Emergency medical services utilization during an outbreak of severe acute respiratory syndrome (SARS) and the incidence of SARS-associated coronavirus infection among emergency medical technicians.
Identifieur interne : 002B81 ( PubMed/Curation ); précédent : 002B80; suivant : 002B82Emergency medical services utilization during an outbreak of severe acute respiratory syndrome (SARS) and the incidence of SARS-associated coronavirus infection among emergency medical technicians.
Auteurs : Patrick Chow-In Ko [Taïwan] ; Wen-Jone Chen ; Matthew Huei-Ming Ma ; Wen-Chu Chiang ; Chan-Ping Su ; Chien-Hua Huang ; Tsung-Chien Lu ; Fuh-Yuan Shih ; Fang-Yue LinSource :
- Academic emergency medicine : official journal of the Society for Academic Emergency Medicine [ 1069-6563 ] ; 2004.
Descripteurs français
- KwdFr :
- Flambées de maladies, Humains, Incidence, Infections à coronavirus (étiologie), Services des urgences médicales (), Syndrome respiratoire aigu sévère (transmission), Syndrome respiratoire aigu sévère (épidémiologie), Taïwan (épidémiologie), Techniciens médicaux des services d'urgence, Transmission de maladie infectieuse du patient au professionnel de santé (), Transport sanitaire (), Études prospectives, Études séroépidémiologiques.
- MESH :
- épidémiologie : Syndrome respiratoire aigu sévère, Taïwan.
- étiologie : Infections à coronavirus.
- Flambées de maladies, Humains, Incidence, Services des urgences médicales, Techniciens médicaux des services d'urgence, Transmission de maladie infectieuse du patient au professionnel de santé, Transport sanitaire, Études prospectives, Études séroépidémiologiques.
English descriptors
- KwdEn :
- Coronavirus Infections (etiology), Disease Outbreaks, Emergency Medical Services (statistics & numerical data), Emergency Medical Technicians, Humans, Incidence, Infectious Disease Transmission, Patient-to-Professional (statistics & numerical data), Prospective Studies, Seroepidemiologic Studies, Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (transmission), Taiwan (epidemiology), Transportation of Patients (statistics & numerical data).
- MESH :
- epidemiology : Severe Acute Respiratory Syndrome, Taiwan.
- etiology : Coronavirus Infections.
- statistics & numerical data : Emergency Medical Services, Infectious Disease Transmission, Patient-to-Professional, Transportation of Patients.
- transmission : Severe Acute Respiratory Syndrome.
- Disease Outbreaks, Emergency Medical Technicians, Humans, Incidence, Prospective Studies, Seroepidemiologic Studies.
Abstract
This was a study to evaluate the utilization of emergency medical services (EMS) systems during the outbreak of severe acute respiratory syndrome (SARS), and to assess the incidence of infection among emergency medical technicians (EMTs).
DOI: 10.1197/j.aem.2004.03.016
PubMed: 15347538
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sortKey="Ma, Matthew Huei Ming" sort="Ma, Matthew Huei Ming" uniqKey="Ma M" first="Matthew Huei-Ming" last="Ma">Matthew Huei-Ming Ma</name></author><author><name sortKey="Chiang, Wen Chu" sort="Chiang, Wen Chu" uniqKey="Chiang W" first="Wen-Chu" last="Chiang">Wen-Chu Chiang</name></author><author><name sortKey="Su, Chan Ping" sort="Su, Chan Ping" uniqKey="Su C" first="Chan-Ping" last="Su">Chan-Ping Su</name></author><author><name sortKey="Huang, Chien Hua" sort="Huang, Chien Hua" uniqKey="Huang C" first="Chien-Hua" last="Huang">Chien-Hua Huang</name></author><author><name sortKey="Lu, Tsung Chien" sort="Lu, Tsung Chien" uniqKey="Lu T" first="Tsung-Chien" last="Lu">Tsung-Chien Lu</name></author><author><name sortKey="Shih, Fuh Yuan" sort="Shih, Fuh Yuan" uniqKey="Shih F" first="Fuh-Yuan" last="Shih">Fuh-Yuan Shih</name></author><author><name sortKey="Lin, Fang Yue" sort="Lin, Fang Yue" uniqKey="Lin F" first="Fang-Yue" last="Lin">Fang-Yue Lin</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2004">2004</date><idno type="RBID">pubmed:15347538</idno><idno type="pmid">15347538</idno><idno type="doi">10.1197/j.aem.2004.03.016</idno><idno type="wicri:Area/PubMed/Corpus">002B81</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002B81</idno><idno type="wicri:Area/PubMed/Curation">002B81</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002B81</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Emergency medical services utilization during an outbreak of severe acute respiratory syndrome (SARS) and the incidence of SARS-associated coronavirus infection among emergency medical technicians.