Taiwan's traffic control bundle and the elimination of nosocomial severe acute respiratory syndrome among healthcare workers

Summary The traffic control bundle consists of procedures designed to help prevent epidemic nosocomial infection. We retrospectively studied the serial infection control measures to determine factors most effective in preventing nosocomial infections of healthcare workers (HCWs) during the 2003 Taiw...

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Bibliographic Details
Published in:The Journal of hospital infection 2011-04, Vol.77 (4), p.332-337
Main Authors: Yen, M.-Y, Lin, Y.-E, Lee, C.-H, Ho, M.-S, Huang, F.-Y, Chang, S.-C, Liu, Y.-C
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cross Infection - prevention & control
General aspects
Health Personnel
Human infectious diseases. Experimental studies and models
Human viral diseases
Humans
Infection Control - methods
Infectious Disease
Infectious diseases
Medical sciences
Nosocomial infection
Occupational Diseases - prevention & control
Occupational Exposure - prevention & control
Personal protective equipment
Retrospective Studies
SARS (severe acute respiratory syndrome)
SARS coronavirus
SARS coronavirus (SARS-CoV)
Severe Acute Respiratory Syndrome - prevention & control
Taiwan
Traffic control bundle
Viral diseases
Viral diseases of the respiratory system and ent viral diseases
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Summary:Summary The traffic control bundle consists of procedures designed to help prevent epidemic nosocomial infection. We retrospectively studied the serial infection control measures to determine factors most effective in preventing nosocomial infections of healthcare workers (HCWs) during the 2003 Taiwanese severe acute respiratory syndrome (SARS) epidemic. Fever screening stations, triage of fever patients, separating SARS patients from other patients, separation of entrances and passageways between patients and HCWs, and increasing hand-washing facilities all demonstrated a protective effect for HCWs (univariate analysis; P < 0.05). By multiple logistic regression: (i) checkpoint alcohol dispensers for glove-on hand rubbing between zones of risk, and (ii) fever screening at the fever screen station outside the emergency department, were the significant methods effectively minimising nosocomial SARS infection of HCWs ( P < 0.05). The traffic control bundle should be implemented in future epidemics as a tool to achieve strict infection control measures.
ISSN:0195-6701
1532-2939
DOI:10.1016/j.jhin.2010.12.002