Hostname: page-component-6b989bf9dc-jks4b Total loading time: 0 Render date: 2024-04-15T01:05:04.968Z Has data issue: false hasContentIssue false

Preventing Healthcare Workers From Acquiring Influenza

Published online by Cambridge University Press:  02 January 2015

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)

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
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Salgado, CD, Farr, BM, Hall, KK, Hayden, FG. Influenza in the acute hospital setting. Lancet Infect Dis 2002;2:145155.CrossRefGoogle ScholarPubMed
2.Bridges, CB, Kuehnert, MJ, Hall, CB. Transmission of influenza: implications for control in health care settings. Clin Infect Dis 2003;37:10941101.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;29:2431.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):154.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;12:501508.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;24:839844.CrossRefGoogle ScholarPubMed
10.Brankston, G, Gitterman, L, Hirji, Z, Lemieux, C, Gardam, M. Transmission of influenza A in human beings. Lancet Infect Dis 2007;7:257265.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;355:9397.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;39:18241828.CrossRefGoogle ScholarPubMed
13.Backer, H. Counterpoint: in favor of mandatory influenza vaccine for all health care workers. Clin Infect Dis 2006;42:11441147.CrossRefGoogle ScholarPubMed