</title><author><name sortKey="Ko, Patrick Chow In" sort="Ko, Patrick Chow In" uniqKey="Ko P" first="Patrick Chow-In" last="Ko">Patrick Chow-In Ko</name><affiliation wicri:level="1"><nlm:affiliation>Department of Emergency Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Emergency Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Wen Jone" sort="Chen, Wen Jone" uniqKey="Chen W" first="Wen-Jone" last="Chen">Wen-Jone Chen</name></author><author><name sortKey="Ma, Matthew Huei Ming" sort="Ma, Matthew Huei Ming" uniqKey="Ma M" first="Matthew Huei-Ming" last="Ma">Matthew Huei-Ming Ma</name></author><author><name sortKey="Chiang, Wen Chu" sort="Chiang, Wen Chu" uniqKey="Chiang W" first="Wen-Chu" last="Chiang">Wen-Chu Chiang</name></author><author><name sortKey="Su, Chan Ping" sort="Su, Chan Ping" uniqKey="Su C" first="Chan-Ping" last="Su">Chan-Ping Su</name></author><author><name sortKey="Huang, Chien Hua" sort="Huang, Chien Hua" uniqKey="Huang C" first="Chien-Hua" last="Huang">Chien-Hua Huang</name></author><author><name sortKey="Lu, Tsung Chien" sort="Lu, Tsung Chien" uniqKey="Lu T" first="Tsung-Chien" last="Lu">Tsung-Chien Lu</name></author><author><name sortKey="Shih, Fuh Yuan" sort="Shih, Fuh Yuan" uniqKey="Shih F" first="Fuh-Yuan" last="Shih">Fuh-Yuan Shih</name></author><author><name sortKey="Lin, Fang Yue" sort="Lin, Fang Yue" uniqKey="Lin F" first="Fang-Yue" last="Lin">Fang-Yue Lin</name></author></analytic><series><title level="j">Academic emergency medicine : official journal of the Society for Academic Emergency Medicine</title><idno type="ISSN">1069-6563</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Coronavirus Infections (etiology)</term><term>Disease Outbreaks</term><term>Emergency Medical Services (statistics & numerical data)</term><term>Emergency Medical Technicians</term><term>Humans</term><term>Incidence</term><term>Infectious Disease Transmission, Patient-to-Professional (statistics & numerical data)</term><term>Prospective Studies</term><term>Seroepidemiologic Studies</term><term>Severe Acute Respiratory Syndrome (epidemiology)</term><term>Severe Acute Respiratory Syndrome (transmission)</term><term>Taiwan (epidemiology)</term><term>Transportation of Patients (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Flambées de maladies</term><term>Humains</term><term>Incidence</term><term>Infections à coronavirus (étiologie)</term><term>Services des urgences médicales ()</term><term>Syndrome respiratoire aigu sévère (transmission)</term><term>Syndrome respiratoire aigu sévère (épidémiologie)</term><term>Taïwan (épidémiologie)</term><term>Techniciens médicaux des services d'urgence</term><term>Transmission de maladie infectieuse du patient au professionnel de santé ()</term><term>Transport sanitaire ()</term><term>Études prospectives</term><term>Études séroépidémiologiques</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term><term>Taiwan</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Emergency Medical Services</term><term>Infectious Disease Transmission, Patient-to-Professional</term><term>Transportation of Patients</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Syndrome respiratoire aigu sévère</term><term>Taïwan</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Disease Outbreaks</term><term>Emergency Medical Technicians</term><term>Humans</term><term>Incidence</term><term>Prospective Studies</term><term>Seroepidemiologic Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Flambées de maladies</term><term>Humains</term><term>Incidence</term><term>Services des urgences médicales</term><term>Techniciens médicaux des services d'urgence</term><term>Transmission de maladie infectieuse du patient au professionnel de santé</term><term>Transport sanitaire</term><term>Études prospectives</term><term>Études séroépidémiologiques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This was a study to evaluate the utilization of emergency medical services (EMS) systems during the outbreak of severe acute respiratory syndrome (SARS), and to assess the incidence of infection among emergency medical technicians (EMTs).</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15347538</PMID><DateCompleted><Year>2004</Year><Month>11</Month><Day>29</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>30</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1069-6563</ISSN><JournalIssue CitedMedium="Print"><Volume>11</Volume><Issue>9</Issue><PubDate><Year>2004</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Academic emergency medicine : official journal of the Society for Academic Emergency Medicine</Title><ISOAbbreviation>Acad Emerg Med</ISOAbbreviation></Journal><ArticleTitle>Emergency medical services utilization during an outbreak of severe acute respiratory syndrome (SARS) and the incidence of SARS-associated coronavirus infection among emergency medical technicians.</ArticleTitle><Pagination><MedlinePgn>903-11</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">This was a study to evaluate the utilization of emergency medical services (EMS) systems during the outbreak of severe acute respiratory syndrome (SARS), and to assess the incidence of infection among emergency medical technicians (EMTs).