Veille documentaire MTPH

Auteur Stefan P Kuster
Auteur Brenda L Coleman
Auteur Janet Raboud
Auteur Shelly McNeil
Auteur Gaston De Serres
Auteur Jonathan Gubbay
Auteur Todd Hatchette
Auteur Kevin C Katz
Auteur Mark Loeb
Auteur Donald Low
Auteur Tony Mazzulli
Auteur Andrew Simor
Auteur Allison J McGeer
Volume 19
Numéro 4
Pages 606-615
Publication Emerging infectious diseases
ISSN 1080-6059
Date Apr 2013
Résumé This prospective cohort study, performed during the 2009 influenza A(H1N1) pandemic, was aimed to determine whether adults working in acute care hospitals were at higher risk than other working adults for influenza and to assess risk factors for influenza among health care workers (HCWs). We assessed the risk for influenza among 563 HCWs and 169 non-HCWs using PCR to test nasal swab samples collected during acute respiratory illness; results for 13 (2.2%) HCWs and 7 (4.1%) non-HCWs were positive for influenza. Influenza infection was associated with contact with family members who had acute respiratory illnesses (adjusted odds ratio [AOR]: 6.9, 95% CI 2.2-21.8); performing aerosol-generating medical procedures (AOR 2.0, 95% CI 1.1-3.5); and low self-reported adherence to hand hygiene recommendations (AOR 0.9, 95% CI 0.7-1.0). Contact with persons with acute respiratory illness, rather than workplace, was associated with influenza infection. Adherence to infection control recommendations may prevent influenza among HCWs.