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About:
Sources of viral respiratory infections in Canadian acute care hospital healthcare personnel
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wasabi.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Sources of viral respiratory infections in Canadian acute care hospital healthcare personnel
Creator
Mcneil, S
Muller, M
Drews, S
Kuster, S
Katz, K
Loeb, M
Mcgeer, A
Powis, J
Buckrell, S
Coleman, B
Coleman, K
Di Bella, J
Kohler, P
Simor, A
source
Elsevier; Medline; PMC
abstract
Summary Background Viral respiratory illnesses are common causes of outbreaks and can be fatal to some patients. Aim To investigate the association between laboratory-confirmed viral respiratory infections and potential sources of exposure during the previous 7 days. Methods In this nested case–control analysis, healthcare personnel from nine Canadian hospitals who developed acute respiratory illnesses during the winters of 2010/11–2013/14 submitted swabs that were tested for viral pathogens. Associated illness diaries and the weekly diaries of non-ill participants provided information on contact with people displaying symptoms of acute respiratory illness in the previous week. Conditional logistic regression assessed the association between cases, who were matched by study week and site with controls with no respiratory symptoms. Findings There were 814 laboratory-confirmed viral respiratory illnesses. The adjusted odds ratio (aOR) of a viral illness was higher for healthcare personnel reporting exposures to ill household members [7.0, 95% confidence interval (CI) 5.4–9.1], co-workers (3.4, 95% CI 2.4–4.7) or other social contacts (5.1, 95% CI 3.6–7.1). Exposures to patients with respiratory illness were not associated with infection (aOR 0.9, 95% CI 0.7–1.2); however, healthcare personnel with direct patient contact did have higher odds (aOR 1.3, 95% CI 1.1–1.6). The aORs for exposure and for direct patient contact were similar for illnesses caused by influenza. Conclusion Community and co-worker contacts are important sources of viral respiratory illness in healthcare personnel, while exposure to patients with recognized respiratory infections is not associated. The comparatively low risk associated with direct patient contact may reflect transmission related to asymptomatic patients or unrecognized infections.
has issue date
2020-04-30
(
xsd:dateTime
)
bibo:doi
10.1016/j.jhin.2020.01.009
bibo:pmid
31954763
has license
els-covid
sha1sum (hex)
f51d1ecbc42537a83a9a01f6a6aa4f7284978fb2
schema:url
https://doi.org/10.1016/j.jhin.2020.01.009
resource representing a document's title
Sources of viral respiratory infections in Canadian acute care hospital healthcare personnel
has PubMed Central identifier
PMC7172118
has PubMed identifier
31954763
schema:publication
Journal of Hospital Infection
resource representing a document's body
covid:f51d1ecbc42537a83a9a01f6a6aa4f7284978fb2#body_text
is
schema:about
of
named entity 'Adult'
named entity 'respiratory illness'
named entity '95% CI'
named entity 'contact'
named entity 'healthcare'
named entity 'Sources'
named entity 'SOURCES'
named entity 'ILLNESSES'
named entity 'DID'
named entity 'CONTACTS'
named entity 'RESPIRATORY INFECTIONS'
named entity 'TRANSMISSION'
named entity 'UNRECOGNIZED'
named entity '1.3'
named entity 'IMPORTANT'
named entity 'illnesses'
named entity 'infection'
named entity 'social'
named entity 'comparatively'
named entity 'hospital'
named entity 'asymptomatic patients'
named entity 'social contacts'
named entity 'healthcare personnel'
named entity 'influenza'
named entity 'co-workers'
named entity 'infection'
named entity 'healthcare personnel'
named entity 'Canadian'
named entity 'higher'
named entity 'needle thoracostomy'
named entity 'respiratory illness'
named entity 'influenza infection'
named entity 'healthcare personnel'
named entity 'respiratory illness'
named entity '10.7'
named entity 'Acute care'
named entity 'vaccination'
named entity 'OC43'
named entity 'estimating equations'
named entity 'human metapneumovirus'
named entity 'social desirability bias'
named entity 'respiratory symptoms'
named entity 'multiple exposure'
named entity 'healthcare personnel'
named entity 'influenza'
named entity 'vaccination'
named entity 'respiratory illness'
named entity 'Toronto'
named entity 'viruses'
named entity 'Halifax'
named entity 'viral infection'
named entity 'influenza season'
named entity 'wash hands'
named entity 'infection'
named entity 'N95'
named entity 'face shield'
named entity 'influenza'
named entity 'goggles'
named entity 'protective equipment'
named entity 'influenza'
named entity 'odds ratios'
named entity 'surgical mask'
named entity 'respiratory illnesses'
named entity 'respiratory infections'
named entity 'acute care'
named entity 'good clinical practice'
named entity 'NL63'
named entity 'respiratory symptoms'
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