Using an integrated infection control strategy during outbreak control to minimize nosocomial infection of severe acute respiratory syndrome among healthcare workers
Identifieur interne : 001154 ( Pmc/Curation ); précédent : 001153; suivant : 001155Using an integrated infection control strategy during outbreak control to minimize nosocomial infection of severe acute respiratory syndrome among healthcare workers
Auteurs : M.-Y. Yen [République populaire de Chine] ; Y. E. Lin [République populaire de Chine] ; I.-J. Su [République populaire de Chine] ; F.-Y. Huang [République populaire de Chine] ; F.-Y. Huang [République populaire de Chine] ; M.-S. Ho [République populaire de Chine] ; S.-C. Chang [République populaire de Chine] ; K.-H. Tan [République populaire de Chine] ; K.-T. Chen [République populaire de Chine] ; H. Chang [République populaire de Chine] ; Y.-C. Liu [République populaire de Chine] ; C.-H. Loh [République populaire de Chine] ; L.-S. Wang [République populaire de Chine] ; C.-H Lee [République populaire de Chine]Source :
- The Journal of Hospital Infection [ 0195-6701 ] ; 2005.
Abstract
Healthcare workers (HCWs) are at risk of acquiring severe acute respiratory syndrome (SARS) while caring for SARS patients. Personal protective equipment and negative pressure isolation rooms (NPIRs) have not been completely successful in protecting HCWs. We introduced an innovative, integrated infection control strategy involving triaging patients using barriers, zones of risk, and extensive installation of alcohol dispensers for glove-on hand rubbing. This integrated infection control approach was implemented at a SARS designated hospital (‘study hospital’) where NPIRs were not available. The number of HCWs who contracted SARS in the study hospital was compared with the number of HCWs who contracted SARS in 86 Taiwan hospitals that did not use the integrated infection control strategy. Two HCWs contracted SARS in the study hospital (0.03 cases/bed) compared with 93 HCWs in the other hospitals (0.13 cases/bed) during the same three-week period. Our strategy appeared to be effective in reducing the incidence of HCWs contracting SARS. The advantages included rapid implementation without NPIRs, flexibility to transfer patients, and re-inforcement for HCWs to comply with infection control procedures, especially handwashing. The efficacy and low cost are major advantages, especially in countries with large populations at risk and fewer economic resources.
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DOI: 10.1016/j.jhin.2005.02.011
PubMed: 16153744
PubMed Central: 7132502
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Yen</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff10">Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y. E." last="Lin">Y. E. 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Ho</name><affiliation wicri:level="1"><nlm:aff id="aff6">Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S.-C." last="Chang">S.-C. Chang</name><affiliation wicri:level="1"><nlm:aff id="aff3">Centers for Disease Control, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Centers for Disease Control, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Tan, K H" sort="Tan, K H" uniqKey="Tan K" first="K.-H." last="Tan">K.-H. Tan</name><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Surgery, Armed Force Sung-Shan Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Surgery, Armed Force Sung-Shan Hospital, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Chen, K T" sort="Chen, K T" uniqKey="Chen K" first="K.-T." last="Chen">K.-T. Chen</name><affiliation wicri:level="1"><nlm:aff id="aff3">Centers for Disease Control, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Centers for Disease Control, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Chang, H" sort="Chang, H" uniqKey="Chang H" first="H." last="Chang">H. Chang</name><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Anaesthesiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Anaesthesiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Liu, Y C" sort="Liu, Y C" uniqKey="Liu Y" first="Y.-C." last="Liu">Y.-C. Liu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Loh, C H" sort="Loh, C H" uniqKey="Loh C" first="C.-H." last="Loh">C.-H. Loh</name><affiliation wicri:level="1"><nlm:aff id="aff8">Department of Community Health, Tri-service General Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Community Health, Tri-service General Hospital, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Wang, L S" sort="Wang, L S" uniqKey="Wang L" first="L.-S." last="Wang">L.-S. Wang</name><affiliation wicri:level="1"><nlm:aff id="aff9">Department of Infectious Diseases, Buddhist Tzu-Chi General Hospital, Hwalien, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, Buddhist Tzu-Chi General Hospital, Hwalien, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Lee, C H" sort="Lee, C H" uniqKey="Lee C" first="C.-H" last="Lee">C.