Skip to main content Accessibility help
×
Home
Hostname: page-component-768ffcd9cc-7jw6s Total loading time: 0.264 Render date: 2022-12-06T04:17:32.291Z Has data issue: true Feature Flags: { "useRatesEcommerce": false } hasContentIssue true

Rapid Creation of a Temporary Isolation Ward for Patients With Severe Acute Respiratory Syndrome in Taiwan

Published online by Cambridge University Press:  02 January 2015

Chang-Phone Fung
Affiliation:
Section of Infectious Diseases, Taipei Veterans General Hospital andNational Yang-Ming University, Taipei, Taiwan
Tsorng-Liu Hsieh
Affiliation:
Department of Internal Medicine, Sung-Shan Military Hospital, Taipei, Taiwan
Kuang-Huan Tan
Affiliation:
Committee of Infection Control, Sung-Shan Military Hospital, Taipei, Taiwan
Chin-Hui Loh
Affiliation:
Division of Infectious Diseases, Tri-Service General Hospital, Taipei, Taiwan
Jiunn-Sheng Wu
Affiliation:
Department of Internal Medicine, Sung-Shan Military Hospital, Taipei, Taiwan
Chien-Chung Li
Affiliation:
Department of Internal Medicine, Sung-Shan Military Hospital, Taipei, Taiwan
Feng-Yee Chang
Affiliation:
Division of Infectious Diseases, Tri-Service General Hospital, Taipei, Taiwan
L. K. Siu
Affiliation:
Division of Clinical Research, National Health Research Institute, Taipei, Taiwan
Moh-Yun Yen
Affiliation:
Department of Emergency Service, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
Lih-Shinn Wang
Affiliation:
Division of Infectious Diseases, Buddhist Tzu Chi General Hospital, Hwalien, Taiwan
Wing-Wai Wong
Affiliation:
Section of Infectious Diseases, Taipei Veterans General Hospital andNational Yang-Ming University, Taipei, Taiwan
Wei-Fong Kao
Affiliation:
Department of Emergency Service, Taipei Veterans General Hospital andNational Yang-Ming University, Taipei, Taiwan
Jia-Hui Hsu
Affiliation:
Committee of Infection Control, Sung-Shan Military Hospital, Taipei, Taiwan
Ting-Hsiang Lin
Affiliation:
Division of Laboratory Research and Development, Center for Disease Control, Department of Health, Taipei, Taiwan
Fu-Yuan Huang
Affiliation:
MacKay Memorial Hospital, Taipei, Taiwan
Chen-Hsen Lee*
Affiliation:
Department of Emergency Service, Taipei Veterans General Hospital andNational Yang-Ming University, Taipei, Taiwan
*
Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, 11217, Taiwan
Rights & Permissions[Opens in a new window]

Abstract

HTML view is not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objectives:

To rapidly establish a temporary isolation ward to handle an unexpected sudden outbreak of severe acute respiratory syndrome (SARS) and to evaluate the implementation of exposure control measures by healthcare workers (HCWs) for SARS patients.

Design:

Rapid creation of 60 relatively negative pressure isolation rooms for 196 suspected SARS patients transferred from 19 hospitals and daily temperature recordings of 180 volunteer HCWs from 6 medical centers.

Setting:

A military hospital.

Results:

Of the 196 patients, 34 (17.3%) met the World Health Organization criteria for probable SARS with positive results of serologic testing for SARS-associated coronavirus (SARS-CoV), reverse transcriptase polymerase chain reaction (RT-PCR) from nasopharyngeal or throat swabs for SARS-CoV, or both. Seventy-four patients had suspected SARS based on unprotected exposure to SARS patients; three of them had positive results on RT-PCR but negative serologic results. The remaining 88 patients did not meet the criteria for a probable or suspected SARS diagnosis. Of the 34 patients with probable SARS, 13 were transferred to medical centers to receive mechanical ventilation due to rapid deterioration of chest x-ray results, and three patients died of SARS despite intensive therapy in medical centers. During the study period, one nurse developed probable SARS due to violation of infection control measures, but there was no evidence of cross-transmission to other HCWs.

