scholarly journals Investigation of the Occupational Exposure to Blood-borne Pathogens of Staff at a Third-class Specialist Hospital in 2015-2018: a Retrospective Study

2021 ◽  
Author(s):  
Yuanyi Ji ◽  
Junbo Huang ◽  
Guoguo Jiang ◽  
Qiaolan Liu ◽  
Dalei Xiao ◽  
...  
Keyword(s):  
Occupational Exposure ◽  
Medical Staff ◽  
Scientific Basis ◽  
Control Measures ◽  
Prevention Measures ◽  
Occupational Groups ◽  
Exact Test ◽  
Children's Hospital ◽  
Different Types ◽  
Children’S Hospital

Abstract Background To understand the current situation of occupational exposure to blood-borne pathogens in a women's and children's hospital and analyze the causes to provide a scientific basis for improving occupational exposure prevention and control measures.Methods We analyzed occupational exposure to blood-borne pathogens in a third-class women's and children's hospital from 2015 to 2018, considering the workers’ occupational categories and length of service; the sites, types, and causes of exposure; and the pathogens of the source patients.Results From 2015 to 2018, there were 146 cases of occupational exposure to blood-borne pathogens, mainly from sharp-instrument injuries (82.2%). Trainees represented the highest proportion of occupational exposure (30.1%), followed by nurses (29.5%). Occupational exposure among staff with less than one year of service accounted for 43.2% of cases. Fisher's exact test showed that different occupational groups had different types of occupational exposure, and nurses had the highest proportion of blood and body fluid exposure (P = 0.008). Different occupational groups faced exposure to different types of pathogens: medical staff were more likely than workmen to be exposed to hepatitis B, while workmen were more likely than medical staff to be exposed to unknown pathogens; these differences were statistically significant (P<0.001). Health records were established for all cases of occupational exposure to blood-borne pathogens, and no staff members contracted a blood-borne disease due to occupational exposure.Conclusions In order to reduce occupational exposure, regular training in occupational protection for junior medical staff and workers should be strengthened, the monitoring and protection system of occupational exposure to blood-borne pathogens improved, standard prevention measures strengthened, operations standardized, safe injection equipment provided, and comprehensive measures taken.

scholarly journals Investigation of the occupational exposure to blood-borne pathogens of staff at a third-class specialist hospital in 2015-2018: A retrospective study

2020 ◽  
Author(s):  
Yuanyi Ji ◽  
Junbo Huang ◽  
Guoguo Jiang ◽  
Qiaolan Liu ◽  
Dalei Xiao ◽  
...  
Keyword(s):  
Occupational Exposure ◽  
Medical Staff ◽  
Scientific Basis ◽  
Control Measures ◽  
Prevention Measures ◽  
Occupational Groups ◽  
Exact Test ◽  
Children's Hospital ◽  
Different Types ◽  
Children’S Hospital

Abstract Background To understand the current situation of occupational exposure to blood-borne pathogens in a women's and children's hospital and analyze the causes to provide a scientific basis for improving occupational exposure prevention and control measures.Methods We analyzed occupational exposure to blood-borne pathogens in a third-class women's and children's hospital from 2015 to 2018, considering the workers’ occupational categories and length of service; the sites, types, and causes of exposure; and the pathogens of the source patients.Results From 2015 to 2018, there were 146 cases of occupational exposure to blood-borne pathogens, mainly from sharp-instrument injuries (82.2%). Trainees represented the highest proportion of occupational exposure (30.1%), followed by nurses (29.5%). Occupational exposure among staff with less than one year of service accounted for 43.2% of cases. Fisher's exact test showed that different occupational groups had different types of occupational exposure, and nurses had the highest proportion of blood and body fluid exposure (P = 0.008). Different occupational groups faced exposure to different types of pathogens: medical staff were more likely than workmen to be exposed to hepatitis B, while workmen were more likely than medical staff to be exposed to unknown pathogens; these differences were statistically significant (P<0.001). Health records were established for all cases of occupational exposure to blood-borne pathogens, and no staff members contracted a blood-borne disease due to occupational exposure.Conclusions In order to reduce occupational exposure, regular training in occupational protection for junior medical staff and workers should be strengthened, the monitoring and protection system of occupational exposure to blood-borne pathogens improved, standard prevention measures strengthened, operations standardized, safe injection equipment provided, and comprehensive measures taken.

