Yassi Annalee, Moore David, Fitzgerald J Mark, Bigelow Philip, Hon Chun-Yip, Bryce Elizabeth
Occupational Health and Safety Agency for Healthcare in BC, Vancouver BC, Canada.
J Occup Environ Med. 2005 Jan;47(1):41-50. doi: 10.1097/01.jom.0000150207.18085.41.
To identify priorities for further research in protecting healthcare workers (HCWs) from severe acute respiratory syndrome (SARS) and other respiratory pathogens by summarizing the basic science of infectious bioaerosols and the efficacy of facial protective equipment; the organizational, environmental, and individual factors that influence the success of infection control and occupational health programs; and factors identified by HCWs as important.
An extensive literature review was conducted and 15 focus groups held, mostly with frontline HCWs in Toronto. Critical gaps in knowledge were identified and prioritized.
Highest priority was given to organizational factors that create a climate of safety. Other priority areas included understanding aerosolization risks and practical measures to control bioaerosols at the source.
Further research is warranted to improve safety climate in health care and, specifically, to provide greater protection against respiratory pathogens.
通过总结传染性生物气溶胶的基础科学知识以及面部防护设备的功效；影响感染控制和职业健康计划成功实施的组织、环境和个人因素；以及医护人员认为重要的因素，确定在保护医护人员免受严重急性呼吸综合征（SARS）和其他呼吸道病原体感染方面进一步研究的重点。
进行了广泛的文献综述，并召开了15个焦点小组会议，大多数与会者是多伦多的一线医护人员。确定并排列了知识方面的关键差距。
最高优先级赋予营造安全氛围的组织因素。其他优先领域包括了解气溶胶化风险以及从源头控制生物气溶胶的实际措施。
有必要进行进一步研究以改善医疗保健中的安全氛围，特别是为防范呼吸道病原体提供更强有力的保护。