Conclusions:

Despite the use of full personal protection equipment, the facility failed to totally prevent exposures of HCWs to SARS but minimized the risk of nosocomial transmission. Better training and improvements in infection control infrastructure may limit the impact of SARS.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

References

1.World Health Organization. Acute respiratory syndrome China, Hong Kong Special Administrative Region of China, and Viet Nam. Wkly Epidemiol Rec 2003;78:7374.Google ScholarPubMed
2.Tsang, KW, Ho, PL, Ooi, GC, et al.A cluster of cases of severe acute respiratory syndrome in Hong Kong. N Engl J Med 2003;348:19771985.CrossRefGoogle ScholarPubMed
3.Lee, N, Hui, D, Wu, A, et al.A major outbreak of severe acute respiratory syndrome in Hong Kong. N Engl J Med 2003;348:19861994.CrossRefGoogle Scholar
4.Centers for Disease Control and Prevention. Severe acute respiratory syndrome: Singapore, 2003. MMWR 2003;52:405411.Google Scholar
5.Poutanen, SM, Low, DE, Henry, B, et al.Identification of severe acute respiratory syndrome in Canada. N Engl J Med 2003;348:19952005.CrossRefGoogle Scholar
6.Twu, SJ, Chen, TJ, Chen, CJ, et al.Control measures for severe acute respiratory syndrome (SARS) in Taiwan. Emerg Infect Dis 2003;9:718720.CrossRefGoogle Scholar
7.World Health Organization. Cumulative Number of Reported Probable Cases of SARS From 1st November 2002 to 4th July 2003. Geneva: World Health Organization; 2003. Available at www.who.int/csr/sars/country2003_07_04/en/.Google Scholar
8.Centers for Disease Control and Prevention. Severe acute respiratory syndrome: Taiwan, 2003. MMWR 2003;52:461466.Google Scholar
9.World Health Organization. Case Definitions for Surveillance of Severe Acute Respiratory Syndrome (SARS); 2003. Geneva: World Health Organization; 2003. Available at www.who.int/csr/sars/casedefinition/en/. Accessed April 20, 2003.Google Scholar
10.Rainer, TH, Cameron, PA, Smit, D, et al.Evaluation of WHO criteria for identifying patients with severe acute respiratory syndrome out of hospital: prospective observational study. Br Med J 2003;326:13541358.CrossRefGoogle ScholarPubMed
11.Pang, X, Zhu, Z, Xu, F, et al.Evaluation of control measures implemented in the severe acute respiratory syndrome outbreak in Beijing, 2003. JAMA 2003;290:32153221.CrossRefGoogle Scholar
12.Donnelly, CA, Ghani, AC, Leung, GM, et al.Epidemiological determinants of spread of causal agent of severe acute respiratory syndrome in Hong Kong. Lancet 2003;361:17611766.CrossRefGoogle ScholarPubMed
13.Riley, S, Fraser, C, Donnelly, CA, et al.Transmission dynamics of the etiological agent of SARS in Hong Kong: impact of public health interventions. Science 2003;300:19611966.CrossRefGoogle Scholar
14.World Health Organization. Hospital Infection Control Guidance for Severe Acute Respiratory Syndrome (SARS) (Revised 24 April 2003). Geneva: World Health Organization; 2003. Available at www.who.int/csr/sars/infectioncontrol/en/print.html.Google Scholar
15.Huang, KY. The lessons of SARS. J Microbiol Immunol Infect 2003;36:7780.Google ScholarPubMed
16.World Health Organization. Summary of Probable SARS Cases With Onset of Illness From 1 November 2002 to 31 July 2003 (Revised 26 Septembr 2003). Geneva: World Health Organization; 2003. Available at www.who.int/csr/sars/country/table2003_09_23/en/.Google Scholar
17.Seto, WH, Tsang, D, Yung, RW, et al.Effectiveness of precautions against droplets and contact in prevention of nosocomial transmission of severe acute respiratory syndrome (SARS). Lancet 2003;361:15191520.CrossRefGoogle Scholar
You have Access
26
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Rapid Creation of a Temporary Isolation Ward for Patients With Severe Acute Respiratory Syndrome in Taiwan
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Rapid Creation of a Temporary Isolation Ward for Patients With Severe Acute Respiratory Syndrome in Taiwan
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Rapid Creation of a Temporary Isolation Ward for Patients With Severe Acute Respiratory Syndrome in Taiwan
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *