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Start Over Author "Lim, W S" Journal epidemiology and infection
5 results on '"Lim, W S"'

3. Effect of ethnicity on care pathway and outcomes in patients hospitalized with influenza A(H1N1)pdm09 in the UK

Author

NYLAND, G. A., primary, McKENZIE, B. C., additional, MYLES, P. R., additional, SEMPLE, M. G., additional, LIM, W. S., additional, OPENSHAW, P. J. M., additional, READ, R. C., additional, TAYLOR, B. L., additional, BRETT, S. J., additional, McMENAMIN, J., additional, ENSTONE, J. E., additional, BANNISTER, B., additional, NICHOLSON, K. G., additional, and NGUYEN-VAN-TAM, J. S., additional

Published
2014
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4. Community-acquired Legionnaires' Disease in Nottingham – too many cases?

Author

LIM, W. S., SLACK, R., GOODWIN, A., ROBINSON, J., LEE, J. V., JOSEPH, C., and NEAL, K.

Abstract

The aim of this study was to compare the incidence of community-acquired Legionnaires' Disease in Nottingham with England and Wales and to explore reasons for any difference observed. Based on data from the National Surveillance Scheme for Legionnaires' Disease (1980–1999), the rate of infection in England and Wales was 1·3 per million/year compared with 6·6 per million/year in Nottingham. Domestic water samples were obtained from 41 (95%) of 43 Nottingham cases between 1997 and 2000. In 16 (39%) cases, Legionella sp. were cultured in significant quantities. Proximity to a cooling tower was examined using a 1∶4 case-controlled analysis. No significant difference in the mean distance between place of residence to the nearest cooling tower was noted (cases 2·7 km vs. controls 2·3 km; P=0·5). These data suggest that Nottingham does have a higher rate of legionella infection compared to national figures and that home water systems are a source.

Published
2003

5. Effect of ethnicity on care pathway and outcomes in patients hospitalized with influenza A(H1N1)pdm09 in the UK.

Author

Nyland GA, McKenzie BC, Myles PR, Semple MG, Lim WS, Openshaw PJ, Read RC, Taylor BL, Brett SJ, McMenamin J, Enstone JE, Bannister B, Nicholson KG, and Nguyen-Van-Tam JS

Subjects
Adolescent, Adult, Age Factors, Aged, Child, Child, Preschool, Critical Pathways statistics & numerical data, Female, Healthcare Disparities statistics & numerical data, Hospitalization statistics & numerical data, Humans, Infant, Male, Middle Aged, Patient Outcome Assessment, Racial Groups statistics & numerical data, Sex Factors, Socioeconomic Factors, United Kingdom epidemiology, Young Adult, Ethnicity statistics & numerical data, Influenza A Virus, H1N1 Subtype, Influenza, Human therapy
Abstract

Data were extracted from the case records of UK patients admitted with laboratory-confirmed influenza A(H1N1)pdm09. White and non-White patients were characterized by age, sex, socioeconomic status, pandemic wave and indicators of pre-morbid health status. Logistic regression examined differences by ethnicity in patient characteristics, care pathway and clinical outcomes; multivariable models controlled for potential confounders. Whites (n = 630) and non-Whites (n = 510) differed by age, socioeconomic status, pandemic wave of admission, pregnancy, recorded obesity, previous and current smoking, and presence of chronic obstructive pulmonary disease. After adjustment for a priori confounders non-Whites were less likely to have received pre-admission antibiotics [adjusted odds ratio (aOR) 0·43, 95% confidence interval (CI) 0·28-0·68, P < 0·001) but more likely to receive antiviral drugs as in-patients (aOR 1·53, 95% CI 1·08-2·18, P = 0·018). However, there were no significant differences by ethnicity in delayed admission, severity at presentation for admission, or likelihood of severe outcome.

Published
2015
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