Tan</name>
</author>
<author><name sortKey="Wong, Ks" uniqKey="Wong K">KS Wong</name>
</author>
<author><name sortKey="Chew, Wm" uniqKey="Chew W">WM Chew</name>
</author>
<author><name sortKey="Tang, Hk" uniqKey="Tang H">HK Tang</name>
</author>
<author><name sortKey="Muttakin, Z" uniqKey="Muttakin Z">Z Muttakin</name>
</author>
<author><name sortKey="Emmanuel, S" uniqKey="Emmanuel S">S Emmanuel</name>
</author>
<author><name sortKey="Fong, Np" uniqKey="Fong N">NP Fong</name>
</author>
<author><name sortKey="Koh, G" uniqKey="Koh G">G Koh</name>
</author>
<author><name sortKey="Lim, Mk" uniqKey="Lim M">MK Lim</name>
</author>
</analytic>
</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">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>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SrasV1/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000405 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 000405 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Sante |area= SrasV1 |flux= Pmc |étape= Curation |type= RBID |clé= PMC:7079890 |texte= Transmission of SARS to healthcare workers. The experience of a Hong Kong ICU }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i -Sk "pubmed:16505989" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd \ | NlmPubMed2Wicri -a SrasV1
This area was generated with Dilib version V0.6.33. |