Using an integrated infection control strategy during outbreak control to minimize nosocomial infection of severe acute respiratory syndrome among healthcare workers.
Identifieur interne : 001F32 ( PubMed/Checkpoint ); précédent : 001F31; suivant : 001F33Using 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 ; I-J Su ; F-Y Huang ; F-Y Huang ; M-S Ho ; S-C Chang ; K-H Tan ; K-T Chen ; H. Chang ; Y-C Liu ; C-H Loh ; L-S Wang ; C-H LeeSource :
- The Journal of hospital infection [ 0195-6701 ] ; 2006.
Descripteurs français
- KwdFr :
- Femelle, Flambées de maladies, Humains, Hôpitaux militaires, Infection croisée (), Infection croisée (transmission), Infection croisée (épidémiologie), Lutte contre l'infection (), Lutte contre l'infection (organisation et administration), Personnel de santé, Syndrome respiratoire aigu sévère (), Syndrome respiratoire aigu sévère (transmission), Syndrome respiratoire aigu sévère (épidémiologie), Taïwan (épidémiologie), Transmission de maladie infectieuse du patient au professionnel de santé (), Virus du SRAS.
- MESH :
- organisation et administration : Lutte contre l'infection.
- épidémiologie : Infection croisée, Syndrome respiratoire aigu sévère, Taïwan.
- Femelle, Flambées de maladies, Humains, Hôpitaux militaires, Infection croisée, Lutte contre l'infection, Personnel de santé, Syndrome respiratoire aigu sévère, Transmission de maladie infectieuse du patient au professionnel de santé, Virus du SRAS.
- Wicri :
- geographic : Taïwan.
English descriptors
- KwdEn :
- Cross Infection (epidemiology), Cross Infection (prevention & control), Cross Infection (transmission), Disease Outbreaks, Female, Health Personnel, Hospitals, Military, Humans, Infection Control (methods), Infection Control (organization & administration), Infectious Disease Transmission, Patient-to-Professional (prevention & control), SARS Virus, Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (prevention & control), Severe Acute Respiratory Syndrome (transmission), Taiwan (epidemiology).
- MESH :
- geographic , epidemiology : Taiwan.
- epidemiology : Cross Infection, Severe Acute Respiratory Syndrome.
- methods : Infection Control.
- organization & administration : Infection Control.
- prevention & control : Cross Infection, Infectious Disease Transmission, Patient-to-Professional, Severe Acute Respiratory Syndrome.
- transmission : Cross Infection, Severe Acute Respiratory Syndrome.
- Disease Outbreaks, Female, Health Personnel, Hospitals, Military, Humans, SARS Virus.
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.
DOI: 10.1016/j.jhin.2005.02.011
PubMed: 16153744
Affiliations:
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pubmed:16153744Le document en format XML
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Chang</name></author><author><name sortKey="Liu, Y C" sort="Liu, Y C" uniqKey="Liu Y" first="Y-C" last="Liu">Y-C Liu</name></author><author><name sortKey="Loh, C H" sort="Loh, C H" uniqKey="Loh C" first="C-H" last="Loh">C-H Loh</name></author><author><name sortKey="Wang, L S" sort="Wang, L S" uniqKey="Wang L" first="L-S" last="Wang">L-S Wang</name></author><author><name sortKey="Lee, C H" sort="Lee, C H" uniqKey="Lee C" first="C-H" last="Lee">C-H Lee</name></author></analytic><series><title level="j">The Journal of hospital infection</title><idno type="ISSN">0195-6701</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cross Infection (epidemiology)</term><term>Cross Infection (prevention & control)</term><term>Cross Infection (transmission)</term><term>Disease Outbreaks</term><term>Female</term><term>Health Personnel</term><term>Hospitals, Military</term><term>Humans</term><term>Infection Control (methods)</term><term>Infection Control (organization & administration)</term><term>Infectious Disease Transmission, Patient-to-Professional (prevention & control)</term><term>SARS Virus</term><term>Severe Acute Respiratory Syndrome (epidemiology)</term><term>Severe Acute Respiratory Syndrome (prevention & control)</term><term>Severe Acute Respiratory Syndrome (transmission)</term><term>Taiwan (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Hôpitaux militaires</term><term>Infection croisée ()</term><term>Infection croisée (transmission)</term><term>Infection croisée (épidémiologie)</term><term>Lutte contre l'infection ()</term><term>Lutte contre l'infection (organisation et administration)</term><term>Personnel de santé</term><term>Syndrome respiratoire aigu sévère ()</term><term>Syndrome respiratoire aigu sévère (transmission)</term><term>Syndrome respiratoire aigu sévère (épidémiologie)</term><term>Taïwan (épidémiologie)</term><term>Transmission de maladie infectieuse du patient au professionnel de santé ()</term><term>Virus du SRAS</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Taiwan</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cross Infection</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Lutte contre l'infection</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cross Infection</term><term>Infectious Disease Transmission, Patient-to-Professional</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Cross Infection</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infection croisée</term><term>Syndrome respiratoire aigu sévère</term><term>Taïwan</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Disease