scholarly journals Measles Exposure Investigation in a Children’s Hospital Emergency Department— Denver Metropolitan Area, Colorado, 2019

2020 ◽  
Vol 41 (S1) ◽  
pp. s18-s19
Author(s):  
Ashley Richter
Keyword(s):  
Emergency Department ◽  
International Travel ◽  
Childhood Vaccination ◽  
Prevention Measures ◽  
Mmr Vaccine ◽  
Children's Hospital ◽  
Control Intervention ◽  
Children’S Hospital ◽  
Lost To Follow Up

Background: On December 14, 3 unvaccinated siblings with recent international travel presented to Children’s Hospital Colorado emergency department (CHCO-ED) with fever, rash, conjunctivitis, coryza, and cough. Measles was immediately suspected; respiratory masks were placed on the patients before they entered an airborne isolation room, and public health officials (PH) were promptly notified. Notably, on December 12, 1 ill sibling presented to CHCO-ED with fever only. We conducted an investigation to confirm measles, to determine susceptibility of potentially exposed ED contacts and healthcare workers (HCWs), and to implement infection prevention measures to prevent secondary cases. Methods: Measles was confirmed using polymerase chain reaction testing. Through medical record review and CHCO-ED unit-leader interviews, we identified patients and HCWs in overlapping ED areas with the first sibling, until 2 hours after discharge. Measles susceptibility was assessed through interviews with adults accompanying pediatric patients and HCW immunity record reviews. Potentially exposed persons were classified as immune (≥1 documented measles-mumps-rubella (MMR) vaccination or serologic evidence of immunity), unconfirmed immune (self-reported MMR or childhood vaccination without documentation), or susceptible (no MMR vaccine history or age <12 months). Susceptibility status directed disease control intervention, and contact follow-up was 21 days. Results: On December 14, all 3 siblings (ages 8–11 years) had laboratory-confirmed measles and were hospitalized. CHCO’s rapid isolation of the 3 cases within 5 minutes after presentation to the ED eliminated the need for exposure assessment on the day of hospitalization. However on December 12, the 1 ill sibling potentially exposed 258 ED contacts (90 patients, 168 accompanying adults) and 22 HCWs. The PH department identified 158 immune contacts (61%), 75 unconfirmed immune contacts (29%), and 19 susceptible contacts (8%); 6 contacts (2%) were lost to follow-up. Overall, 15 susceptible contacts received immune globulin (IG) postexposure prophylaxis and 4 contacts were placed on 21-day quarantine. Unconfirmed immune contacts self-monitored for measles symptoms and were contacted weekly by PH for 21 days. Moreover, 20 immune HCWs monitored symptoms daily; 2 susceptible HCWs were placed on 21-day quarantine. No secondary cases were identified. Conclusions: Rapid measles identification and isolation, high levels (90%) of immunity among contacts, prompt administration of IG, and effective collaboration between PH and CHCO prevented transmission.Funding: NoneDisclosures: None

An Outbreak ofSalmonellaSerotype Saintpaul in a Children's Hospital

2002 ◽  
Vol 23 (11) ◽  
pp. 671-676 ◽  
Author(s):  
Rena Bornemann ◽  
Danielle M. Zerr ◽  
Joan Heath ◽  
Jane Koehler ◽  
Marcus Grandjean ◽  
...  
Keyword(s):  
Risk Factors ◽  
Medical Center ◽  
Multivariable Analysis ◽  
Continuous Variables ◽  
Exact Test ◽  
Children's Hospital ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Children’S Hospital ◽  
Chisquare Test

