Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul, Republic of Korea.
Center for Infectious Diseases, National Medical Center, Seoul, Republic of Korea.
Am J Infect Control. 2018 Apr;46(4):436-440. doi: 10.1016/j.ajic.2017.09.017. Epub 2017 Nov 16.
Transmission of Middle East respiratory syndrome (MERS) to health care personnel (HCP) is a major concern. This study aimed to review cases of MERS-related events, such as development of MERS-like symptoms or exposure to patients.
A MERS screening clinic (MSC) for HCP was setup in the National Medical Center during the MERS outbreak in 2015. Clinical and laboratory data from HCP who visited the MSC were retrospectively reviewed. Additionally, these data were compared with the results of postoutbreak questionnaire surveys and interviews about MERS-related symptoms and risk-related events.
Of the 333 HCP who participated in MERS patient care, 35 HCP (10.5%) visited the MSC for MERS-like symptoms. No one was infected with MERS, and the most common symptom was fever (68.6%) followed by cough (34.3%). However, 106 of 285 postoutbreak survey participants experienced at least 1 MERS-related symptom and 26 reported exposure to patients without appropriate personal protective equipment, whereas only 4 HCP visited the MSC to report exposure events.
Although a considerable number of HCP experienced MERS-related symptoms or unprotected exposure during MERS patient care, some did not take appropriate action. These findings imply that for infection control strategy to be properly performed, education should be strengthened so that HCP can accurately recognize the risk situation and properly notify the infection control officer.
中东呼吸综合征(MERS)向医护人员(HCP)传播是一个主要关注点。本研究旨在回顾与 MERS 相关的事件,例如出现类似 MERS 的症状或接触患者的情况。
在 2015 年 MERS 爆发期间,在国家医疗中心设立了一个针对 HCP 的 MERS 筛查诊所(MSC)。回顾性审查了访问 MSC 的 HCP 的临床和实验室数据。此外,将这些数据与 MERS 相关症状和风险相关事件的爆发后问卷调查和访谈结果进行了比较。
在参与 MERS 患者护理的 333 名 HCP 中,有 35 名 HCP(10.5%)因类似 MERS 的症状前往 MSC。没有人感染 MERS,最常见的症状是发烧(68.6%),其次是咳嗽(34.3%)。然而,在 285 名爆发后调查参与者中,有 106 名至少经历过 1 次 MERS 相关症状,有 26 名报告接触过没有适当个人防护设备的患者,而只有 4 名 HCP前往 MSC 报告接触事件。
尽管在 MERS 患者护理过程中有相当数量的 HCP 经历了 MERS 相关症状或无保护暴露,但有些人没有采取适当的行动。这些发现意味着,为了正确实施感染控制策略,应加强教育,以便 HCP 能够准确识别风险情况并适当通知感染控制官员。