Department of infection control and prevention, National Hospital Organization Tenryuu Hospital, Hamamatsu city, Shizuoka Prefecture, Japan.
International University of Health and Welfare Graduate School, Minato City, Tokyo, Japan.
Am J Infect Control. 2023 Apr;51(4):420-425. doi: 10.1016/j.ajic.2022.07.016. Epub 2022 Aug 25.
This study aimed to identify the source of infection and medical costs for a respiratory infection outbreak in a facility for patients with severe motor and intellectual disabilities (SMID). Presenteeism refers to a situation wherein a person continues going to work despite being ill.
The cohort included 1 healthcare worker and 17 patients who developed a fever of ≥37.5°C with respiratory symptoms for nearly a month. An outbreak investigation was conducted, which determined the initial case of the outbreak to be a single healthcare worker. We performed a univariate analysis to determine the association of the healthcare worker. From the medical records, we evaluated the costs of addition treatment and laboratory tests for the respiratory infection.
The source of infection was a healthcare worker at the facility (Odds ratio, 17.5; 95% confidential interval, 3.0-101.8). The total medical cost for hospitalized patients due to this outbreak was $12,324.
The source of a respiratory infection outbreak in a facility for SMID was suggested to be a healthcare worker's presenteeism.
The cause of this outbreak was healthcare workers' presenteeism. To prevent outbreaks, such facilities should address the causative factors.
本研究旨在确定一家严重运动和智力障碍（SMID）患者设施中呼吸道感染爆发的感染源和医疗费用。员工带病上班称为“出勤主义”。
该队列包括 1 名医护人员和 17 名出现发热（≥37.5°C）和呼吸道症状近一个月的患者。开展了一次暴发调查，确定暴发的初始病例为 1 名医护人员。我们进行了单变量分析，以确定该医护人员与感染的关联性。我们从病历中评估了呼吸道感染的额外治疗和实验室检测费用。
感染源为设施内的医护人员（优势比，17.5；95%置信区间，3.0-101.8）。因此次暴发住院的患者的总医疗费用为 12324 美元。
一家 SMID 设施中呼吸道感染爆发的源头被认为是医护人员的出勤主义。
此次暴发的原因是医护人员的出勤主义。为了防止暴发，此类设施应解决引发因素。