Objectives:To describe a nosocomial outbreak ofSalmonellaserotype Saintpaul gastroenteritis and to explore risk factors for infection.Design:Case-control study.Setting:A 208-bed, university-affiliated children's hospital.Participants:Patients hospitalized at Children's Hospital and Regional Medical Center, Seattle, Washington, during February 2001 who had stool specimens obtained for culture at least 24 hours after admission. Case-patients (n = 11) were patients with an indistinguishable strain ofSalmonellaSaintpaul cultured from their stool. Control-patients (n = 41) were patients hospitalized for problems other than gastroenteritis whose stool cultures were negative forSalmonella.Methods:Risk factors were evaluated using the chisquare test or Fisher's exact test. Continuous variables were compared using the Mann–Whitney U test. A multivariable analysis was performed using logistic regression. The predictor of interest was the receipt of enteral feeding formula mixed by the hospital.Results:Case-patients were more likely than control-patients to have received formula mixed by the hospital (OR, 4.2; 95% confidence interval, 1.04 to 17.16). Other variables evaluated were not significant predictors ofSalmonellaSaintpaul infection.Conclusions:Formula mixed by the hospital appears to have been the source of thisSalmonellaoutbreak. Strict sanitation measures must be ensured in formula preparation and delivery, and bacterial pathogens should be included in the differential diagnosis for nosocomial gastroenteritis.

scholarly journals Job sharing at a children's hospital: evaluation by medical staff

BMJ ◽  
1996 ◽  
Vol 312 (7023) ◽  
pp. 115-116 ◽  
Author(s):  
J. P Valentine ◽  
C. J Martin
Keyword(s):  
Medical Staff ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Job Sharing

scholarly journals Animal-Assisted Activity at A. Meyer Children's Hospital: A Pilot Study

2006 ◽  
Vol 3 (3) ◽  
pp. 379-383 ◽  
Author(s):  
Simona Caprilli ◽  
Andrea Messeri
Keyword(s):  
Pilot Study ◽  
Infection Rate ◽  
Medical Staff ◽  
Hospital Staff ◽  
Hospital Infection ◽  
Parent Questionnaire ◽  
Children's Hospital ◽  
Beneficial Effects ◽  
Number Of Children ◽  
Children’S Hospital

The authors systematically studied the introduction of animal-assisted activity into a children's hospital in Italy. This pilot study examined the reactions of children, their parents and the hospital staff and the hospital-wide infection rate before and after the introduction of animals. The SAM (self-assessment manikin), three behavioral scales, analysis of children's graphic productions, a parent questionnaire and a staff questionnaire were used to evaluate the effectiveness of the intervention. The children's participation was calculated. The analysis of the hospital infection rate was completed independently by the Hospital Infections Committee. The authors found that the presence of infections in the wards did not increase and the number of children at the meetings with pets in the wards was high (138 children). The study also found that the presence of animals produced some beneficial effects on children: a better perception of the environment and a good interaction with dogs. All parents were in favor of pets in the hospital, and 94% thought that this activity could benefit the child, as did the medical staff, although the staff needed more information about safety. The introduction of pets into the pediatric wards in an Italian children's hospital was a positive event because of the participation of hospitalized patients, the satisfaction expressed by both parents and medical staff, and the fact that the hospital infection rate did not change and no new infections developed after the introduction of dogs.

Paediatric basic life support skills of the (para) medical staff in a tertiary children's hospital

Resuscitation ◽  
2013 ◽  
Vol 84 ◽  
pp. S74
Author(s):  
Michaël Detienne ◽  
Inge Roggen ◽  
Jean-Louis Wayenberg ◽  
Dominique Biarent
Keyword(s):  
Medical Staff ◽  
Basic Life Support ◽  
Life Support ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Support Skills

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1952 ◽  
Vol 9 (6) ◽  
pp. 811-812
Keyword(s):  
Medical Staff ◽  
Arts And Crafts ◽  
University Of Minnesota ◽  
Children's Hospital ◽  
Chief Of Staff ◽  
East Bay ◽  
Children’S Hospital ◽  
Public Lecture

Dr. Clifford Sweet, for 30 years chief of staff of Children's Hospital of the East Bay in Oakland, Calif., was honored by the medical staff there on May 21, 22 and 23, with the inauguration of the "Clifford Sweet Clinics and Lectureship." The event opened ceremonially with the unveiling of a new portrait of Dr. Sweet by Spencer Macky, president of the California College of Arts and Crafts in Oakland. There followed a 3 day schedule of clinical conferences, with a public lecture on May 23 by Dr. Irvine McQuarrie, professor and head of the department of pediatrics, University of Minnesota.

