Transmission of Respiratory Viral Diseases to Health Care Workers: COVID-19 as an Example

被引：15

作者：

Wilson, Amanda M. ^{[1
,2
]}

Sleeth, Darrah K. ^{[1
]}

Schaefer, Camie ^{[1
]}

Jones, Rachael M. ^{[1
]}

机构：

[1] Univ Utah, Spencer Fox Eccles Sch Med, Dept Family & Prevent Med, Salt Lake City, UT 84112 USA

[2] Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Dept Community Environm & Policy, Tucson, AZ 85721 USA

来源：

ANNUAL REVIEW OF PUBLIC HEALTH | 2022年 / 43卷

关键词：

respiratory virus; COVID-19; health care worker; aerosol; occupational health; PRACTICES INTERIM RECOMMENDATION; INFLUENZA-A VIRUS; ENVIRONMENTAL CONTAMINATION; SURFACE CONTAMINATION; ADVISORY-COMMITTEE; UNITED-STATES; INFECTION; AIR; FOMITES; AEROSOL;

D O I：

10.1146/annurev-publhealth-052120-110009

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Health care workers (HCWs) can acquire infectious diseases, including coronavirus disease 2019 (COVID-19), from patients. Herein, COVID-19 is used with the source-pathway-receptor framework as an example to assess evidence for the roles of aerosol transmission and indirect contact transmission in viral respiratory infectious diseases. Evidence for both routes is strong for COVID-19 and other respiratory viruses, but aerosol transmission is likely dominant for COVID-19. Key knowledge gaps about transmission processes and control strategies include the distribution of viable virus among respiratory aerosols of different sizes, the mechanisms and efficiency by which virus deposited on the facial mucous membrane moves to infection sites inside the body, and the performance of source controls such as face coverings and aerosol containment devices. To ensure that HCWs are adequately protected from infection, guidelines and regulations must be updated to reflect the evidence that respiratory viruses are transmitted via aerosols.

引用

页码：311 / 330

页数：20

共 117 条

[1] Environmental contamination in the isolation rooms of COVID-19 patients with severe pneumonia requiring mechanical ventilation or high-flow oxygen therapy [J].