SARS in hospital emergency room

被引:118
作者
Chen, YC [1 ]
Huang, LM [1 ]
Chan, CC [1 ]
Su, CP [1 ]
Chang, SC [1 ]
Chang, YY [1 ]
Chen, ML [1 ]
Hung, CC [1 ]
Chen, WJ [1 ]
Lin, FY [1 ]
Lee, YT [1 ]
机构
[1] Natl Taiwan Univ, Div Infect Dis, Dept Internal Med, Natl Taiwan Univ Hosp,Coll Med, Taipei 10016, Taiwan
关键词
D O I
10.3201/eid1005.030579
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Thirty-one cases of severe acute respiratory syndrome (SARS) occurred after exposure in the emergency room at the National Taiwan University Hospital. The index patient was linked to an outbreak at a nearby municipal hospital. Three clusters were identified over a 3-week period. The first cluster (5 patients) and the second cluster (14 patients) occurred among patients, family members, and nursing aids. The third cluster (12 patients) occurred exclusively among healthcare workers. Six healthcare workers had close contact with SARS patients. Six others, with different working patterns, indicated that they did not have contact with a SARS patient. Environmental surveys found 9 of 119 samples of inanimate objects to be positive for SARS coronavirus RNA. These observations indicate that although transmission by direct contact with known SARS patients was responsible for most cases, environmental contamination with the SARS coronavirus may have lead to infection among healthcare workers without documented contact with known hospitalized SARS patients.
引用
收藏
页码:782 / 788
页数:7
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