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Quantitative evaluation of infection control models in the prevention of nosocomial transmission of SARS virus to healthcare workers: implication to nosocomial viral infection control for healthcare workers.

机译:感染控制模型在预防SARS病毒向医护人员的医院传播中的定量评估:对医护人员医院病毒感染控制的意义。

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摘要

Healthcare workers (HCWs) are at high risk of acquiring emerging infections while caring for patients, as has been shown in the recent SARS and swine flu epidemics. Using SARS as an example, we determined the effectiveness of infection control measures (ICMs) by logistic regression and structural equation modelling (SEM), a quantitative methodology that can test a hypothetical model and validates causal relationships among ICMs. Logistic regression showed that installing hand wash stations in the emergency room (p = 0.012, odds ratio = 1.07) was the only ICM significantly associated with the protection of HCWs from acquiring the SARS virus. The structural equation modelling results showed that the most important contributing factor (highest proportion of effectiveness) was installation of a fever screening station outside the emergency department (51%). Other measures included traffic control in the emergency department (19%), availability of an outbreak standard operation protocol (12%), mandatory temperature screening (9%), establishing a hand washing setup at each hospital checkpoint (3%), adding simplified isolation rooms (3%), and a standardized patient transfer protocol (3%). Installation of fever screening stations outside of the hospital and implementing traffic control in the emergency department contributed to 70% of the effectiveness in the prevention of SARS transmission. Our approach can be applied to the evaluation of control measures for other epidemic infectious diseases, including swine flu and avian flu.
机译:正如最近的SARS和猪流感流行中所显示的那样,医护人员(HCW)在照顾患者的同时极有可能获得新发感染。以SARS为例,我们通过逻辑回归和结构方程模型(SEM)来确定感染控制措施(ICM)的有效性,这是一种可以检验假设模型并验证ICM之间因果关系的定量方法。 Logistic回归显示,在急诊室安装洗手站(p = 0.012,优势比= 1.07)是唯一与保护HCW免受SARS病毒感染相关的ICM。结构方程建模结果表明,最重要的影响因素(最大的作用比例)是在急诊室外安装了发烧检查站(51%)。其他措施包括急诊部门的交通控制(19%),爆发标准操作协议的可用性(12%),强制性温度筛查(9%),在每个医院检查站建立洗手装置(3%),增加了简化措施隔离室(3%)和标准化的患者转移协议(3%)。在医院外安装发烧检查站并在急诊室实施交通管制,对预防SARS传播的有效性达到70%。我们的方法可用于评估其他流行病的控制措施,包括猪流感和禽流感。

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