Bacterial Coinfections in Lung Tissue Specimens from Fatal Cases of 2009 Pandemic Influenza A (H1N1) – United States, May–August 2009

2010 ◽  
Vol 29 (1) ◽  
pp. 22 ◽  
Author(s):  
Robert J. Leggiadro
2013 ◽  
Vol 19 (3) ◽  
Author(s):  
Rebekah H. Borse ◽  
Sundar S. Shrestha ◽  
Anthony E. Fiore ◽  
Charisma Y. Atkins ◽  
James A. Singleton ◽  
...  

2011 ◽  
Vol 173 (10) ◽  
pp. 1121-1130 ◽  
Author(s):  
D. L. Chao ◽  
L. Matrajt ◽  
N. E. Basta ◽  
J. D. Sugimoto ◽  
B. Dean ◽  
...  

2009 ◽  
Vol 361 (27) ◽  
pp. 2619-2627 ◽  
Author(s):  
Simon Cauchemez ◽  
Christl A. Donnelly ◽  
Carrie Reed ◽  
Azra C. Ghani ◽  
Christophe Fraser ◽  
...  

2010 ◽  
Vol 52 (Supplement 1) ◽  
pp. S60-S68 ◽  
Author(s):  
A. L. Fowlkes ◽  
P. Arguin ◽  
M. S. Biggerstaff ◽  
J. Gindler ◽  
D. Blau ◽  
...  

2011 ◽  
Vol 52 (suppl_1) ◽  
pp. S50-S59 ◽  
Author(s):  
Jacek Skarbinski ◽  
Seema Jain ◽  
Anna Bramley ◽  
Esther J. Lee ◽  
Jean Huang ◽  
...  

2011 ◽  
Vol 32 (12) ◽  
pp. 1149-1157 ◽  
Author(s):  
Jenifer L. Jaeger ◽  
Minal Patel ◽  
Nila Dharan ◽  
Kathy Hancock ◽  
Elissa Meites ◽  
...  

Objective.In April 2009, 2009 pandemic influenza A (H1N1) (hereafter, pH1N1) virus was identified in California, which caused widespread illness throughout the United States. We evaluated pH1N1 transmission among exposed healthcare personnel (HCP) and assessed the use and effectiveness of personal protective equipment (PPE) early in the outbreak.Design.Cohort study.Setting.Two hospitals and 1 outpatient clinic in Southern California during March 28-April 24, 2009.Participants.Sixty-three HCP exposed to 6 of the first 8 cases of laboratory-confirmed pH1N1 in the United States.Methods.Baseline and follow-up questionnaires were used to collect demographic, epidemiologic, and clinical data. Paired serum samples were obtained to test for pH1N1-specific antibodies by microneutralization and hemagglutination-inhibition assays. Serology results were compared with HCP work setting, role, and self-reported PPE use.Results.Possible healthcare-associated pH1N1 transmission was identified in 9 (14%) of 63 exposed HCP; 6 (67%) of 9 seropositive HCP had asymptomatic infection. The highest attack rates occurred among outpatient HCP (6/19 [32%]) and among allied health staff (eg, technicians; 8/33 [24%]). Use of mask or N95 respirator was associated with remaining seronegative (P = .047). Adherence to PPE recommendations for preventing transmission of influenza virus and other respiratory pathogens was inadequate, particularly in outpatient settings.Conclusions.pH1N1 transmission likely occurred in healthcare settings early in the pandemic associated with inadequate PPE use. Organizational support for a comprehensive approach to infectious hazards, including infection prevention training for inpatient- and outpatient-based HCP, is essential to improve HCP and patient safety.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
John J McKenna ◽  
◽  
Anna M Bramley ◽  
Jacek Skarbinski ◽  
Alicia M Fry ◽  
...  

2011 ◽  
Vol 52 (suppl_1) ◽  
pp. S69-S74 ◽  
Author(s):  
Chad M. Cox ◽  
Lenee Blanton ◽  
Rosaline Dhara ◽  
Lynnette Brammer ◽  
Lyn Finelli

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