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3 results on '"MESH: Personnel, Hospital"'

1. Preparing for emerging respiratory pathogens such as SARS-CoV, MERS-CoV, and SARS-CoV-2

Author

Ja, Al-Tawfiq, Ma, Garout, Philippe Gautret, Johns Hopkins University School of Medicine [Baltimore], Umm Al-Qura University, Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées (IRBA), Institut Hospitalier Universitaire Méditerranée Infection (IHU Marseille), and Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA)

Subjects
MESH: Protective Devices, MESH: Coronavirus Infections, Severe Acute Respiratory Syndrome, Communicable Diseases, Emerging, Patient Isolation, MESH: Infection Control, COVID-19 Testing, Hospital Administration, [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases, MESH: COVID-19, MESH: Hospital Administration, MESH: Communicable Diseases, Emerging, [SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases, Severe acute respiratory syndrome-related coronavirus, MESH: Guideline Adherence, [SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology, Middle East Respiratory Syndrome Coronavirus, MESH: Betacoronavirus, MESH: Interdisciplinary Communication, Guideline Adherence, Symptom Assessment, Coronavirus Infections, MESH: Triage, MESH: Pandemics, Pneumonia, Viral, Saudi Arabia, MESH: SARS Virus, MESH: Civil Defense, MESH: Personnel, Hospital, Betacoronavirus, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, MESH: Severe Acute Respiratory Syndrome, Humans, MESH: SARS-CoV-2, [SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology, Pandemics, MESH: Clinical Laboratory Techniques, Infection Control, MESH: Humans, Clinical Laboratory Techniques, SARS-CoV-2, Protective Devices, MESH: Symptom Assessment, MESH: Middle East Respiratory Syndrome Coronavirus, MESH: COVID-19 Testing, COVID-19, Civil Defense, [SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology, MESH: Patient Isolation, MESH: Saudi Arabia, Personnel, Hospital, MESH: Pneumonia, Viral, Interdisciplinary Communication, Triage
Abstract

International audience; Preparing for emerging respiratory pathogens is a fundamental requirement for enhancements of the safeguard in healthcare settings. We are facing an increasing pressure to be prepared more than before. Healthcare organizations should be ready to deal with such emerging infectious disease. Here, we share some points that are essential to be considered while we prepare our institutions to prevent the transmission of emerging respiratory pathogens such as MERS-CoV and the recently emerging pandemic of SARS-CoV-2, the causative agent of COVID-19.

Published
2020

2. Under-estimation of self-reported occupational exposure by questionnaire in hospital workers

Author

Isabelle Pin, M.-A. Denis, N. Massin, F Kauffmann, C. Donnay, Dominique Choudat, Orianne Dumas, J. Fevotte, R. Magis, N. Le Moual, Service de Pneumologie Allergologie [CHU Necker], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de Médecine et Santé au Travail, Hospices Civils de Lyon (HCL)-Hôpital Edouard Herriot [CHU - HCL], Hospices Civils de Lyon (HCL)-Groupement Hospitalier Est, Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE UMR T9405), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR), Service Central de Médecine du Travail (SCMT), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital de l'Hotel Dieu, Institut national de recherche et de sécurité (Vandoeuvre lès Nancy) (INRS ( Vandoeuvre lès Nancy)), Centre de recherche en épidémiologie et santé des populations (CESP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris-Sud - Paris 11 (UP11)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Institut d'oncologie/développement Albert Bonniot de Grenoble (INSERM U823), Institut National de la Santé et de la Recherche Médicale (INSERM)-EFS-CHU Grenoble-Université Joseph Fourier - Grenoble 1 (UJF), Merck Sharp & Dohme (MSD), Hospital program of clinical research (PHRC)-Paris, National Research Agency - Health environment, health-work program, French Agency of health safety, environment and work (AFSSET, EST-09-15)., CHU Necker - Enfants Malades [AP-HP]-Assistance publique - Hôpitaux de Paris (AP-HP), Hospices Civils de Lyon ( HCL ) -Hôpital Edouard Herriot [CHU - HCL], Hospices Civils de Lyon ( HCL ) -Groupement Hospitalier Est, Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement ( UMRESTTE UMR T9405 ), Université Claude Bernard Lyon 1 ( UCBL ), Université de Lyon-Université de Lyon-Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux ( IFSTTAR ), Service Central de Médecine du Travail ( SCMT ), Assistance publique - Hôpitaux de Paris (AP-HP)-Hôpital de l'Hotel Dieu, Institut national de recherche et de sécurité (Vandoeuvre lès Nancy) ( INRS ( Vandoeuvre lès Nancy) ), Centre de recherche en épidémiologie et santé des populations ( CESP ), Université de Versailles Saint-Quentin-en-Yvelines ( UVSQ ) -Université Paris-Sud - Paris 11 ( UP11 ) -Assistance publique - Hôpitaux de Paris (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale ( INSERM ), Institut d'oncologie/développement Albert Bonniot de Grenoble ( INSERM U823 ), Université Joseph Fourier - Grenoble 1 ( UJF ) -CHU Grenoble-EFS-Institut National de la Santé et de la Recherche Médicale ( INSERM ), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM), Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-EFS-Institut National de la Santé et de la Recherche Médicale (INSERM), and Nadif, Rachel

