Yannelli B, Gurevich I, Richardson J, Gianelli B, Cunha B A
Infectious Disease Division, Winthrop-University Hospital, Mineola 11501.
Am J Infect Control. 1990 Apr;18(2):93-8. doi: 10.1016/0196-6553(90)90088-a.
Hospital employees are exposed to a variety of occupationally related hazards that can be categorized as infectious or noninfectious. Lost work time often results from these problems. Infection control practitioners receive many telephone calls of inquiry about these employees in terms of their transmissible infections. Little has been written concerning fever in the employee health setting. To determine the frequency of febrile illness in hospital employees, we conducted a prospective study of the employee health service from January to December 1987. Winthrop-University Hospital is a 533-bed community teaching hospital with approximately 2400 employees. During 1987, 2974 visits were made to the employee health service. Of these, 879 (30%) were for occupationally related illness or injury. Oral temperatures of greater than or equal to 100 degrees F were noted in 25 (2.8%) of the 879 visits. Fever occurred predominantly in employees with infections. Upper respiratory tract infection accounted for 268 of 544 (49%) visits for infection. In addition, 11 of 22 (50%) febrile episodes were related to upper respiratory tract infections. A total of 963 work days were lost because of illness or injury. Of these, 743 (77%) were related to an infectious illness; 67 sick days (7%) were attributed to infections with a febrile response. We conclude that fever is uncommon in our employee health care population and that upper respiratory tract infections were the single most common cause of fever. When an employee had a febrile illness, the lost work time was 9% of the total time loss because of infection.
医院员工面临各种与职业相关的危害，这些危害可分为传染性或非传染性。这些问题常常导致工作时间的损失。感染控制从业人员经常接到有关这些员工传染性感染情况的咨询电话。关于员工健康方面的发热问题，相关著述甚少。为了确定医院员工发热性疾病的发生率，我们于1987年1月至12月对员工健康服务进行了一项前瞻性研究。温思罗普大学医院是一家拥有533张床位的社区教学医院，约有2400名员工。1987年期间，员工健康服务部门共接待了2974人次就诊。其中，879人次（30%）是因职业相关疾病或损伤前来就诊。在这879人次就诊中，有25人次（2.8%）的口腔温度达到或超过100华氏度。发热主要发生在感染的员工身上。上呼吸道感染占544次感染就诊人次中的268次（49%）。此外，22次发热发作中有11次（50%）与上呼吸道感染有关。因疾病或损伤共损失了963个工作日。其中，743个工作日（77%）与传染性疾病有关；67个病假（7%）归因于有发热反应的感染。我们得出结论，在我们的员工医疗群体中发热并不常见，上呼吸道感染是发热的唯一最常见原因。当员工出现发热性疾病时，因感染导致的工作时间损失占总时间损失的9%。