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This was a prospective, observational study conducted in the EMS system of Taipei, Taiwan. Probable/suspect cases of SARS were defined by World Health Organization criteria. SARS-related transports were categorized into 1) requests from hospitals for probable/suspect cases of SARS, 2) quarantined individuals, and 3) febrile persons. City ambulances were organized into teams A, B, and C for transports of different perceived risks. Data on the EMS volume, the transport category, the final SARS status of patients, and the EMT responsible for the transports were collected. The EMS projected volume was computed by previous years' data and compared with that collected. The SARS incidence among EMTs was assessed by investigating probable SARS (P-SARS) and by surveying the seroprevalence of SARS-associated coronavirus (SARS-CoV) antibody.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">From March 18 to June 19, 2003, there were 7,961 EMS transports, similar to the volume projected from previous years (7,506) (95% CI = 6,688 to 8,324). Of these, 1,760 (22.1%) were SARS-related. When SARS-related transports were excluded, there was a 12.2% decrease (95% CI = 11.4% to 12.9%) in EMS activities. Requests from hospitals, quarantined individuals, and febrile citizens accounted for 23%, 18%, and 59% of SARS-related transports. Among the 397 P-SARS cases in the city of 2.65 million people (incidence 0.01%, 95% CI = 0.01% to 0.02%), 138 (35%) required EMS transports. Two EMTs working in team C, the team with the lowest risk, developed P-SARS. One of them died soon thereafter. The incidence of P-SARS was 0.6% (95% CI = 0.2% to 2.2%), or 0.1% (95% CI = 0.03% to 0.4%) per transport. SARS-CoV serology was available in 74.1% of EMTs who were alive. In addition to the surviving P-SARS EMT, one EMT from team A, the team with the highest risk, was seropositive. Combining P-SARS and the seropositive case, three EMTs were infected (incidence 1.3%, 95% CI = 0.4% to 3.6%). No patient transported by the infected EMTs developed SARS. The hospitals serving EMS by the infected EMTs had been involved in a clustered outbreak prior to the EMTs' infections.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">During the outbreak of SARS, the overall EMS volume did not change significantly, but the non-SARS EMS activities decreased. Compared with the general population, EMS providers are at higher risk of contracting the SARS virus regardless of different perceived levels of risk. Standard protections and procedures for infection control should be strictly followed during transport and within the hospital environment.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ko</LastName><ForeName>Patrick Chow-In</ForeName><Initials>PC</Initials><AffiliationInfo><Affiliation>Department of Emergency Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Wen-Jone</ForeName><Initials>WJ</Initials></Author><Author ValidYN="Y"><LastName>Ma</LastName><ForeName>Matthew Huei-Ming</ForeName><Initials>MH</Initials></Author><Author ValidYN="Y"><LastName>Chiang</LastName><ForeName>Wen-Chu</ForeName><Initials>WC</Initials></Author><Author ValidYN="Y"><LastName>Su</LastName><ForeName>Chan-Ping</ForeName><Initials>CP</Initials></Author><Author ValidYN="Y"><LastName>Huang</LastName><ForeName>Chien-Hua</ForeName><Initials>CH</Initials></Author><Author ValidYN="Y"><LastName>Lu</LastName><ForeName>Tsung-Chien</ForeName><Initials>TC</Initials></Author><Author ValidYN="Y"><LastName>Shih</LastName><ForeName>Fuh-Yuan</ForeName><Initials>FY</Initials></Author><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Fang-Yue</ForeName><Initials>FY</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Acad Emerg Med</MedlineTA><NlmUniqueID>9418450</NlmUniqueID><ISSNLinking>1069-6563</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="Y">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004632" MajorTopicYN="N">Emergency Medical Services</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004634" MajorTopicYN="Y">Emergency Medical Technicians</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017758" MajorTopicYN="N">Infectious Disease Transmission, Patient-to-Professional</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016036" MajorTopicYN="N">Seroepidemiologic Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D045169" MajorTopicYN="N">Severe Acute Respiratory Syndrome</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="Y">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013624" MajorTopicYN="N">Taiwan</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014187" MajorTopicYN="N">Transportation of Patients</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>9</Month><Day>7</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2004</Year><Month>12</Month><Day>16</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>9</Month><Day>7</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15347538</ArticleId><ArticleId IdType="doi">10.1197/j.aem.2004.03.016</ArticleId><ArticleId IdType="pii">11/9/903</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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