Intubation of SARS patients: infection and perspectives of healthcare workers
Intubation of SARS patients: infection and perspectives of healthcare workers
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DOI：
10.1007/bf03021815
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发表时间：
2006-02-01
期刊：
影响因子：
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通讯作者：
Orser, BA
中科院分区：
文献类型：
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作者：
Caputo, KM;Byrick, R;Orser, BA
目的：2003年严重急性呼吸系统综合征（SARS）的爆发对麻醉师和其他医护人员的安全提出了重大挑战。本研究确定了SARS传播的发病率HCWs谁插管的病人和分析的关注HCWs关于个人和病人safety.Methods：医护人员进行气管插管在10多伦多医院确定使用安大略公共卫生数据库。调查问卷被用来收集信息的HCW。为了确定个人防护或关注的模式是否随时间而改变，根据是否插管发生在SARS I（2月23日至4月21日）或SARS 2（4月22日至7月1日）的数据进行了分析。23名医护人员中有3名（13%）在SARS I期间感染SARS，而在SARS 2期间没有（0/10）感染SARS。从SARS I到SARS 2，个人防护增加，医护人员的关注随着时间的推移而变化。在SARS 1期间，人们关注的重点是个人防护设备的需要，而在SARS 2期间，人们关注的重点是严格培训和病人护理协议的需要。医护人员认为，他们的经验是无效的整合到风险管理protocols.Conclusions：保护指南未能完全防止SARS的传播给医护人员。在接受访问的医护人员中，有9%曾为病人插管而感染SARS。提出了一个风险分析框架，以促进快速整合HCW的经验到实践指南。
Purpose: The outbreak of severe acute respiratory syndrome (SARS) in 2003 presented major challenges to the safety of anesthesiologists and other healthcare workers (HCWs). This study determined the incidence of SARS transmission to HCWs who intubated patients and analyzed the concerns of HCWs regarding personal and patient safety.Methods: Healthcare workers who performed tracheal intubation in 10 Toronto hospitals were identified using the Ontario Public Health database. A questionnaire was used to collect information from the HCWs. To determine if the patterns of personal protection or concerns changed over time, data were analyzed according to whether the intubation occurred during SARS I (February 23 to April 2 1) or SARS 2 (April 22 to July 1).Results: Thirty-three HCWs who performed 39 intubations on 35 SARS patients were interviewed. Three of 23 HCWs (13%) acquired SARS during SARS I whereas none (0/10) acquired SARS during SARS 2. Personal protection increased from SARS I to SARS 2 and HCWs' concerns changed over time. During SARS 1, concerns focused on the need for personal protective equipment whereas during SARS 2, concerns focused on the need for strict training and patient care protocols. HCWs perceived that their experiences were ineffectively integrated into risk management protocols.Conclusions: Protection guidelines failed to completely prevent the transmission of SARS to HCWs. Nine percent of the interviewed HCWs who intubated patients contracted SARS. A Risk Analysis Framework is presented to facilitate the rapid integration of HCWs' experiences into practice guidelines.