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Volume 9, Number 10—October 2003

Illness in Intensive Care Staff after Brief Exposure to Severe Acute Respiratory Syndrome

Damon C. Scales*, Karen Green*, Adrienne K. Chan*, Susan M. Poutanen*, Donna Foster*, Kylie Nowak*, Janet M. Raboud†, Refik Saskin*, Stephen E. Lapinsky*, and Thomas E. Stewart*†Comments to Author 
Author affiliations: *Mount Sinai Hospital, Toronto, Ontario, Canada; †University Health Network, Toronto, Ontario, Canada

Main Article

Table 1

Description of healthcare workers in whom severe acute respiratory syndrome developeda

Patients Occupation Duration of exposure to index patient Precautions Special considerations
Patient 1
Registered nurse
22 h
Gown, gloves, surgical maskb
• Present during intubation of airway
• Performed all primary nursing activities on 2 shifts
Patient 2
ICU nurse
31–60 min
N-95 mask, gown, gloves
• Performed difficult intubation of airway
Patient 3
Registered nurse
Not applicable
• Assigned to patient 3 rooms down hall from index patient
Patient 4
Registered nurse
31–60 min
Gown, gloves, surgical mask
• Assisted primary nurse with bathing of index patient
Patient 5
10–30 min
Gown, gloves, surgical mask
• Performed difficult intubation of airway
Patient 6
Respiratory therapist
4 h
• Instituted NPPV
• Inserted arterial line
Patient 7c Respiratory therapist 6 h Gown, glovesb • Instituted NPPV
• Frequently manipulated oxygen mask

aICU, intensive-care unit; NPPV, noninvasive positive-pressure ventilation.
bDenotes precautions that were taken by the healthcare worker sometimes but not always during exposure.
cPatient 7 has been classified as a suspected case, as she did not have radiographic lung infiltrates.

Main Article

Page created: January 12, 2011
Page updated: January 12, 2011
Page reviewed: January 12, 2011
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