Epidemiologic study and containment of a nosocomial outbreak of severe acute respiratory syndrome in a medical center in Kaohsiung, Taiwan.
Identifieur interne : 002253 ( PubMed/Curation ); précédent : 002252; suivant : 002254Epidemiologic study and containment of a nosocomial outbreak of severe acute respiratory syndrome in a medical center in Kaohsiung, Taiwan.
Auteurs : Jien-Wei Liu [Taïwan] ; Sheng-Nan Lu ; Shun-Sheng Chen ; Kuender D. Yang ; Meng-Chih Lin ; Chao-Chien Wu ; Peter B. Bloland ; Sarah Y. Park ; William Wong ; Kuo-Chien Tsao ; Tzou-Yien Lin ; Chao-Long ChenSource :
- Infection control and hospital epidemiology [ 0899-823X ] ; 2006.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Anticorps antiviraux (sang), Famille, Femelle, Flambées de maladies, Humains, Hôpitaux urbains, Infection croisée (), Infection croisée (virologie), Infection croisée (épidémiologie), Lutte contre l'infection (), Mâle, Personnel hospitalier, Sujet âgé, Sujet âgé de 80 ans ou plus, Syndrome respiratoire aigu sévère (), Syndrome respiratoire aigu sévère (transmission), Syndrome respiratoire aigu sévère (virologie), Syndrome respiratoire aigu sévère (épidémiologie), Taïwan (épidémiologie), Virus du SRAS (génétique), Virus du SRAS (immunologie), Virus du SRAS (isolement et purification), Études épidémiologiques.
- MESH :
- génétique : Virus du SRAS.
- immunologie : Virus du SRAS.
- isolement et purification : Virus du SRAS.
- sang : Anticorps antiviraux.
- virologie : Infection croisée, Syndrome respiratoire aigu sévère.
- épidémiologie : Infection croisée, Syndrome respiratoire aigu sévère, Taïwan.
- Adulte d'âge moyen, Famille, Femelle, Flambées de maladies, Humains, Hôpitaux urbains, Infection croisée, Lutte contre l'infection, Mâle, Personnel hospitalier, Sujet âgé, Sujet âgé de 80 ans ou plus, Syndrome respiratoire aigu sévère, Études épidémiologiques.
- Wicri :
- geographic : Taïwan.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Antibodies, Viral (blood), Cross Infection (epidemiology), Cross Infection (prevention & control), Cross Infection (virology), Disease Outbreaks, Epidemiologic Studies, Family, Female, Hospitals, Urban, Humans, Infection Control (methods), Male, Middle Aged, Personnel, Hospital, SARS Virus (genetics), SARS Virus (immunology), SARS Virus (isolation & purification), Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (prevention & control), Severe Acute Respiratory Syndrome (transmission), Severe Acute Respiratory Syndrome (virology), Taiwan (epidemiology).
- MESH :
- chemical , blood : Antibodies, Viral.
- geographic , epidemiology : Taiwan.
- epidemiology : Cross Infection, Severe Acute Respiratory Syndrome.
- genetics : SARS Virus.
- immunology : SARS Virus.
- isolation & purification : SARS Virus.
- methods : Infection Control.
- prevention & control : Cross Infection, Severe Acute Respiratory Syndrome.
- transmission : Severe Acute Respiratory Syndrome.
- virology : Cross Infection, Severe Acute Respiratory Syndrome.
- Aged, Aged, 80 and over, Disease Outbreaks, Epidemiologic Studies, Family, Female, Hospitals, Urban, Humans, Male, Middle Aged, Personnel, Hospital.
Abstract
We conducted an epidemiologic investigation at the beginning of a nosocomial outbreak of severe acute respiratory syndrome (SARS) to clarify the dynamics of SARS transmission, the magnitude of the SARS outbreak, and the impact of the outbreak on the community.
DOI: 10.1086/504501
PubMed: 16671027
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Yang</name></author><author><name sortKey="Lin, Meng Chih" sort="Lin, Meng Chih" uniqKey="Lin M" first="Meng-Chih" last="Lin">Meng-Chih Lin</name></author><author><name sortKey="Wu, Chao Chien" sort="Wu, Chao Chien" uniqKey="Wu C" first="Chao-Chien" last="Wu">Chao-Chien Wu</name></author><author><name sortKey="Bloland, Peter B" sort="Bloland, Peter B" uniqKey="Bloland P" first="Peter B" last="Bloland">Peter B. Bloland</name></author><author><name sortKey="Park, Sarah Y" sort="Park, Sarah Y" uniqKey="Park S" first="Sarah Y" last="Park">Sarah Y. 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maladies</term><term>Humains</term><term>Hôpitaux urbains</term><term>Infection croisée ()</term><term>Infection croisée (virologie)</term><term>Infection croisée (épidémiologie)</term><term>Lutte contre l'infection ()</term><term>Mâle</term><term>Personnel hospitalier</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Syndrome respiratoire aigu sévère ()</term><term>Syndrome respiratoire aigu sévère (transmission)</term><term>Syndrome respiratoire aigu sévère (virologie)</term><term>Syndrome respiratoire aigu sévère (épidémiologie)</term><term>Taïwan (épidémiologie)</term><term>Virus du SRAS (génétique)</term><term>Virus du SRAS (immunologie)</term><term>Virus du SRAS (isolement et purification)</term><term>Études épidémiologiques</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Antibodies, Viral</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="genetics" xml:lang="en"><term>SARS Virus</term></keywords><keywords scheme="MESH" qualifier="génétique" xml:lang="fr"><term>Virus du SRAS</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Virus du SRAS</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>SARS Virus</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>SARS Virus</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Virus du SRAS</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cross 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Urban</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Personnel, Hospital</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Famille</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Hôpitaux urbains</term><term>Infection croisée</term><term>Lutte contre l'infection</term><term>Mâle</term><term>Personnel hospitalier</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Syndrome respiratoire aigu sévère</term><term>Études épidémiologiques</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Taïwan</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We conducted an epidemiologic investigation at the beginning of a nosocomial outbreak of severe acute respiratory syndrome (SARS) to clarify the dynamics of SARS transmission, the magnitude of the SARS outbreak, and the impact of the outbreak on the community.