-H Lee</name><affiliation wicri:level="1"><nlm:aff id="aff10">Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16153744</idno><idno type="pmc">7132502</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132502</idno><idno type="RBID">PMC:7132502</idno><idno type="doi">10.1016/j.jhin.2005.02.011</idno><date when="2005">2005</date><idno type="wicri:Area/Pmc/Corpus">001154</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001154</idno><idno type="wicri:Area/Pmc/Curation">001154</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001154</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Using an integrated infection control strategy during outbreak control to minimize nosocomial infection of severe acute respiratory syndrome among healthcare workers</title><author><name sortKey="Yen, M Y" sort="Yen, M Y" uniqKey="Yen M" first="M.-Y." last="Yen">M.-Y. Yen</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff10">Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y. E." last="Lin">Y. E. Lin</name><affiliation wicri:level="1"><nlm:aff id="aff2">Graduate Institute of Environmental Education, National Kaohsiung Normal University, Kaohsiung, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Graduate Institute of Environmental Education, National Kaohsiung Normal University, Kaohsiung, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Su, I J" sort="Su, I J" uniqKey="Su I" first="I.-J." last="Su">I.-J. Su</name><affiliation wicri:level="1"><nlm:aff id="aff3">Centers for Disease Control, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Centers for Disease Control, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Huang, F Y" sort="Huang, F Y" uniqKey="Huang F" first="F.-Y." last="Huang">F.-Y. Huang</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Paediatric Infectious Diseases, Mackay Memorial Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Paediatric Infectious Diseases, Mackay Memorial Hospital, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Huang, F Y" sort="Huang, F Y" uniqKey="Huang F" first="F.-Y." last="Huang">F.-Y. Huang</name><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Anaesthesiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Anaesthesiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Ho, M S" sort="Ho, M S" uniqKey="Ho M" first="M.-S." last="Ho">M.-S. Ho</name><affiliation wicri:level="1"><nlm:aff id="aff6">Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S.-C." last="Chang">S.-C. Chang</name><affiliation wicri:level="1"><nlm:aff id="aff3">Centers for Disease Control, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Centers for Disease Control, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Tan, K H" sort="Tan, K H" uniqKey="Tan K" first="K.-H." last="Tan">K.-H. Tan</name><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Surgery, Armed Force Sung-Shan Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Surgery, Armed Force Sung-Shan Hospital, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Chen, K T" sort="Chen, K T" uniqKey="Chen K" first="K.-T." last="Chen">K.-T. Chen</name><affiliation wicri:level="1"><nlm:aff id="aff3">Centers for Disease Control, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Centers for Disease Control, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Chang, H" sort="Chang, H" uniqKey="Chang H" first="H." last="Chang">H. Chang</name><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Anaesthesiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Anaesthesiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Liu, Y C" sort="Liu, Y C" uniqKey="Liu Y" first="Y.-C." last="Liu">Y.-C. Liu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Loh, C H" sort="Loh, C H" uniqKey="Loh C" first="C.-H." last="Loh">C.-H. Loh</name><affiliation wicri:level="1"><nlm:aff id="aff8">Department of Community Health, Tri-service General Hospital, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Community Health, Tri-service General Hospital, Taipei, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Wang, L S" sort="Wang, L S" uniqKey="Wang L" first="L.-S." last="Wang">L.-S. Wang</name><affiliation wicri:level="1"><nlm:aff id="aff9">Department of Infectious Diseases, Buddhist Tzu-Chi General Hospital, Hwalien, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, Buddhist Tzu-Chi General Hospital, Hwalien, Taiwan</wicri:regionArea></affiliation></author><author><name sortKey="Lee, C H" sort="Lee, C H" uniqKey="Lee C" first="C.-H" last="Lee">C.