Repository logo
  • English
  • 中文
Log In
Have you forgotten your password?
  1. Home
  2. College of Public Health / 公共衛生學院
  3. Health Policy and Management / 健康政策與管理研究所
  4. Condition of Persons in a Hospital with SARS nosocomial infection and its Implications to Hospital Managements.
 
  • Details

Condition of Persons in a Hospital with SARS nosocomial infection and its Implications to Hospital Managements.

Date Issued
2005
Date
2005
Author(s)
Chu, Da-Chen
DOI
zh-TW
URI
http://ntur.lib.ntu.edu.tw//handle/246246/60091
Abstract
Background. SARS was a severe infectious disease that caused marked damage worldwide. SARS also challenged the infection control system and hospital management. From the infectious condition of the persons in a hospital that was attacked by SARS, we analyzed the role of personal characteristics and environment on the infection control managements. Material and methods. The data about all the personns that were involved in the SARS infection of the hospital was collected, including the age, sex, working unit, working floor, and occupation. The result of antigen(PCR) and antibody studies, the mortality, the clinical classification of probable or suspect cases, and the time of being reported as infected, were collected from health care workers (HCWs) who were infected by SARS. The distribution and correlation among variables of the infected HCWs were analyzed. Seven hundred and seventy-seven asymptomatic HCWs received antibody survey about one month after the onset of the event to study the epidemiological of the nosocomial infection. Thirty-two HCWs received 3 times of antibody surveys follow up within one year. Result. There were 1539 persons involved in the SARS nosocomial infection, including 976 hospital employees (63.4%), 38 outsourcing employees (2.5%), 366 patients and their family members (23.8%), 159 members of rescue team from other institutes (10.3%). Totally 108 persons were reported as been infected, 75 (4.9% of all involved persons) were classified as probable and 33 were classified as suspect SARS patients. Twenty-four probable cases expired (case fatality rate 32%). Sixty-two colleagues were reported as infected among 1014 HCWs. Persons in ward B8 and emergency room as well as being nurses had the largest number of HCW being reported as the SARS victim. Reported cases were significantly correlated to working floor, occupation and working unit, and not correlated to age and sex. Fifty-nine colleagues that were reported and had complete data were further analyzed. There were 42 probable and 17 suspect cases. Among the 42 probable cases, 21 had positive PCR, 32 had positive antibody. Among the 17 suspect cases, none had positive PCR, 12 had positive antibody. Thirty-two colleagues who had initially positive antibody received followed up at 6 months interval. The result revealed a 100% of positive rate at 6 months, and a 69.4% positive rate at 12 months. There were 4 positive antibody results in the asymptomatic HCWs. Conclusion: SARS caused a high infection rate and mortality at the study hospital. Working unit and occupation significantly affected the infection rate. The environment control and the education about personal protection, as well as the improvement of ventilation system, are important measures to reduce the severity and the extend of nosocomial viral infection.
Subjects
院內感染
工作環境
個人特性
感染控制
抗原
抗體
SARS
nosocomial infection
hospital management
SDGs

[SDGs]SDG3

Type
thesis
File(s)
Loading...
Thumbnail Image
Name

ntu-94-P92843017-1.pdf

Size

23.31 KB

Format

Adobe PDF

Checksum

(MD5):25fcb602fcf319c24be0b51cc2c87e04

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

  • 請確認所上傳的全文是原創的內容,若該文件包含部分內容的版權非匯入者所有,或由第三方贊助與合作完成,請確認該版權所有者及第三方同意提供此授權。
    Please represent that the submission is your original work, and that you have the right to grant the rights to upload.
  • 若欲上傳已出版的全文電子檔,可使用Open policy finder網站查詢,以確認出版單位之版權政策。
    Please use Open policy finder to find a summary of permissions that are normally given as part of each publisher's copyright transfer agreement.
  • 網站簡介 (Quickstart Guide)
  • 使用手冊 (Instruction Manual)
  • 線上預約服務 (Booking Service)
  • 方案一:臺灣大學計算機中心帳號登入
    (With C&INC Email Account)
  • 方案二:ORCID帳號登入 (With ORCID)
  • 方案一:定期更新ORCID者,以ID匯入 (Search for identifier (ORCID))
  • 方案二:自行建檔 (Default mode Submission)
  • 方案三:學科館員協助匯入 (Email worklist to subject librarians)

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science