Peng Philip W H, Wong David T, Bevan David, Gardam Michael
Departments of Anesthesia, and Medicine, University Health Network, University of Toronto. , Toronto, Ontario, Canada.
Can J Anaesth. 2003 Dec;50(10):989-97. doi: 10.1007/BF03018361.
To describe the outbreak of severe acute respiratory syndrome (SARS) in Toronto, its impact on anesthesia practice and the infection control guidelines adopted to manage patients in the operating room (OR) and to provide emergency intubation outside the OR.
The SARS outbreak in Toronto was the result of a single index patient. The causative virus, SARS-CoV, is moderately contagious, and is spread by droplets and contact. The virus gains access to host through the mucosa of the respiratory tract and the eyes. It can affect both healthy and compromised patients. The use of several precautionary measures such as goggles, gloves, gowns and facemasks and the application of various infection control strategies designed to minimize the spread of the virus are discussed.
In containing the spread of SARS, vigilance and strict infection control are important. This results in the rediscovery of standards of infection control measures in daily anesthesia practice.
描述多伦多严重急性呼吸综合征（SARS）的暴发情况、其对麻醉实践的影响以及为管理手术室（OR）患者和在手术室以外进行紧急插管而采用的感染控制指南。
多伦多的SARS暴发源于一名索引病例。致病病毒SARS-CoV具有中等传染性，通过飞沫和接触传播。该病毒通过呼吸道和眼睛的黏膜进入宿主。它可影响健康患者和身体虚弱的患者。文中讨论了使用护目镜、手套、隔离衣和口罩等多种预防措施，以及应用各种旨在尽量减少病毒传播的感染控制策略。
在遏制SARS传播方面，警惕性和严格的感染控制很重要。这促使人们在日常麻醉实践中重新发现感染控制措施的标准。