Subjects
exposure assessment, MESH: Asthma, MESH : Aged, MESH: Self Disclosure, MESH: Occupational Exposure, 0302 clinical medicine, Epidemiology, MESH : Personnel, Hospital, Medicine, 030212 general & internal medicine, MESH : Environmental Monitoring, MESH: Aged, MESH: Middle Aged, Age Factors, [ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie, MESH : Occupational Diseases, Middle Aged, MESH : Adult, 030210 environmental & occupational health, MESH: Case-Control Studies, 3. Good health, Occupational Diseases, MESH : Occupational Exposure, MESH: Young Adult, Health education, epidemiology, MESH : Self Disclosure, MESH: Environmental Monitoring, Environmental Monitoring, Adult, MESH: Occupational Diseases, medicine.medical_specialty, MESH : Case-Control Studies, Self Disclosure, Detergents, MESH : Young Adult, MESH : Asthma, MESH: Personnel, Hospital, Occupational medicine, 03 medical and health sciences, Young Adult, McNemar's test, Environmental health, Occupational Exposure, Humans, MESH : Middle Aged, Asthma, Exposure assessment, Aged, Estimation, MESH: Age Factors, MESH: Humans, business.industry, Gold standard, MESH : Humans, MESH: Disinfectants, Public Health, Environmental and Occupational Health, MESH: Adult, MESH : Detergents, medicine.disease, Personnel, Hospital, MESH : Disinfectants, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Case-Control Studies, Healthcare worker, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, MESH : Age Factors, business, disinfectant, Disinfectants, MESH: Detergents
Abstract

International audience; OBJECTIVES: The aim of the study was to determine whether self-reported occupational exposure to cleaning/disinfecting agents in hospital workers is accurate, in comparison to expert assessment, taken to be the gold standard. METHODS: In the Epidemiological Study of the Genetics and Environment of Asthma (EGEA), participants were interviewed on occupation with a specific questionnaire for hospital workers regarding tasks and cleaning/disinfecting agents. Two estimates of exposure were available: self-report and expert assessment. The expert assessment involved a standardised procedure to estimate intensity, frequency and probability of exposure for each job. The present analysis focused on eight exposures: formaldehyde, glutaraldehyde, bleach/chlorine, alcohol, quaternary ammonium components, ammonia, sprays and latex gloves. Agreement and differences between self-reported and expert estimates were studied by kappa and phi coefficients and McNemar tests, respectively. RESULTS: In the survey of 1571 adults, 176 ever hospital workers (327 occupations) with both self-reported and expert exposure assessments were studied. An underestimation of self-reported exposure was observed especially for formaldehyde (26.5% vs 32.7%, p=0.01), ammonia (7.4% vs 18.8%, p

