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Risk of Influenza-Like Illness in an Acute Health Care Setting During Community Influenza Epidemics in 2004-2005, 2005-2006, and 2006-2007
- Source :
- Archives of Internal Medicine. 171
- Publication Year :
- 2011
- Publisher :
- American Medical Association (AMA), 2011.
-
Abstract
- Background The person-to-person transmission of influenza-like illness (ILI) and influenza has been described mostly in long-term care units. Studies in acute hospital settings are rare and mostly retrospective. Methods We prospectively estimated the relative risk (RR) of hospital-acquired (HA) ILI during hospitalization according to in-hospital exposures to contagious individuals. Surveillance of ILI and laboratory-confirmed influenza was undertaken at Edouard Herriot Hospital (1100 beds) during 3 influenza seasons. A total of 21 519 patients and 2153 health care workers (HCWs) from 2004 to 2007 were included. The RR of HA-ILI in patients was calculated according to exposure to other contagious patients and HCWs. Results For patients exposed to at least 1 contagious HCW compared with those with no documented exposure in the hospital, the RR of HA-ILI was 5.48 (95% confidence interval [CI], 2.09-14.37); for patients exposed to at least 1 contagious patient, the RR was 17.96 (95% CI, 10.07-32.03); and for patients exposed to at least 1 contagious patient and 1 contagious HCW, the RR was 34.75 (95% CI, 17.70-68.25). Conclusions Hospitalized patients exposed to potentially infectious patients and HCWs with ILI inside the hospital are at greater risk for HA-ILI. Such results identify priorities regarding preventive measures for seasonal or pandemic influenza.
- Subjects :
- Adult
Male
Risk
medicine.medical_specialty
Pediatrics
03 medical and health sciences
0302 clinical medicine
Residence Characteristics
Influenza, Human
Health care
Epidemiology
Internal Medicine
medicine
Humans
Prospective Studies
030212 general & internal medicine
Risk factor
Epidemics
Prospective cohort study
Aged
Aged, 80 and over
Cross Infection
0303 health sciences
Influenza-like illness
030306 microbiology
business.industry
Transmission (medicine)
Public health
virus diseases
Middle Aged
respiratory tract diseases
3. Good health
Relative risk
Acute Disease
Emergency medicine
Female
business
Subjects
Details
- ISSN :
- 00039926
- Volume :
- 171
- Database :
- OpenAIRE
- Journal :
- Archives of Internal Medicine
- Accession number :
- edsair.doi.dedup.....e9d26bb357087fb35b0eafde4bc1eb69