Viral infections in pregnancy: advice for healthcare workers

Chin, Teh Li; MacGowan, Alasdair; Jacobson, S. Kim; Donati, Matthew

doi:10.1016/j.jhin.2013.12.011

Cited by 14 publications

(14 citation statements)

References 111 publications

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“…As many NAs are women of childbearing age, human immunodeficiency virus, hepatitis B virus, hepatitis C virus, varicella-zoster virus, herpes simplex virus, human parvovirus B19, cytomegalovirus, rubella, measles, enteroviruses, mumps, and influenza are of particular concern as they can cause problems for pregnant women and their unborn children [15]. …”

Section: Resultsmentioning

confidence: 99%

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Workplace Hazards Faced by Nursing Assistants in the United States: A Focused Literature Review

Walton

Rogers

2017

IJERPH

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Nursing assistants (NAs) make up a large share of the healthcare provider workforce and their numbers are expected to grow. NAs are predominantly women who earn a low wage and report financial, work, and family demands. Working as a NA is hazardous; this manuscript specifically examines the biological/infectious, chemical, enviromechanical, physical and psychosocial hazards that appear in the literature to date. A focused search strategy was used to review literature about hazards that fell into each of the five aforementioned domains. While some hazards that were documented were clear, such as exposure to influenza because of close contact with patients (biological/infectious), or exposure to hazardous drugs (chemical), literature was limited. The majority of the literature we reviewed fell into the domain of psychosocial hazards and centered on stress from workplace organization issues (such as mandatory overtime, lack of managerial support, and feeling rushed). More research is needed to understand which hazards NAs identify as most concerning and tailored interventions are needed for risk mitigation.

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Section: Resultsmentioning

confidence: 99%

“…Bloodborne pathogens and other illnesses transmitted through the bodily fluids of patients can expose NAs to a host of communicable diseases [15]. Use of PPE is expected to minimize those hazards though it may never be completely eliminated.…”

Section: Discussionmentioning

confidence: 99%

Workplace Hazards Faced by Nursing Assistants in the United States: A Focused Literature Review

Walton

Rogers

2017

IJERPH

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“…VZV infection is considered an occupational hazard for susceptible healthcare workers (HCWs), as it can spread to other susceptible coworkers and patients [4]. Transmission of VZV among HCWs and patients has been reported [5–7]. Current policy in China for prevention of nosocomial transmission of VZV is prompt recognition of patients with suspected VZV infection with airborne isolation in negative pressure single room if possible, however mandatory VZV IgG testing is still not yet implemented.…”

Section: Introductionmentioning

confidence: 99%

Nosocomial transmission of chickenpox and varicella zoster virus seroprevalence rate amongst healthcare workers in a teaching hospital in China

et al. 2019

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Background Varicella zoster virus (VZV) is a highly contagious herpesvirus with potential for nosocomial transmission. However, the importance of nosocomial chickenpox outbreak in China has often been ignored. With the increasing immunocompromised population in China, a thorough review of issues related to nosocomial transmission and the seroprevalence rate of VZV among healthcare workers is necessary. Methods Retrospective case finding for nosocomial transmission of chickenpox was conducted between January 1, 2013 and December 31, 2017. Cases were identified based on clinical features compatible with chickenpox. A cross-sectional study on the seroprevalence rate of VZV among healthcare workers (HCWs) was conducted between January 1, 2014 and December 31, 2017. The serum VZV antibodies of 1804 HCWs were measured by enzyme-linked immunosorbent assay (ELISA). The seroprevalence rate of VZV antibodies, the positive predictive value and negative predictive value of self-reported history of varicella were analyzed. The economic impact associated with nosocomial transmission of VZV was also assessed. Results A total of 8 cases of chickenpox were identified in three nosocomial transmissions, including 4 HCWs who were infected nosocomially. The overall seroprevalence rate of VZV was 88.4%, which significantly increased with age ( P < 0.01). The seroprevalence rates of HCWs with different genders and occupations showed no statistically significant differences. The positive and negative predictive values of a self-reported history of varicella were 80.8 and 10.6% respectively. An estimation of 163.3 person-days of work were lost in each nosocomial transmission and 86.7 infection control unit person-hours were required for each outbreak investigation. The cost of VZV IgG ELISA screening was estimated to be 83 USD per nosocomial transmission. Conclusions Nosocomial transmission of VZV occurred repeatedly in the hospital setting. An alarming 11.6% of HCWs were seronegative for VZV, which might increase the risk of nosocomial infection and outbreak for other susceptible co-workers and patients. This is especially important in the setting of a teaching hospital where many immunocompromised patients were managed. Furthermore, the positive predictive value of self-reported varicella on seroprevalence rate in our study was lower than those reported in other countries, therefore serological testing of VZV antibodies with subsequent vaccination for all non-immune HCWs should be considered.

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“…Розлади колаген-синтезуючої функції яєчників сприяють порушенню формування основних компонентів органу і дозрівання фолікулів [11]. Реплікація збудника, в свою чергу, стимулює загибель статевих клітин шляхом апоптозу [12,13].…”

Section: групаunclassified

Morphological Peculiarities of the Fetuses Ovarian Structure with a Gestation Period of 37-42 Weeks from the Mothers with Complicated Pregnancy due to Chronic Infection of the Lower Genitals

Kupriyanova¹,

Minenko²,

Kovalchuk³

et al. 2018

Ukr. ž. med. bìol. sportu

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Viral infections in pregnancy: advice for healthcare workers

Cited by 14 publications

References 111 publications

Workplace Hazards Faced by Nursing Assistants in the United States: A Focused Literature Review

Workplace Hazards Faced by Nursing Assistants in the United States: A Focused Literature Review

Nosocomial transmission of chickenpox and varicella zoster virus seroprevalence rate amongst healthcare workers in a teaching hospital in China

Morphological Peculiarities of the Fetuses Ovarian Structure with a Gestation Period of 37-42 Weeks from the Mothers with Complicated Pregnancy due to Chronic Infection of the Lower Genitals

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