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Immediate quarantine: brief clinical exposure can lead to SARS.(Clinical Rounds)
CHICAGO -- In preparing for a possible reemergence of severe acute respiratory syndrome, clinicians need to anticipate the possibility of unexpected SARS exposure and, if exposure is recognized, to be prepared to institute an immediate quarantine of anyone at risk of exposure, said Dr. Damon Scales of Mount Sinai Hospital, Toronto.
Health care workers in institutions with SARS patients must vigilantly watch for SARS symptoms, even when they have not been directly exposed to SARS patients. Also, the facility must enforce stringent rules for limiting exposure to SARS patients and using respiratory precautions, Dr. Scales said at the Annual Interscience Conference on Antimicrobial Agents and Chemotherapy. He and his colleagues studied the 2003 SARS outbreak at his hospital in interviews with the 69 health care workers who were quarantined after exposure to the index patient, a man who was admitted to the intensive care unit on March 23. The man spent 30.75 hours in the ICU and was originally diagnosed with community-acquired pneumonia. After SARS was suspected, the patient was transferred to another ICU that was set up for SARS patients.
The 69 quarantined employees had entered the index patient's room or had spent more than 4 hours in the unit during his stay. Of the 69 workers, 6 developed probable cases of SARS according to the World Health Organization's definition, and 1 was classified as a suspected case. There were no probable or suspected cases among hospital employees who were not quarantined (Emerg. ...
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- Magazine article from: Emerging Infectious Diseases Hsu, Li-Yang Lee, Cheng-Chuan Green, Justin A. Ang, Brenda Paton, Nicholas I. Lee, Lawrence Villacian, Jorge S. Lim, Poh-Lian Earnest, Arul Leo, Yee-Sin June 1, 2003 700+ words
...features of the index patient and the patient...affected with probable SARS...features of the index patient in Singapore and...affected with probable SARS. The Index Case...Contact Cases When the index patient was seen in early...infectious nature of SARS were ...
- Index patient and SARS outbreak in Hong Kong.(Clinical Studies)
- Magazine article from: Emerging Infectious Diseases Wong, Raymond S.M. Hui, David S. February 1, 2004 700+ words
...report the case history of the index patient in a hospital outbreak of SARS in Hong Kong. The patient recovered...specific therapy for infection with SARS-associated coronavirus (SARS-CoV). He was the index patient in a large hospital outbreak...
- Probable secondary infections in households of SARS patients in Hong Kong.(SARS...
- Magazine article from: Emerging Infectious Diseases Lau, Joseph T.F. Lau, Mason Kim, Jean H. Wong, Eric Tsui, Hi-Yi Tsang, Thomas Wong, Tze Wai February 1, 2004 700+ words
...In this study, an index patient is defined as the SARS case-patient who...14 days after the index patient's onset of symptoms...days. By using a SARS registry, a research...crosschecked that the index patient named by the interviewee...
- Viral load distribution in SARS outbreak.(RESEARCH)(severe acute respiratory...
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...associated coronavirus (SARS-CoV) (6). We hypothesized...patients residing near the index patient and lower in patients living further from the index patient. We analyzed the distribution of the initial SARS-CoV viral load by quantitative...
- Cluster of SARS among medical students exposed to single patient, Hong...
- Magazine article from: Emerging Infectious Diseases Wong, Tze-wai Lee, Chin-kei Tam, Wilson Lau, Joseph Tak-fai Yu, Tak-sun Lui, Siu-fai Chan, Paul K.S. Li, Yuguo Bresee, Joseph S. Sung, Joseph J.Y. Parashar, Umesh D. February 1, 2004 700+ words
...who visited the index patient's ward, including 16 students with SARS and 50 healthy students...secondary case of SARS, which presumably...infection by this index patient, was not hospitalized...transmission of SARS among persons exposed...exclusively to this index ...
- SARS in hospital emergency room.(Research)
- Magazine article from: Emerging Infectious Diseases Chen, Yee-Chun Huang, Li-Min Chan, Chang-Chuan Su, Chan-Ping Chang, Shan-Chwen Chang, Ying-Ying Chen, Mei-Ling Hung, Chien-Ching Chen, Wen-Jone Lin, Fang-Yue Lee, Yuan-Teh May 1, 2004 700+ words
...A) in Taipei. The index patient had unrecognized SARS. Multiple patients...and specific assay for SARS-CoV RNA. We describe how we traced the index patient to hospital A and the...of three clusters of SARS after exposure to the...
- SARS transmission and commercial aircraft.(Letters)(Letter to the Editor)
- Magazine article from: Emerging Infectious Diseases Breugelmans, J. Gabrielle Zucs, Phillip Porten, Klaudia Broll, Susanne Niedrig, Matthias Ammon, Andrea Krause, Gerard August 1, 2004 700+ words
...randomly distributed around the index patient. No SARS transmission was shown among contacted...seated in close proximity to the index patient; these results suggest that in-flight transmission of SARS is not common. These results...
- Journal Review: At least 23 may have acquired SARS in flight.
- Newspaper article from: Hospital Infection Control April 1, 2004 700+ words
...least 13 others two died of SARS. We believe that the most plausible...explanation for the development of SARS in the passengers and crew members...expected incubation period for SARS and points to the day of the...seated in the same row as the index patient or within three rows in front...
Source: HighBeam Research, Immediate quarantine: brief clinical exposure can lead to...