Nurses' Contacts and Potential for Infectious Disease Transmission

被引:39
作者
Bernard, Helen [1 ,2 ]
Fischer, Richela [2 ]
Mikolajczyk, Rafael T. [3 ]
Kretzschmar, Mirjam [4 ,5 ]
Wildner, Manfred [2 ]
机构
[1] Robert Koch Inst, Dept Infect Dis Epidemiol, Gastrointestinal Infect Zoonoses & Trop Infect Un, D-13086 Berlin, Germany
[2] Bavarian Hlth & Food Safety Author, Oberschleissheim, Germany
[3] Univ Bielefeld, Bielefeld, Germany
[4] Natl Inst Publ Hlth & Environm, NL-3720 BA Bilthoven, Netherlands
[5] Univ Med Ctr Utrecht, Utrecht, Netherlands
关键词
PANDEMIC INFLUENZA; SOCIAL CONTACTS; MIXING PATTERNS; SPREAD; STRATEGIES; IMPACT;
D O I
10.3201/eid1509.081475
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Nurses' contacts with potentially infectious persons probably place them at higher risk than the general population for infectious diseases. During an influenza pandemic, illness among nurses might result in staff shortage. We aimed to show the value of individual data from the health-care sector for mathematical modeling of infectious disease transmission. Using a paper diary approach, we compared nurses' daily contacts (2-way conversation with >2 words or skin-to-skin contact) with those of matched controls from a representative population survey. Nurses (n = 129) reported a median of 40 contacts (85% work related), and controls (n = 129) reported 12 contacts (33% work related). For nurses, 51% of work-related contacts were with patients (74% involving skin-to-skin contact, and 63% lasted <= 15 minutes); 40% were with staff members (29% and 36%, respectively). Our data, used with simulation models, can help predict staff availability and provide information for pandemic preparedness planning.
引用
收藏
页码:1438 / 1444
页数:7
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