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Transmission of pandemic (H1N1) 2009 influenza to healthcare personnel in the United States.

Authors
Wise-ME; de Perio-M; Halpin-J; Jhung-M; Magill-S; Black-SR; Gerber-SI; Harriman-K; Rosenberg-J; Borlaug-G; Finelli-L; Olsen-SJ; Swerdlow-DL; Kallen-AJ
Source
Clin Infect Dis 2011 Jan; 52(Suppl 1):S198-S204
NIOSHTIC No.
20038325
Abstract
After identification of pandemic 2009 influenza (pH1N1) in the United States, the Centers for Disease Control and Prevention (CDC) worked with state and local health officials to characterize infections among healthcare personnel (HCP). Detailed information, including likely routes of exposure, was reported for 70 HCP from 22 states. Thirty-five cases (50%) were classified as being infected in healthcare settings, 18 cases (26%) were considered to have been infected in community settings, and no definitive source was identified for 17 cases (24%). Of the 23 HCP infected by ill patients, only 20% reported using an N95 respirator or surgical mask during all encounters and more than half worked in outpatient clinics. In addition to community transmission, likely patient-to-HCP and HCP-to-HCP transmission were identified in healthcare settings, highlighting the need for comprehensive infection control strategies including administration of influenza vaccine, appropriate management of ill HCP, and adherence to infection control precautions.
Keywords
Disease-transmission; Infectious-diseases; Respiratory-system-disorders; Pulmonary-system-disorders; Lung-disorders; Health-care; Health-care-facilities; Health-care-personnel; Surveillance-programs; Exposure-assessment; Outpatient-facilities; Respirators; Respiratory-protection; Personal-protective-equipment; Infection-control; Disease-prevention; Vaccines
Contact
Matthew Wise, MPH, Ph.D, Division of Healthcare Quality Promotion, CDC, 1600 Clifton Road, MS A-35, Atlanta, GA 30333
CODEN
CIDIEL
Publication Date
20110101
Document Type
Journal Article
Email Address
cxx4@cdc.gov
Fiscal Year
2011
NTIS Accession No.
NTIS Price
ISSN
1058-4838
NIOSH Division
DSHEFS
Priority Area
Services
Source Name
Clinical Infectious Diseases
State
GA; OH; IL; CA; WI
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