Outbreaks</term><term>Female</term><term>Health Personnel</term><term>Hospitals, Military</term><term>Humans</term><term>SARS Virus</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Hôpitaux militaires</term><term>Infection croisée</term><term>Lutte contre l'infection</term><term>Personnel de santé</term><term>Syndrome respiratoire aigu sévère</term><term>Transmission de maladie infectieuse du patient au professionnel de santé</term><term>Virus du SRAS</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Taïwan</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16153744</PMID><DateCompleted><Year>2006</Year><Month>03</Month><Day>30</Day></DateCompleted><DateRevised><Year>2020</Year><Month>04</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0195-6701</ISSN><JournalIssue CitedMedium="Print"><Volume>62</Volume><Issue>2</Issue><PubDate><Year>2006</Year><Month>Feb</Month></PubDate></JournalIssue><Title>The Journal of hospital infection</Title><ISOAbbreviation>J. Hosp. Infect.</ISOAbbreviation></Journal><ArticleTitle>Using an integrated infection control strategy during outbreak control to minimize nosocomial infection of severe acute respiratory syndrome among healthcare workers.</ArticleTitle><Pagination><MedlinePgn>195-9</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yen</LastName><ForeName>M-Y</ForeName><Initials>MY</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Y E</ForeName><Initials>YE</Initials></Author><Author ValidYN="Y"><LastName>Su</LastName><ForeName>I-J</ForeName><Initials>IJ</Initials></Author><Author ValidYN="Y"><LastName>Huang</LastName><ForeName>F-Y</ForeName><Initials>FY</Initials></Author><Author ValidYN="Y"><LastName>Huang</LastName><ForeName>F-Y</ForeName><Initials>FY</Initials></Author><Author ValidYN="Y"><LastName>Ho</LastName><ForeName>M-S</ForeName><Initials>MS</Initials></Author><Author ValidYN="Y"><LastName>Chang</LastName><ForeName>S-C</ForeName><Initials>SC</Initials></Author><Author ValidYN="Y"><LastName>Tan</LastName><ForeName>K-H</ForeName><Initials>KH</Initials></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>K-T</ForeName><Initials>KT</Initials></Author><Author ValidYN="Y"><LastName>Chang</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Y-C</ForeName><Initials>YC</Initials></Author><Author ValidYN="Y"><LastName>Loh</LastName><ForeName>C-H</ForeName><Initials>CH</Initials></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>L-S</ForeName><Initials>LS</Initials></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>C-H</ForeName><Initials>CH</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2005</Year><Month>09</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Hosp Infect</MedlineTA><NlmUniqueID>8007166</NlmUniqueID><ISSNLinking>0195-6701</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003428" MajorTopicYN="N">Cross Infection</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="Y">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="Y">Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006772" MajorTopicYN="N">Hospitals, Military</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017758" MajorTopicYN="N">Infectious Disease Transmission, Patient-to-Professional</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D045473" MajorTopicYN="N">SARS Virus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D045169" MajorTopicYN="N">Severe Acute Respiratory Syndrome</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013624" MajorTopicYN="N" Type="Geographic">Taiwan</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2004</Year><Month>07</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2005</Year><Month>02</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>9</Month><Day>13</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>3</Month><Day>31</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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Chang</name><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S-C" last="Chang">S-C Chang</name><name sortKey="Chen, K T" sort="Chen, K T" uniqKey="Chen K" first="K-T" last="Chen">K-T Chen</name><name sortKey="Ho, M S" sort="Ho, M S" uniqKey="Ho M" first="M-S" last="Ho">M-S Ho</name><name sortKey="Huang, F Y" sort="Huang, F Y" uniqKey="Huang F" first="F-Y" last="Huang">F-Y Huang</name><name sortKey="Huang, F Y" sort="Huang, F Y" uniqKey="Huang F" first="F-Y" last="Huang">F-Y Huang</name><name sortKey="Lee, C H" sort="Lee, C H" uniqKey="Lee C" first="C-H" last="Lee">C-H Lee</name><name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y E" last="Lin">Y E Lin</name><name sortKey="Liu, Y C" sort="Liu, Y C" uniqKey="Liu Y" first="Y-C" last="Liu">Y-C Liu</name><name sortKey="Loh, C H" sort="Loh, C H" uniqKey="Loh C" first="C-H" last="Loh">C-H Loh</name><name sortKey="Su, I J" sort="Su, I J" uniqKey="Su I" first="I-J" last="Su">I-J Su</name><name sortKey="Tan, K H" sort="Tan, K H" uniqKey="Tan K" first="K-H" last="Tan">K-H Tan</name><name sortKey="Wang, L S" sort="Wang, L S" uniqKey="Wang L" first="L-S" last="Wang">L-S Wang</name></noCountry><country name="République populaire de Chine"><noRegion><name sortKey="Yen, M Y" sort="Yen, M Y" uniqKey="Yen M" first="M-Y" last="Yen">M-Y Yen</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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