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16671027</PMID><DateCompleted><Year>2006</Year><Month>11</Month><Day>01</Day></DateCompleted><DateRevised><Year>2015</Year><Month>01</Month><Day>27</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0899-823X</ISSN><JournalIssue CitedMedium="Print"><Volume>27</Volume><Issue>5</Issue><PubDate><Year>2006</Year><Month>May</Month></PubDate></JournalIssue><Title>Infection control and hospital epidemiology</Title><ISOAbbreviation>Infect Control Hosp Epidemiol</ISOAbbreviation></Journal><ArticleTitle>Epidemiologic study and containment of a nosocomial outbreak of severe acute respiratory syndrome in a medical center in Kaohsiung, Taiwan.</ArticleTitle><Pagination><MedlinePgn>466-72</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We conducted an epidemiologic investigation at the beginning of a nosocomial outbreak of severe acute respiratory syndrome (SARS) to clarify the dynamics of SARS transmission, the magnitude of the SARS outbreak, and the impact of the outbreak on the community.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We identified all potential cases of nosocomially acquired SARS, linked them to the most likely infection source, and described the hospital containment measures.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">A 2,300-bed medical center in Kaohsiung, Taiwan.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 55 cases of SARS were identified, and 227 hospital workers were quarantined. The index patient and neighboring patients were isolated. A chest physician team reviewed medical charts and chest radiographs and monitored the development of SARS in patients staying in the ward. The presence of underlying lung disease and immunocompromise in some patients made the diagnosis of SARS difficult. Some cases of SARS were diagnosed after the patients had died. Medical personnel were infected only if they cared for patients with unrecognized SARS, and caretakers played important roles in transmission of SARS to family members. As the number of cases of nosocomial SARS increased, the hospital closed the affected ward and expedited construction of negative-pressure rooms on other vacated floors for patient cohorting, and the last case in the hospital was identified 1 week later.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Timely recognition of SARS is extremely important. However, given the limitations of SARS testing, possible loss of epidemic links, and the nonspecific clinical presentations in hospitalized patients, it is very important to establish cohorts of persons with low, medium, and high likelihoods of SARS acquisition. Rapid closure of affected wards may minimize the impact on hospital operations. Establishment of hospitals dedicated to appropriate treatment of patients with SARS might minimize the impact of the disease in future epidemics.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Jien-Wei</ForeName><Initials>JW</Initials><AffiliationInfo><Affiliation>Committee of Infection Control and Division of Infectious Diseases, Chang Gung Memorial Hospital, Kaohsiung Medical Center, 123 Ta Pei Road, Niao Sung Hsiang, Kaohsiung Hsien 833, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lu</LastName><ForeName>Sheng-Nan</ForeName><Initials>SN</Initials></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Shun-Sheng</ForeName><Initials>SS</Initials></Author><Author ValidYN="Y"><LastName>Yang</LastName><ForeName>Kuender D</ForeName><Initials>KD</Initials></Author><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Meng-Chih</ForeName><Initials>MC</Initials></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Chao-Chien</ForeName><Initials>CC</Initials></Author><Author ValidYN="Y"><LastName>Bloland</LastName><ForeName>Peter B</ForeName><Initials>PB</Initials></Author><Author ValidYN="Y"><LastName>Park</LastName><ForeName>Sarah Y</ForeName><Initials>SY</Initials></Author><Author ValidYN="Y"><LastName>Wong</LastName><ForeName>William</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Tsao</LastName><ForeName>Kuo-Chien</ForeName><Initials>KC</Initials></Author><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Tzou-Yien</ForeName><Initials>TY</Initials></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Chao-Long</ForeName><Initials>CL</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2006</Year><Month>04</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Infect Control Hosp Epidemiol</MedlineTA><NlmUniqueID>8804099</NlmUniqueID><ISSNLinking>0899-823X</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000914">Antibodies, Viral</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000914" MajorTopicYN="N">Antibodies, Viral</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003428" MajorTopicYN="N">Cross Infection</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="Y">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016021" MajorTopicYN="N">Epidemiologic Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005190" MajorTopicYN="N">Family</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006786" MajorTopicYN="Y">Hospitals, Urban</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010564" MajorTopicYN="N">Personnel, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D045473" MajorTopicYN="N">SARS Virus</DescriptorName><QualifierName UI="Q000235" MajorTopicYN="N">genetics</QualifierName><QualifierName UI="Q000276" MajorTopicYN="N">immunology</QualifierName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D045169" MajorTopicYN="N">Severe Acute Respiratory Syndrome</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</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>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2005</Year><Month>01</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>5</Month><Day>4</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>11</Month><Day>2</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>5</Month><Day>4</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16671027</ArticleId><ArticleId IdType="pii">ICHE2004194</ArticleId><ArticleId IdType="doi">10.1086/504501</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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