SARS among Critical Care Nurses, Toronto

Loeb, Mark; McGeer, Allison; Henry, Bonnie; Ofner, Marianna; Rose, David; Hlywka, Tammy; Levie, Joanne; McQueen, Jane; Smith, Stephanie; Moss, Lorraine; Smith, Andrew; Green, Karen; Walter, Stephen D.

doi:10.3201/eid1002.030838

Cited by 311 publications

(368 citation statements)

References 8 publications

(9 reference statements)

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“…Uma estratégia importante para evitar este tipo de infecção é fazer uso da máscara N-95. No entanto, um estudo (20) relata que esta estratégia reduz o risco de contaminação em enfermeiros que atuam em unidades críticas, mas que esta redução não é significativa.…”

Section: Discussionunclassified

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O adoecer pelo trabalho na enfermagem: uma revisão integrativa

Ribeiro

Martins

Marziale

et al. 2012

Rev. esc. enferm. USP

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A busca incessante pela realização de diferentes atividades provoca no homem um aumento das cargas laborais, levando ao aparecimento de doenças físicas, psíquicas e emocionais. Resolveu-se buscar evidências científicas sobre as formas de adoecimento pelo trabalho da enfermagem, bem como as formas para o enfrentamento e prevenção ao adoecimento e acidentes de trabalho. Utilizou-se a revisão Integrativa e a pesquisa foi realizada em bases de dados eletrônicas na área da saúde. Os descritores utilizados foram: doença ocupacional, prevenção ocupacional, trabalhador da enfermagem. Encontrou-se 27 artigos. Percebeu-se que os trabalhadores da enfermagem apresentam dores lombares, injúrias músculo-esqueléticas, sofrem acidentes com material pérfuro-cortante, estresse e tensão no trabalho, sofrem com poluição ambiental e dermatites.

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Section: Discussionunclassified

“…Rev Os artigos canadenses estudados, além de se preocuparem com as questões do estresse e as estratégias para o seu enfrentamento, um artigo (20) trabalha também a questão do uso de máscaras para a redução da contaminação dos trabalhadores. Na Europa, existe uma tendência à preocupação com a dor do trabalhador, bem como a diminuição do estresse.…”

unclassified

O adoecer pelo trabalho na enfermagem: uma revisão integrativa

Ribeiro

Martins

Marziale

et al. 2012

Rev. esc. enferm. USP

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“…The results are illustrated later in the article using the number of exposed and infected cases nurses during the treatment of SARS patients in a Toronto hospital as reported in Loeb et al (2004). The final thoughts are stated for future research direction in the end.…”

Section: Introductionmentioning

confidence: 99%

Intervened 2-Tier Poisson Distribution for Understanding Hospital Site Infectivity

Shanmugam¹

2012

International Journal of Research in Nursing

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Problem statement:Whether it is a surgical site or medical treatment at a hospital site, the nurses in particular and the entire medical team including surgeons/physicians in general undergo a risk of being infected ironically by the patients whom they intend to disinfect. There are 2-tiers of patients at the site. One type consists of patients who are internally and well pre-disinfected, not to be sourced for infecting the medical team. The second type consists of patients who are influx to the hospital site and are not well pre-disinfected enough. It is the second type which is a source of hospital site infection for the medical team in general and for the nurses in particular. In other words, the nurses who have to deal with the second type of patients get more exposed to the virus from the patients themselves. This is named the nurses' exposure exposure rate. Independently, there is an inactivity rate in general for anyone. To reduce such an infectivity, the hospital management makes an intervention with preventive efforts to reduce the infection rate and the impact of such preventive intervention efforts is captured by a parameter in our model. Using a maximum likelihood estimate of the intervention parameter with the data information, we assess the significance of the intervention efforts. Approach: For this concept to work, there is a need to develop an appropriate model as none exists in the literature to be suitable. The model is an abstraction of the reality in the hospital set up. Such a needed, new probability count model is introduced. It is named an Intervened 2-Tier Poisson (I2TP) distribution in this article. Several statistical properties of the I2TP distribution are derived and illustrated to explain the inactivity rate, θ>0 during the treatments of contagious patients in a hospital. Not all nurses are exposed to the virus, while 0 (π≤1 is their exposure rate towards infection. The physicians/surgeons, nurses and staffs undergo a risk of being infected during their treatment of infection or surgery on patients in spite of precautions to avoid infection. The hospital management intervenes with several precautions to minimize, if not eliminate the health care personnel's risk of being infected. In this article, a statistical methodology is developed to estimate and test the significance of the management's intervention effect, ρ≥0. Results: The methodology is illustrated using the number of exposed and infected nurses during their healthcare of SARS patients in a Toronto hospital as reported in http://wwwnc.cdc.gov/. There were 32 nurses in the Toronto hospital working with the Severe Acute Respiratory Syndrome (SARS) patients. The sixteen activities of the nurses included in our analysis are administration of medication, intubation, bathing, manipulation of bipap mask, radiology procedures among others. In all these activities, the nurses are well trained to use disinfected gloves, nasal masks. As part of the preventive measures to avoid infection from the SARS patients. The exposure r...

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“…Despite precautions, there were nonemergency department cases of SARS transmission in health care settings in Toronto, 8 and these prompted control measures such as detailed guidelines for the management of high-risk airway procedures (www.health.gov.on.ca/english/ providers/program/pubhealth/sars /sars_mn.html#1). The impact of these measures on emergency department practice is difficult to evaluate, and some measures remain controversial.…”

Section: Sars Outbreak In the Greatermentioning

confidence: 99%