Published
2011

3. Surveillance of occupational blood and body fluid exposures among French healthcare workers in 2004

Author

A.G. Venier, A. Vincent, P. Parneix, E. Reyreaud, H. Sénéchal, D. Abiteboul, F. L’Hériteau, N. Floret, Bruno Coignard, Matériaux, ingénierie et science [Villeurbanne] ( MATEIS ), Université Claude Bernard Lyon 1 ( UCBL ), Université de Lyon-Université de Lyon-Centre National de la Recherche Scientifique ( CNRS ) -Institut National des Sciences Appliquées de Lyon ( INSA Lyon ), Université de Lyon-Institut National des Sciences Appliquées ( INSA ) -Institut National des Sciences Appliquées ( INSA ), Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC ), Centre de Coordination de Lutte contre les Infections Nosocomiales - Sud-Ouest, CCLIN, Matériaux, ingénierie et science [Villeurbanne] (MATEIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Centre National de la Recherche Scientifique (CNRS), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), and Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)

Subjects
Percutaneous, Epidemiology, medicine.medical_treatment, Human immunodeficiency virus (HIV), MESH : Aged, medicine.disease_cause, MESH: Occupational Exposure, Tracheotomy, [ SDV.MP ] Life Sciences [q-bio]/Microbiology and Parasitology, Health care, MESH : Personnel, Hospital, MESH: Incidence, MESH: Needlestick Injuries, Needlestick Injuries, MESH: Aged, MESH: Middle Aged, Incidence, [ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie, Middle Aged, MESH : Adult, MESH : Incidence, 3. Good health, MESH : Occupational Exposure, Blood, [SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology, Infectious Diseases, MESH: Sentinel Surveillance, France, Adult, Microbiology (medical), medicine.medical_specialty, MESH : Sentinel Surveillance, Adolescent, MESH: Personnel, Hospital, Occupational Exposure, MESH : Adolescent, MESH : Needlestick Injuries, MESH: Blood, medicine, Humans, MESH : Middle Aged, Intensive care medicine, MESH : France, Aged, MESH: Adolescent, Body fluid, MESH: Humans, business.industry, Public health, MESH : Humans, MESH: Adult, Confidence interval, Personnel, Hospital, MESH: France, Emergency medicine, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, MESH : Blood, business, Sentinel Surveillance, Blood sampling
Abstract

Objective.To estimate the incidence rate of reported occupational blood and body fluid exposures among French healthcare workers (HCWs).Design.Prospective national follow-up of HCWs from January 1 to December 31, 2004.Setting.University hospitals, hospitals, clinics, local medical centers, and specialized psychiatric centers were included in the study on a voluntary basis.Participants.At participating medical centers, every reported blood and body fluid exposure was documented by the occupational practitioner in charge of the exposed HCW by use of an anonymous, standardized questionnaire.Results.A total of 375 medical centers (15% of French medical centers, accounting for 29% of hospital beds) reported 13,041 blood and body fluid exposures; of these, 9,396 (72.0%) were needlestick injuries. Blood and body fluid exposures were avoidable in 39.1% of cases (5,091 of 13,020), and 52.2% of percutaneous injuries (4,986 of 9,552) were avoidable (5.9% due to needle recapping). Of 10,656 percutaneous injuries, 22.6% occurred during an injection, 17.9% during blood sampling, and 16.6% during surgery. Of 2,065 splashes, 22.6% occurred during nursing activities, 19.1% during surgery, 14.1% during placement or removal of an intravenous line, and 12.0% during manipulation of a tracheotomy tube. The incidence rates of exposures were 8.9 per 100 hospital beds (95% confidence interval [CI], 8.7-9.0 exposures), 2.2 per 100 full-time—equivalent physicians (95% CI, 2.4-2.6 exposures), and 7.0 per 100 full-time—equivalent nurses (95% CI, 6.8-7.2 exposures). Human immunodeficiency virus serological status was unknown for 2,789 (21.4%) of 13,041 patients who were the source of the blood and body fluid exposures.Conclusion.National surveillance networks for blood and body fluid exposures help to better document their characteristics and risk factors and can enhance prevention at participating medical centers.

Published
2007

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