-H Lee</name><affiliation wicri:level="1"><nlm:aff id="aff10">Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan</wicri:regionArea></affiliation></author></analytic><series><title level="j">The Journal of Hospital Infection</title><idno type="ISSN">0195-6701</idno><idno type="eISSN">1532-2939</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>Healthcare workers (HCWs) are at risk of acquiring severe acute respiratory syndrome (SARS) while caring for SARS patients. Personal protective equipment and negative pressure isolation rooms (NPIRs) have not been completely successful in protecting HCWs. We introduced an innovative, integrated infection control strategy involving triaging patients using barriers, zones of risk, and extensive installation of alcohol dispensers for glove-on hand rubbing. This integrated infection control approach was implemented at a SARS designated hospital (‘study hospital’) where NPIRs were not available. The number of HCWs who contracted SARS in the study hospital was compared with the number of HCWs who contracted SARS in 86 Taiwan hospitals that did not use the integrated infection control strategy. Two HCWs contracted SARS in the study hospital (0.03 cases/bed) compared with 93 HCWs in the other hospitals (0.13 cases/bed) during the same three-week period. Our strategy appeared to be effective in reducing the incidence of HCWs contracting SARS. The advantages included rapid implementation without NPIRs, flexibility to transfer patients, and re-inforcement for HCWs to comply with infection control procedures, especially handwashing. The efficacy and low cost are major advantages, especially in countries with large populations at risk and fewer economic resources.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><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></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Twu, S J" uniqKey="Twu S">S.J. Twu</name></author><author><name sortKey="Chen, T J" uniqKey="Chen T">T.J. Chen</name></author><author><name sortKey="Chen, C J" uniqKey="Chen C">C.J. Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seto, W H" uniqKey="Seto W">W.H. Seto</name></author><author><name sortKey="Tsang, D" uniqKey="Tsang D">D. Tsang</name></author><author><name sortKey="Yung, R W" uniqKey="Yung R">R.W. Yung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhou, G" uniqKey="Zhou G">G. Zhou</name></author><author><name sortKey="Yan, G" uniqKey="Yan G">G. Yan</name></author></analytic></biblStruct><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></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lapinsky, S E" uniqKey="Lapinsky S">S.E. Lapinsky</name></author><author><name sortKey="Hawryluck, L" uniqKey="Hawryluck L">L. Hawryluck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chan, P K S" uniqKey="Chan P">P.K.S. Chan</name></author><author><name sortKey="To, W K" uniqKey="To W">W.-K. To</name></author><author><name sortKey="Ng, K C" uniqKey="Ng K">K.-C. Ng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hung, I F N" uniqKey="Hung I">I.F.N. Hung</name></author><author><name sortKey="Cheng, V C C" uniqKey="Cheng V">V.C.C. Cheng</name></author><author><name sortKey="Wu, A K L" uniqKey="Wu A">A.K.L. Wu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pritchard, R C" uniqKey="Pritchard R">R.C. Pritchard</name></author><author><name sortKey="Paper, R F" uniqKey="Paper R">R.F. Paper</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yang, L S" uniqKey="Yang L">L.S. Yang</name></author><author><name sortKey="Yu, S R" uniqKey="Yu S">S.R. Yu</name></author><author><name sortKey="Lin, H G" uniqKey="Lin H">H.G. Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Olsen, R J" uniqKey="Olsen R">R.J. Olsen</name></author><author><name sortKey="Lynch, P" uniqKey="Lynch P">P. Lynch</name></author><author><name sortKey="Coyle, M B" uniqKey="Coyle M">M.B. Coyle</name></author><author><name sortKey="Cummings, M J" uniqKey="Cummings M">M.J. Cummings</name></author><author><name sortKey="Bokete, T" uniqKey="Bokete T">T. Bokete</name></author><author><name sortKey="Stamm, W E" uniqKey="Stamm W">W.E. Stamm</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goldmann, D A" uniqKey="Goldmann D">D.A. Goldmann</name></author></analytic></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">J Hosp Infect</journal-id><journal-id journal-id-type="iso-abbrev">J. Hosp. Infect</journal-id><journal-title-group><journal-title>The Journal of Hospital Infection</journal-title></journal-title-group><issn pub-type="ppub">0195-6701</issn><issn pub-type="epub">1532-2939</issn><publisher><publisher-name>The Hospital Infection Society. Published by Elsevier Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">16153744</article-id><article-id pub-id-type="pmc">7132502</article-id><article-id pub-id-type="publisher-id">S0195-6701(05)00125-8</article-id><article-id pub-id-type="doi">10.1016/j.jhin.2005.02.011</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Using an integrated infection control strategy during outbreak control to minimize nosocomial infection of severe acute respiratory syndrome among healthcare workers</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yen</surname><given-names>M.-Y.</given-names></name><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff10" ref-type="aff">j</xref></contrib><contrib contrib-type="author"><name><surname>Lin</surname><given-names>Y.E.</given-names></name><xref rid="aff2" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Su</surname><given-names>I.-J.</given-names></name><xref rid="aff3" ref-type="aff">c</xref></contrib><contrib contrib-type="author"><name><surname>Huang</surname><given-names>F.-Y.</given-names></name><xref rid="aff4" ref-type="aff">d</xref></contrib><contrib contrib-type="author"><name><surname>Huang</surname><given-names>F.