Murphy Cathryn
Online J Issues Nurs. 2006 Jan 31;11(1):6.
In early 2003, the global infection control community faced a great challenge, sudden acute respiratory syndrome (SARS). The rapid spread of SARS, its capacity to infect health care workers, and its many unknown features in the early days of the outbreak meant that health care workers were unsure of the most effective methods of infection control to prevent disease transmission. These conditions made designing appropriate, effective and standard infection control responses difficult. Innovation was necessary. This article provides a brief overview of global challenges in infection control and SARS. The author reports field observations and describes five selected examples of highly innovative, SARS-related infection control practices observed in three affected countries during the height of the 2003 outbreak. These examples relate to risk assessment, patient segregation, strategies to limit access to clinical areas, health care worker protection, and efforts to promote public confidence. Many of these strategies could be considered for use in the post-2003 SARS era, especially in preparation for an influenza or Avian influenza pandemic.
2003年初，全球感染控制领域面临着巨大挑战——严重急性呼吸综合征（SARS）。SARS的迅速传播、其感染医护人员的能力以及在疫情初期的诸多未知特性，意味着医护人员不确定预防疾病传播的最有效感染控制方法。这些情况使得设计适当、有效和标准的感染控制应对措施变得困难。创新势在必行。本文简要概述了感染控制和SARS方面的全球挑战。作者报告了实地观察情况，并描述了在2003年疫情高峰期在三个受影响国家观察到的五个极具创新性的、与SARS相关的感染控制实践实例。这些实例涉及风险评估、患者隔离、限制进入临床区域的策略、医护人员保护以及增强公众信心的努力。2003年SARS疫情之后的时代，尤其是在为流感或禽流感大流行做准备时，可以考虑采用其中许多策略。
