Nosocomial hepatitis A infection in a paediatric intensive care unit
| Autor: | M Sohmer, S L Groshen, M D Spiritos, Lewis M. Drusin, L B Senterfit, W N Christenson |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Adolescent Hepatitis A Infection MEDLINE Disease Disease Outbreaks law.invention Paediatric intensive care unit law medicine Humans Hepatitis Cross Infection business.industry Incidence (epidemiology) Immunity Immunization Passive Hepatitis A Hospital Bed Capacity 500 and over Middle Aged medicine.disease Intensive care unit Personnel Hospital Intensive Care Units Family medicine Pediatrics Perinatology and Child Health Female New York City business Research Article |
| Zdroj: | Archives of Disease in Childhood. 62:690-695 |
| ISSN: | 1468-2044 0003-9888 |
| DOI: | 10.1136/adc.62.7.690 |
| Popis: | Seven members of staff in a paediatric intensive care unit and two of their relatives developed hepatitis A over a period of five days. A 13 year old boy who was incontinent of faeces prior to his death, was presumed to be the source of infection. Two hundred and sixty seven other members of staff underwent serological testing and were given prophylactic pooled gamma globulin. Twenty three per cent were immune before exposure. Of people born in the United States, those at highest risk of developing the disease are physicians, dentists, nurses and those under the age of 40. Of those born outside the United States, being white and under the age of 30 are the two main risk factors. Data from a questionnaire sent to 19 nurses at risk (six cases, 13 controls) suggested that sharing food with patients or their families, drinking coffee, sharing cigarettes and eating in the nurses' office in the intensive care unit were associated with an increased incidence of hepatitis. Nurses with three or four of these habits were at particular risk. The costs of screening and prophylaxis were US $64.72 per employee, while prophylaxis alone would have cost US $8.42 per employee. Assessing risk factors on the one hand and costs of prophylaxis on the other are important elements in the control of nosocomial infections. |
| Databáze: | OpenAIRE |
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