Protecting health care workers from SARS and other respiratory pathogens: A review of the infection control literature

Protecting health care workers from SARS and other respiratory pathogens: A review of the infection control literature
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DOI:
10.1016/j.ajic.2004.12.002
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发表时间:
2005-03-01
影响因子:
4.9
通讯作者:
Bryce, E
Bryce, E
中科院分区:
医学3区
文献类型:
--
作者:
Gamage, B;Moore, D;Bryce, E

文献摘要

被引文献

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背景:严重急性呼吸系统综合症(SARS)是加拿大、中国、香港、越南和新加坡爆发的原因。 SARS 的重点是感染控制措施的充分性和遵守情况,以防止传染性病原体通过空气传播和飞沫传播。方法:本文综述了有关个人防护装备在预防呼吸道感染传播方面的功效的当前科学知识。检查临床实践中使用的感染控制政策和程序的有效性。结果:在多个数据库中进行了文献检索,查找过去 15 年发表的与感染控制实践、职业健康和安全问题、环境因素以及在医疗机构中保护工作人员免受呼吸道感染的其他重要问题相关的文章。结论:未能实施适当的屏障预防措施是造成这种情况的主要原因。院内传播。然而,气雾化程序产生的传染性颗粒的分级可能性表明,传统的飞沫传播预防措施在某些情况下可能不够充分。该领域需要进一步的研究。
Background: Severe Acute Respiratory Syndrome (SARS) was responsible for outbreaks in Canada, China, Hong Kong, Vietnam, and Singapore. SARS focused attention on the adequacy of and compliance with infection control practices in preventing airborne and droplet-spread transmission of infectious agents.Methods: This paper presents a review of the current scientific knowledge with respect to the efficacy of personal protective equipment in preventing the transmission of respiratory infections. The effectiveness of infection control polices and procedures used in clinical practice is examined.Results: Literature searches Were conducted in several databases for articles published in the last 15 years that related to infection control practices, occupational health and safety issues, environmental factors, and other issues of importance in protecting workers against respiratory infections in health care settings.Conclusion: Failure to implement appropriate barrier precautions is responsible for most. nosocomial transmissions. However, the possibility of a gradation of infectious particles generated by aerosolizing procedures suggests that traditional droplet transmission prevention measures may be inadequate in some settings. Further research is needed in this area.