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Article: Prevention of nosocomial transmission of swine-origin pandemic influenza virus A/H1N1 by infection control bundle

TitlePrevention of nosocomial transmission of swine-origin pandemic influenza virus A/H1N1 by infection control bundle
Authors
KeywordsH1N1 virus
Infection control bundle
Influenza
Nosocomial infection
Issue Date2010
PublisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/jhin
Citation
Journal Of Hospital Infection, 2010, v. 74 n. 3, p. 271-277 How to Cite?
AbstractAfter the outbreak of severe acute respiratory syndrome in Hong Kong, the importance of preventing nosocomial transmission of respiratory viruses has become a top priority in infection control. During the containment and early mitigation phases of the swine-origin influenza virus (S-OIV) A H1N1 pandemic, an infection control bundle consisting of multiple coherent measures was organised by our infection control team to minimise nosocomial transmission. This included repeated open staff forum achieving high attendance; early recognition of index cases among inpatients by liberal testing; early relief of sick staff from work; directly observed hand hygiene practice during outbreaks; and monitoring of compliance with infection control practice. During the first 100 days (from 1 May to 8 August 2009) when the first 100 laboratory-confirmed patients with S-OIV and 12 infected healthcare workers (HCWs) were identified, a total of 836 asymptomatic exposed persons (184 patients and 652 HCWs) were required to undergo a seven-day medical surveillance. The infection control nurses monitored them for the onset of symptoms. Four (0.48%) exposed persons (one house officer, two non-clinical staff, and one patient) were virologically confirmed with S-OIV. Not wearing a surgical mask either by the exposed persons during contact with the index cases (4/4 vs 264/832, P = 0.010) or vice versa (4/4 vs 300/832, P = 0.017, Fisher's exact test) were found to be significant risk factors for nosocomial acquisition of S-OIV. © 2009 The Hospital Infection Society.
Persistent Identifierhttp://hdl.handle.net/10722/125052
ISSN
2015 Impact Factor: 2.655
2015 SCImago Journal Rankings: 1.349
ISI Accession Number ID
Funding AgencyGrant Number
Research Fund for the Control of Infectious Diseases
Funding Information:

This work was partly funded by Research Fund for the Control of Infectious Diseases.

References

 

DC FieldValueLanguage
dc.contributor.authorCheng, VCCen_HK
dc.contributor.authorTai, JWMen_HK
dc.contributor.authorWong, LMWen_HK
dc.contributor.authorChan, JFWen_HK
dc.contributor.authorLi, IWSen_HK
dc.contributor.authorTo, KKWen_HK
dc.contributor.authorHung, IFNen_HK
dc.contributor.authorChan, KHen_HK
dc.contributor.authorHo, PLen_HK
dc.contributor.authorYuen, KYen_HK
dc.date.accessioned2010-10-31T11:08:45Z-
dc.date.available2010-10-31T11:08:45Z-
dc.date.issued2010en_HK
dc.identifier.citationJournal Of Hospital Infection, 2010, v. 74 n. 3, p. 271-277en_HK
dc.identifier.issn0195-6701en_HK
dc.identifier.urihttp://hdl.handle.net/10722/125052-
dc.description.abstractAfter the outbreak of severe acute respiratory syndrome in Hong Kong, the importance of preventing nosocomial transmission of respiratory viruses has become a top priority in infection control. During the containment and early mitigation phases of the swine-origin influenza virus (S-OIV) A H1N1 pandemic, an infection control bundle consisting of multiple coherent measures was organised by our infection control team to minimise nosocomial transmission. This included repeated open staff forum achieving high attendance; early recognition of index cases among inpatients by liberal testing; early relief of sick staff from work; directly observed hand hygiene practice during outbreaks; and monitoring of compliance with infection control practice. During the first 100 days (from 1 May to 8 August 2009) when the first 100 laboratory-confirmed patients with S-OIV and 12 infected healthcare workers (HCWs) were identified, a total of 836 asymptomatic exposed persons (184 patients and 652 HCWs) were required to undergo a seven-day medical surveillance. The infection control nurses monitored them for the onset of symptoms. Four (0.48%) exposed persons (one house officer, two non-clinical staff, and one patient) were virologically confirmed with S-OIV. Not wearing a surgical mask either by the exposed persons during contact with the index cases (4/4 vs 264/832, P = 0.010) or vice versa (4/4 vs 300/832, P = 0.017, Fisher's exact test) were found to be significant risk factors for nosocomial acquisition of S-OIV. © 2009 The Hospital Infection Society.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/jhinen_HK
dc.relation.ispartofJournal of Hospital Infectionen_HK
dc.subjectH1N1 virusen_HK
dc.subjectInfection control bundleen_HK
dc.subjectInfluenzaen_HK
dc.subjectNosocomial infectionen_HK
dc.subject.meshAdolescent-
dc.subject.meshCross Infection - prevention and control - transmission - virology-
dc.subject.meshInfection Control - methods-
dc.subject.meshInfluenza A Virus, H1N1 Subtype - isolation and purification-
dc.subject.meshInfluenza, Human - prevention and control - transmission - virology-
dc.titlePrevention of nosocomial transmission of swine-origin pandemic influenza virus A/H1N1 by infection control bundleen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0195-6701&volume=74&issue=3&spage=271&epage=277&date=2010&atitle=Prevention+of+nosocomial+transmission+of+swine-origin+pandemic+influenza+virus+A/H1N1+by+infection+control+bundle-
dc.identifier.emailChan, JFW: jfwchan@hku.hken_HK
dc.identifier.emailTo, KKW: kelvinto@hkucc.hku.hken_HK
dc.identifier.emailHung, IFN: ivanhung@hkucc.hku.hken_HK
dc.identifier.emailHo, PL: plho@hkucc.hku.hken_HK
dc.identifier.emailYuen, KY: kyyuen@hkucc.hku.hken_HK
dc.identifier.authorityChan, JFW=rp01736en_HK
dc.identifier.authorityTo, KKW=rp01384en_HK
dc.identifier.authorityHung, IFN=rp00508en_HK
dc.identifier.authorityHo, PL=rp00406en_HK
dc.identifier.authorityYuen, KY=rp00366en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jhin.2009.09.009en_HK
dc.identifier.pmid20061056-
dc.identifier.scopuseid_2-s2.0-77549086510en_HK
dc.identifier.hkuros173894en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77549086510&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume74en_HK
dc.identifier.issue3en_HK
dc.identifier.spage271en_HK
dc.identifier.epage277en_HK
dc.identifier.isiWOS:000276313100012-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridCheng, VCC=38662328400en_HK
dc.identifier.scopusauthoridTai, JWM=7101993154en_HK
dc.identifier.scopusauthoridWong, LMW=26022708100en_HK
dc.identifier.scopusauthoridChan, JFW=24278817900en_HK
dc.identifier.scopusauthoridLi, IWS=24464179500en_HK
dc.identifier.scopusauthoridTo, KKW=14323807300en_HK
dc.identifier.scopusauthoridHung, IFN=7006103457en_HK
dc.identifier.scopusauthoridChan, KH=35338760600en_HK
dc.identifier.scopusauthoridHo, PL=7402211363en_HK
dc.identifier.scopusauthoridYuen, KY=36078079100en_HK

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