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Contacts between health care workers and patients in a short-stay geriatric unit during the peak of a seasonal influenza epidemic compared with a nonepidemic period.pdf

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Contacts between health care workers and patients in a short-stay geriatric unit during the peak of a seasonal influenza epidemic compared with a nonepidemic period.pdf

American Journal of Infection Control 44 (2016) 905-9 Contents lists available at ScienceDirect American Journal of Infection Control journal homepage: American Journal of Infection Control Major Article Contacts between health care workers and patients in a short-stay geriatric unit during the peak of a seasonal in?uenza epidemic compared with a nonepidemic period Nadia Oussaid MSc a, Nicolas Voirin PhD b, Corinne Régis RN c, Nagham Khanafer PharmD, PhD a, Géraldine Martin-Gaujard MD d, Adéla?de Vincent MD d, Brigitte Comte MD d, Thomas Bénet MD, MPH a,c, Philippe Vanhems MD, PhD a,c,* a Service d’Hygiène, Epidémiologie et Prévention, H?pital Edouard Herriot, Hospices Civils de Lyon, Lyon, France b Service de Biostatistique, Hospices Civils de Lyon, Lyon, France c Laboratoire des Pathogènes Emergents—Fondation Mérieux, Centre International de Recherche en Infectiologie, Ecole Normale Supérieure de Lyon, Lyon, France d Service de Gériatrie, H?pital Edouard Herriot, Hospices Civils de Lyon, Lyon, France Key Words: Nosocomial in?uenza Contact networks Radio frequency identi?cation device Elderly Surveillance Background: Patterns of contacts between health care workers and patients during seasonal epidemics are unknown. Our study objective was to compare the number and duration of contacts between health care workers and patients during a nonepidemic period versus a community in?uenza epidemic, and to identify supercontactors. Methods: Our observational study was conducted in a short-stay geriatric unit of a university hospital. Contacts between individuals were recorded by active radio frequency identi?cation devices. Contact patterns were compared between 2 periods according to contact number and duration. Each care period lasted 5 days in the nonepidemic and in?uenza epidemic periods. Results: The study included 21 medical doctors, 43 nurses, and 56 patients. In total, 3,200 contacts (61.4%; 152,700 seconds) were recorded during the nonepidemic period, with 2,013 c