Possible SARS coronavirus transmission during cardiopulmonary resuscitation.
Possible SARS coronavirus transmission during cardiopulmonary resuscitation.
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DOI：
10.3201/eid1002.030700
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发表时间：
2004-02
影响因子：
11.8
通讯作者：
SARS Investigation Team
中科院分区：
文献类型：
--
作者：
Christian MD;Loutfy M;McDonald LC;Martinez KF;Ofner M;Wong T;Wallington T;Gold WL;Mederski B;Green K;Low DE;SARS Investigation Team
医护人员感染严重急性呼吸综合征相关冠状病毒（SARS-CoV）被认为主要通过接触或大的呼吸道飞沫传播发生。然而，尽管采取了接触和液滴预防措施，但很少发生医护人员感染，特别是在某些产生气溶胶的医疗程序期间。我们调查了一个可能的SARS冠状病毒感染的医护人员谁使用接触和飞沫预防措施，在试图心肺复苏的SARS患者的集群。与先前报告的在气溶胶生成程序期间传播的情况不同，索引病例-患者无反应，插管程序进行得很快，没有困难。然而，在插管前，患者使用袋阀面罩通气，这可能导致SARS-CoV雾化。根据这次调查的结果和以前的报告SARS传播过程中的气溶胶生成程序，一个系统的方法来解决这个问题，包括使用以下：1）行政控制，2）环境工程控制，3）个人防护装备，和4）质量控制。
Infection of healthcare workers with the severe acute respiratory syndrome–associated coronavirus (SARS-CoV) is thought to occur primarily by either contact or large respiratory droplet transmission. However, infrequent healthcare worker infections occurred despite the use of contact and droplet precautions, particularly during certain aerosol-generating medical procedures. We investigated a possible cluster of SARS-CoV infections in healthcare workers who used contact and droplet precautions during attempted cardiopulmonary resuscitation of a SARS patient. Unlike previously reported instances of transmission during aerosol-generating procedures, the index case-patient was unresponsive, and the intubation procedure was performed quickly and without difficulty. However, before intubation, the patient was ventilated with a bag-valve-mask that may have contributed to aerosolization of SARS-CoV. On the basis of the results of this investigation and previous reports of SARS transmission during aerosol-generating procedures, a systematic approach to the problem is outlined, including the use of the following: 1) administrative controls, 2) environmental engineering controls, 3) personal protective equipment, and 4) quality control.
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DOI：
10.1016/s1070-3241(16)30223-1
发表时间：
1996-03-01
期刊：
JOINT COMMISSION JOURNAL ON QUALITY IMPROVEMENT
影响因子：
--
作者：
Cleghorn, GD;Headrick, LA
通讯作者：
Headrick, LA
影响因子：
158.5
作者：
BEDELL, SE;DELBANCO, TL;EPSTEIN, FH
通讯作者：
EPSTEIN, FH
DOI：
10.1016/s0140-6736(03)13168-6
发表时间：
2003-05-03
期刊：
Lancet (London, England)
影响因子：
--
作者：
Seto WH;Tsang D;Yung RW;Ching TY;Ng TK;Ho M;Ho LM;Peiris JS;Advisors of Expert SARS group of Hospital Authority
通讯作者：
Advisors of Expert SARS group of Hospital Authority
DOI：
10.1001/jama.289.21.joc30885
发表时间：
2003-06-04
影响因子：
120.7
作者：
Booth, CM;Matukas, LM;Detsky, AS
通讯作者：
Detsky, AS
影响因子：
158.5
作者：
Poutanen, SM;Low, DE;McGeer, AJ
通讯作者：
McGeer, AJ