scholarly journals Yulin Children's Hospital's Response to COVID-19 Epidemic Prevention and Control Measures and Effects

2020 ◽  
pp. 16-23
Author(s):  
Li Huirong
Keyword(s):  
Prevention And Control ◽  
Control Measures ◽  
Shaanxi Province ◽  
National Guidelines ◽  
Effective Prevention ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Prevention And Control Measures ◽  
Control Work ◽  
And Control

Objective: Introduce the prevention and control measures and effects during COVID-19, and provide a basis for strengthening the emergency response ability of children's hospitals to respond to public health emergencies. Methods: Introduced the epidemic prevention and control measures of the Children's Hospital of Yulin City, Shaanxi Province from January 22 to July 31, and summarize the prevention and control effects Results: During this period, according to the relevant national guidelines and regulations, the hospital established a reasonable hospital management model, formulated scientific prevention and control plans, and introduced effective prevention and control measures, realizing zero infection among front-line medical workers, zero spread of the epidemic in the hospital, and zero death among confirmed patients in the hospital. Conclusion: The prevention and control work of Yulin Children's hospital has comprehensive overall deployment and effective prevention and control measures, which has certain reference significance for the prevention and control work of large comprehensive children's specialized hospitals.

scholarly journals Magnetic resonance–guided laser interstitial thermal therapy: report of a series of pediatric brain tumors

2016 ◽  
Vol 17 (6) ◽  
pp. 723-733 ◽  
Author(s):  
Zulma Tovar-Spinoza ◽  
Hoon Choi
Keyword(s):  
Magnetic Resonance ◽  
Brain Tumors ◽  
Pediatric Brain Tumors ◽  
Thermal Therapy ◽  
Laser Interstitial Thermal Therapy ◽  
Children's Hospital ◽  
Different Types ◽  
Children’S Hospital ◽  
The Mean ◽  
Pediatric Brain

OBJECTIVE Magnetic resonance–guided laser interstitial thermal therapy (MRgLITT) is a novel, minimally invasive treatment that has multiple advantages in pediatric use and broad applicability for different types of lesions. Here, the authors report the preliminary results of the first series of pediatric brain tumors treated with MRgLITT at Golisano Children's Hospital in Syracuse, New York. METHODS Pediatric brain tumors treated with MRgLITT between February 2012 and August 2014 at Golisano Children's Hospital were evaluated retrospectively. Medical records, radiological findings, surgical data, complications, and results of tumor volumetric analyses were reviewed. The Visualase thermal laser system (Medtronic) was used in all MRgLITT procedures. RESULTS This series included 11 patients with 12 tumors (pilocytic astrocytoma, ependymoma, medulloblastoma, choroid plexus xanthogranuloma, subependymal giant cell astrocytoma, and ganglioglioma). A single laser and multiple overlapping ablations were used for all procedures. The mean laser dose was 10.23 W, and the mean total ablation time was 68.95 seconds. The mean initial target volume was 6.79 cm3, and the mean immediate post-ablation volume was 7.86 cm3. The mean hospital stay was 3.25 days, and the mean follow-up time was 24.5 months. Tumor volume decreased in the first 3 months after surgery (n = 11; p = 0.007) and continued to decrease by the 4- to 6-month followup (n = 11; mean volume 2.61 cm3; p = 0.009). Two patients experienced post-ablation complications: transient right leg weakness in one patient, and transient hemiparesis, akinetic mutism, and eye movement disorder in the other. CONCLUSIONS Magnetic resonance–guided laser interstitial thermal therapy is an effective first- or second-line treatment for select pediatric brain tumors. Larger multiinstitutional clinical trials are necessary to evaluate its use for different types of lesions to further standardize practices.

Smart Phone Use at a Children’s Hospital: A Survey of Medical Staff

2018 ◽  
Author(s):  
Cristen N. Litz ◽  
Gerald F. Tuite ◽  
Paul D. Danielson ◽  
Nicole M. Chandler
Keyword(s):  
Medical Staff ◽  
Smart Phone ◽  
Children's Hospital ◽  
Children’S Hospital
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