Which Health Care Workers Were Most Affected During the Spring 2009 H1N1 Pandemic?
Which Health Care Workers Were Most Affected During the Spring 2009 H1N1 Pandemic?
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DOI：
10.1017/s193578930000241x
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发表时间：
2010-03-01
影响因子：
2.7
通讯作者：
Vorenkamp, Jaclyn V.
中科院分区：
文献类型：
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作者：
Santos, Cynthia D.;Bristow, Robert B.;Vorenkamp, Jaclyn V.
目的：确定卫生保健工作者最危险的H1N1感染疫苗接种前和比较接种后的健康outcomes after vaccination.Methods：用于衡量员工健康的指标是实验室确认的H1N1数据，实验室确认的甲型流感数据，员工病假记录。在这2阶段研究的第1阶段，根据2009年春季H1N1流感大流行期间的部门和员工职位，分析了6,093名医院员工在接种疫苗前的缺勤记录。结果：还分析了123份经实验室确认的甲型流感或新型H1N1感染的医院员工确诊报告的记录。三分之二的H1N1病例发生在6月份（括号内为感染率）：34名医生和医务人员（6.7%），护士和临床技术人员36人（2.2%），39名行政和支助人员（感染率= 1.2%），3名社会工作者和顾问（感染率= 1.0%）、家政和食品服务8人（感染率= 2.7%）、安保和运输3人（感染率= 3.9%）。当根据部门分析，成人急诊科（感染率= 28.8%）和儿科急诊科（感染率= 25.0%）有最高的感染率，每个department.Conclusions：报告的H1N1病例中的卫生保健工作者，49%发生在一个人口，构成不到20%的总人口研究。医生和医务人员的感染率高于其他雇员职位，而艾德人员的感染率最高。（灾难医疗公共卫生准备。2010; 4：47-54）
Objectives: To identify health care workers most at risk for H1N1 infection before vaccination and compare health outcomes after vaccination.Methods: The indices used to gauge employee health were laboratory-confirmed H1N1 data, laboratory-confirmed influenza A data, and employee sick hours records. In phase 1 of this 2-phase study, absenteeism records for 6,093 hospital employees before vaccine administration were analyzed according to department and employee position during the spring 2009 H1N1 pandemic.Results: Records of 123 confirmed reports of laboratory-confirmed influenza A or novel H1N1 infections in hospital employees were also analyzed. Two thirds of the H1N1 cases occurred during June ( infection rates in parentheses): 34 in physicians and medical personnel (6.7%), 36 in nurses and clinical technicians (2.2%), 39 in Administrative & Support Personnel ( infection rate = 1.2%), 3 in Social Workers & Counselors ( infection rate = 1.0%), 8 in Housekeeping&Food Services ( infection rate = 2.7%), and 3 in Security&Transportation ( infection rate = 3.9%). When analyzed according to department, the adult emergency department ( infection rate = 28.8%) and the pediatric emergency department ( infection rate = 25.0%) had the highest infection rates per department.Conclusions: Of the reported cases of H1N1 in health care workers, 49% occurred in a population that constitutes less than 20% of the total population studied. Physicians and medical personnel had a higher infection rate than other employee positions, whereas ED personnel had the highest infection rate. ( Disaster Med Public Health Preparedness. 2010; 4: 47-54)