-Y.</given-names></name><xref rid="aff5" ref-type="aff">e</xref></contrib><contrib contrib-type="author"><name><surname>Ho</surname><given-names>M.-S.</given-names></name><xref rid="aff6" ref-type="aff">f</xref></contrib><contrib contrib-type="author"><name><surname>Chang</surname><given-names>S.-C.</given-names></name><xref rid="aff3" ref-type="aff">c</xref></contrib><contrib contrib-type="author"><name><surname>Tan</surname><given-names>K.-H.</given-names></name><xref rid="aff7" ref-type="aff">g</xref></contrib><contrib contrib-type="author"><name><surname>Chen</surname><given-names>K.-T.</given-names></name><xref rid="aff3" ref-type="aff">c</xref></contrib><contrib contrib-type="author"><name><surname>Chang</surname><given-names>H.</given-names></name><xref rid="aff5" ref-type="aff">e</xref></contrib><contrib contrib-type="author"><name><surname>Liu</surname><given-names>Y.-C.</given-names></name><xref rid="aff1" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Loh</surname><given-names>C.-H.</given-names></name><xref rid="aff8" ref-type="aff">h</xref></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>L.-S.</given-names></name><xref rid="aff9" ref-type="aff">i</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>C.-H</given-names></name><email>chlee@vghtpe.gov.tw</email><xref rid="aff10" ref-type="aff">j</xref><xref rid="cor1" ref-type="corresp">⁎</xref></contrib></contrib-group><aff id="aff1"><label>a</label>Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC</aff><aff id="aff2"><label>b</label>Graduate Institute of Environmental Education, National Kaohsiung Normal University, Kaohsiung, Taiwan, ROC</aff><aff id="aff3"><label>c</label>Centers for Disease Control, Taipei, Taiwan, ROC</aff><aff id="aff4"><label>d</label>Department of Paediatric Infectious Diseases, Mackay Memorial Hospital, Taipei, Taiwan, ROC</aff><aff id="aff5"><label>e</label>Department of Anaesthesiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan, ROC</aff><aff id="aff6"><label>f</label>Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan, ROC</aff><aff id="aff7"><label>g</label>Department of Surgery, Armed Force Sung-Shan Hospital, Taipei, Taiwan, ROC</aff><aff id="aff8"><label>h</label>Department of Community Health, Tri-service General Hospital, Taipei, Taiwan, ROC</aff><aff id="aff9"><label>i</label>Department of Infectious Diseases, Buddhist Tzu-Chi General Hospital, Hwalien, Taiwan, ROC</aff><aff id="aff10"><label>j</label>Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC</aff><author-notes><corresp id="cor1"><label>⁎</label>Corresponding author. Address: 201, Sec. II, Shih-Pai Road, Taipei 114, Taiwan, ROC. Tel.: +886 2 28757555; fax: +886 2 28757655. <email>chlee@vghtpe.gov.tw</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>8</day><month>9</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>2</month><year>2006</year></pub-date><pub-date pub-type="epub"><day>8</day><month>9</month><year>2005</year></pub-date><volume>62</volume><issue>2</issue><fpage>195</fpage><lpage>199</lpage><history><date date-type="received"><day>30</day><month>7</month><year>2004</year></date><date date-type="accepted"><day>10</day><month>2</month><year>2005</year></date></history><permissions><copyright-statement>Copyright © 2005 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.</copyright-statement><copyright-year>2005</copyright-year><copyright-holder>The Hospital Infection Society</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>Healthcare workers (HCWs) are at risk of acquiring severe acute respiratory syndrome (SARS) while caring for SARS patients. Personal protective equipment and negative pressure isolation rooms (NPIRs) have not been completely successful in protecting HCWs. We introduced an innovative, integrated infection control strategy involving triaging patients using barriers, zones of risk, and extensive installation of alcohol dispensers for glove-on hand rubbing. This integrated infection control approach was implemented at a SARS designated hospital (‘study hospital’) where NPIRs were not available. The number of HCWs who contracted SARS in the study hospital was compared with the number of HCWs who contracted SARS in 86 Taiwan hospitals that did not use the integrated infection control strategy. Two HCWs contracted SARS in the study hospital (0.03 cases/bed) compared with 93 HCWs in the other hospitals (0.13 cases/bed) during the same three-week period. Our strategy appeared to be effective in reducing the incidence of HCWs contracting SARS. The advantages included rapid implementation without NPIRs, flexibility to transfer patients, and re-inforcement for HCWs to comply with infection control procedures, especially handwashing. The efficacy and low cost are major advantages, especially in countries with large populations at risk and fewer economic resources.</p></abstract><kwd-group><title>Keywords</title><kwd>SARS</kwd><kwd>Infection control</kwd><kwd>Healthcare workers</kwd><kwd>Traffic control</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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