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Preventing Healthcare Workers From Acquiring Influenza

Published online by Cambridge University Press:  02 January 2015

Tak Ching Ng ,
Nelson Lee ,
Shu-Cheong David Hui ,
Raymond Lai  and
Margaret Ip
Tak Ching Ng
Affiliation:
Department of Medicine and Therapeutics, Prince of Wales Hospital, and the Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Shatin, Hong Kong
Nelson Lee*
Affiliation:
Department of Medicine and Therapeutics, Prince of Wales Hospital, and the Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Shatin, Hong Kong
Shu-Cheong David Hui
Affiliation:
Department of Medicine and Therapeutics, Prince of Wales Hospital, and the Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Shatin, Hong Kong
Raymond Lai
Affiliation:
Department of Microbiology, Prince of Wales Hospital, and the Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Shatin, Hong Kong
Margaret Ip
Affiliation:
Department of Microbiology, Prince of Wales Hospital, and the Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Shatin, Hong Kong
*
Division of Infectious Diseases, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, 9/F Clinical Sciences Building, Shatin, Hong Kong (leelsn@cuhk.edu.hk)
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Abstract

Our survey of 133 on-duty medical ward nurses showed that, during peak influenza season, 30 (23%) developed an influenza-like illness, despite wearing a mask at work. Suboptimal adherence to standard precautions, such as the use of a face shield (odds ratio, 3.56) during high-risk procedures, and failure to receive influenza vaccination (odds ratio, 4.82) were independent risk factors, adjusted for household contacts.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 3 , March 2009 , pp. 292 - 295
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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References

1.Salgado, CD, Farr, BM, Hall, KK, Hayden, FG. Influenza in the acute hospital setting. Lancet Infect Dis 2002;2:145–155.CrossRefGoogle ScholarPubMed
2.Bridges, CB, Kuehnert, MJ, Hall, CB. Transmission of influenza: implications for control in health care settings. Clin Infect Dis 2003;37:1094–1101.Google ScholarPubMed
3.Centers for Disease Control and Prevention (CDC). Healthcare-associated influenza (flu) guidelines. Excerpted from: Guidelines for preventing healthcare associated pneumonia, 2003. Available at: http://www.cdc.gov/ncidod/dhqp/id_influenza_pneuExcerpt.html. Accessed June 1, 2008.Google Scholar
4.Centers for Disease Control and Prevention (CDC). Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings 2007. Available at: http://www.cdc.gov/ncidocVdhqp/gl _isolation.html. Accessed June 1, 2008.Google Scholar
5.McCoy, KD, Beekmann, SE, Ferguson, KJ, et al.Monitoring adherence to standard precautions. Am J Infect Control 2001;29:24–31.CrossRefGoogle ScholarPubMed
6.Fiore, AE, Shay, DK, Haber, P, et al.; Advisory Committee on Immunization Practices (ACIP); Centers for Disease Control and Prevention (CDC). Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2007. MMWR Recomm Rep 2007;56(RR-6):1–54.Google ScholarPubMed
7.Centre for Health Protection. Department of Health. The Government of the HKSAR. Prevention of Influenza. Sentinel surveillance for influenza, 2007. Available at: http://www.chp.gov.hk/data.asp?lang = en&cat = 58cdns_sumID = 281&id = 2928spid = 44&ppid = 26. Accessed June 1, 2008.Google Scholar
8.Lee, N, Chan, PKS, Choi, KW, et al.Factors associated with early hospital discharge of adult influenza Patients. Antivir Ther 2007;12:501–508.CrossRefGoogle ScholarPubMed
9.Lester, RT, McGeer, A, Tomlinson, G, Detsky, AS. Use of, effectiveness of, and attitudes regarding influenza vaccine among house staff. Infect Control Hosp Epidemiol 2003;24:839–844.CrossRefGoogle ScholarPubMed
10.Brankston, G, Gitterman, L, Hirji, Z, Lemieux, C, Gardam, M. Transmission of influenza A in human beings. Lancet Infect Dis 2007;7:257–265.CrossRefGoogle ScholarPubMed
11.Carman, WF, Elder, AG, Wallace, LA, et al.Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet 2000;355:93–97.CrossRefGoogle ScholarPubMed
12.Jones, TF, Ingram, LA, Craig, AS, Schaffner, W. Determinants of influenza vaccination, 2003-2004: shortages, fallacies and disparities. Clin Infect Dis 2004;39:1824–1828.CrossRefGoogle ScholarPubMed
13.Backer, H. Counterpoint: in favor of mandatory influenza vaccine for all health care workers. Clin Infect Dis 2006;42:1144–1147.CrossRefGoogle ScholarPubMed