Whooping cough: Are health‐care workers putting children at risk?

Peadon, Elizabeth; Cooper, C

doi:10.1111/j.1440-1754.2007.01087.x

Cited by 19 publications

(9 citation statements)

References 31 publications

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“…This is similar to findings of Peadon's study that found 85% of HCW who had experienced a cough lasting 2 or more weeks had continued to work. 40 Further research to identify the motivators for working against hospital policies in this context is a priority.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting uptake of recommended immunizations among health care workers in South Australia

Tuckerman

Collins

Marshall

2015

Human Vaccines & Immunotherapeutics

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Section: Discussionmentioning

confidence: 99%

Factors affecting uptake of recommended immunizations among health care workers in South Australia

Tuckerman

Collins

Marshall

2015

Human Vaccines & Immunotherapeutics

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“…HCPs may contract pertussis and transmit the disease to their patients and hospital colleagues, thus causing disease outbreaks 1 24 ; however, other HCPs, such as nurses, physiotherapists and people who are in direct contact with patients are at greater risk of becoming infected 63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105 . Adults generally develop a milder form of the disease than children, however morbidity and the chances of complications are high 1,7,21,22,…”

Section: Pertussis In Hcps: Risks To Patients and Health Workersmentioning

confidence: 99%

“…In Germany 91 and Australia 97 misconceptions about pertussis were more prevalent among nursing health professionals. It should be pointed out that these professionals have greater direct contact with high risk children, and have been more frequently identified as primary cases in pertussis outbreaks reported in neonatal units 65,66,67,68,69,72,94,98 .…”

Section: Cost Implications Of Pertussis Outbreaks In Hospitalsmentioning

confidence: 99%

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Should acellular pertussis vaccine be recommended to healthcare professionals?

Moraes¹,

Carvalhanas

Bricks³

2013

Cad. Saúde Pública

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The aim of this study was to describe recent changes in the epidemiology of pertussis and existing policies regarding recommended and mandatory occupational vaccinations for healthcare professionals (HCPs). The authors carried out an extensive review of references on the PubMed and SciELO databases and the official sites of the World Health Organization, Pan American Health Organization, Centers for Disease Control and Prevention, and Brazilian Ministry of Health, using the keywords pertussis, vaccines and healthcare professionals. Vaccination against pertussis is recommended for HCPs in the United States, Canada, nine European countries, Australia, Hong Kong, Singapore, Costa Rica, Argentina and Uruguay, and in some countries it is compulsory. In Brazil, only one publication discussing the risk of pertussis among HCPs was found. Considering the reemergence of pertussis and the great number of associated hospitalizations and deaths registered in 2011, it is necessary to review public policies regarding HCP pertussis vaccination, particularly among workers in frequent contact with young babies.

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“…[4][5][6][7][8][9][10] Infected health care workers (HCWs) can serve as an important transmission vector for susceptible people, particularly young infants. 4,[11][12][13] Adults are more likely to have mild or atypical symptoms, and therefore infected HCWs may continue to work with unrecognized illness. 1,4,8 HCWs often have high occupational mobility in pediatric facilities, promoting the spread of acquired pathogens.…”

mentioning

confidence: 99%

Health Care Worker Exposures to Pertussis: Missed Opportunities for Prevention

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: The incidence of pertussis has significantly increased, and infection can result in severe disease among young children. This highly contagious disease may frequently be transmitted in pediatric health care settings, necessitating effective infection control practices to reduce exposure risk.WHAT THIS STUDY ADDS: Despite institutional guidelines, pediatric health care workers (HCWs) are frequently exposed to pertussis because of delayed or incomplete adherence to infection control practices. Inconsistent reporting may also result in missed HCW exposures, increasing the risk of subsequent transmission to patients. abstract OBJECTIVE: Pediatric health care workers (HCWs) are at particular risk for pertussis exposure, infection, and subsequent disease transmission to susceptible patients. This cross-sectional study describes the epidemiology of occupational exposures to pertussis and identifies factors that may inform interventions to promote effective implementation of infection prevention and control (IPC) guidelines. METHODS:We abstracted data from occupational health (OH) and IPC records for pertussis cases that resulted in an exposure investigation in a large quaternary pediatric care network, January 1, 2002 to July 18, 2011. We calculated the frequency of occupational exposures and measured associated characteristics. To assess the frequency of potential missed exposures, we reviewed electronic health record (EHR) data identifying laboratory-confirmed pertussis cases not documented in OH or IPC records.RESULTS: A total of 1193 confirmed HCW pertussis exposures were associated with 219 index cases during the study period. Of these, 38.8% were infants ,6 months old and 7 were HCWs. Most (77.5%) of exposures occurred in the emergency department or an ambulatory site; 27.0% of exposures occurred after documented initiation of IPC precautions. We identified 450 laboratory-confirmed pertussis cases through EHR review, of which 49.8% (N = 224) had no OH or IPC investigation. The majority of uninvestigated cases (77.2%) were from ambulatory sites. Ms Kuncio contributed to study design, performed data collection and analyses, and produced the first draft of and reviewed and revised the manuscript; Ms Middleton aided in data cleaning and analyses and reviewed and revised the manuscript; Ms Cooney contributed to study design and implementation and reviewed and revised the manuscript; Mr Ramos contributed to data collection and study execution and reviewed and revised the manuscript; Dr Coffin contributed to study design, actively directed data analyses, and reviewed and revised the manuscript; Dr Feemster conceptualized the study design, supervised data analyses and study implementation, and reviewed and revised the manuscript; and all authors approved the final manuscript as submitted. CONCLUSIONS:www.pediatrics.org/cgi

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Whooping cough: Are health‐care workers putting children at risk?

Cited by 19 publications

References 31 publications

Factors affecting uptake of recommended immunizations among health care workers in South Australia

Factors affecting uptake of recommended immunizations among health care workers in South Australia

Should acellular pertussis vaccine be recommended to healthcare professionals?

Health Care Worker Exposures to Pertussis: Missed Opportunities for Prevention

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