Raakel Luoto, Eeli Aavasalo, Matti Waris, Liisa Lehtonen, Ville Peltola, Olli Ruuskanen
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Viral acute respiratory infections in NICU health-care workers: a nine-month point-prevalence cohort study.
Healthcare-acquired viral acute respiratory infections (ARIs) are a common problem in neonatal care. Health-care workers may transmit viruses to neonates when having a symptomatic or asymptomatic ARI. This prospective nine-month repeated point-prevalence cohort study aimed to investigate the occurrence and aetiology of asymptomatic and symptomatic ARIs in health-care employees in a tertiary neonatal intensive care unit (NICU). Flocked nasal swabs were collected on every second Tuesday in a NICU from all personnel working on that day. Additionally, in the case of ARI symptoms, a nasal swab was self-collected by the study subjects. A virus was detected in 16 (3.3%) of the asymptomatic subjects. Altogether 36 symptomatic ARIs (mean 0.5 per person) were reported. Our data suggests that ARIs are not uncommon among NICU health-care workers and moreover are commonly asymptomatic. It is noteworthy that these individuals may transmit respiratory viruses to vulnerable neonates. Intensified infection control measures are recommended to promote patient safety.
期刊介绍：
The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience.
The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that:
provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings;
provide new insight into cleaning, disinfection and decontamination;
provide new insight into the design of healthcare premises;
describe novel aspects of outbreaks of infection;
throw light on techniques for effective antimicrobial stewardship;
describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control;
improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change;
improve understanding of the use of IT systems in infection surveillance and prevention and control.
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