ArticleInfection control and hospital epidemiology2013
Respiratory virus shedding in a cohort of on-duty healthcare workers undergoing prospective surveillance.
Article in Infection control and hospital epidemiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 37 citations in OpenAlex.
- Nosocomial Respiratory Syncytial Virus in the Post-Pandemic Era: Evolving Epidemiology and Integrated Prevention Strategies.Healthcare (Basel, Switzerland) · 2026Review
- Contraction of Respiratory Viral Infection During air Travel: An Under-Recognized Health Risk for Athletes.Sports medicine - open · 2024Article
- Preschool-Aged Household Contacts as a Risk Factor for Viral Respiratory Infections in Healthcare Personnel.Open forum infectious diseases · 2023Article
- Incidence of Influenza Virus Infection among Wroclaw's Healthcare Workers in Pre-COVID-19 2019-2020 Influenza Season Using Novel Flu SensDx Device.International journal of environmental research and public health · 2022Article
- Risk factors associated with respiratory infectious disease-related presenteeism: a rapid review.BMC public health · 2021Review
- Active surveillance for acute respiratory infections among pediatric long-term care facility staff.American journal of infection control · 2020Article
- Use of whole-genome sequencing in the molecular investigation of care-associated HCoV-OC43 infections in a hematopoietic stem cell transplant unit.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2020Article
- Shift Work and Respiratory Infections in Health-Care Workers.American journal of epidemiology · 2019Article
- Attitudes about sickness presenteeism in medical training: is there a hidden curriculum?Antimicrobial resistance and infection control · 2019Article
- Respiratory Syncytial Virus and Other Noninfluenza Respiratory Viruses in Older Adults.Infectious disease clinics of North America · 2017Review
- Burden and viral aetiology of influenza-like illness and acute respiratory infection in intensive care units.Microbes and infection · 2016Article
- Human metapneumovirus in the preterm neonate: current perspectives.Research and reports in neonatology · 2016Article
- Comparison of the IMDx influenza A virus, influenza B virus, and respiratory syncytial virus A/B assay on the m2000 platform with real-time reverse transcriptase PCR assays.Journal of clinical microbiology · 2014Article
- Healthcare workers as vectors of infectious diseases.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2014Review
- Better tests, better care: improved diagnostics for infectious diseases.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2013Review
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundHealthcare-associated transmission of respiratory viruses is a concerning patient safety issue.
designSurveillance for influenza virus among a cohort of healthcare workers (HCWs) was conducted in a tertiary care children's hospital from November 2009 through April 2010 using biweekly nasal swab specimen collection. If a subject reported respiratory symptoms, an additional specimen was collected. Specimens from ill HCWs and a randomly selected sample from asymptomatic subjects were tested for additional respiratory viruses by multiplex polymerase chain reaction (PCR).
resultsA total of 1,404 nasal swab specimens were collected from 170 enrolled subjects. Influenza circulated at very low levels during the surveillance period, and 74.2% of subjects received influenza vaccination. Influenza virus was not detected in any specimen. Multiplex respiratory virus PCR analysis of all 119 specimens from symptomatic subjects and 200 specimens from asymptomatic subjects yielded a total of 42 positive specimens, including 7 (16.7%) in asymptomatic subjects. Viral shedding was associated with report of any symptom (odds ratio [OR], 13.06 [95% confidence interval, 5.45-31.28]; [Formula: see text]) and younger age (OR, 0.96 [95% confidence interval, 0.92-0.99]; [Formula: see text]) when controlled for sex and occupation of physician or nurse. After the surveillance period, 46% of subjects reported working while ill with an influenza-like illness during the previous influenza season.
conclusionsIn this cohort, HCWs working while ill was common, as was viral shedding among those with symptoms. Asymptomatic viral shedding was infrequent but did occur. HCWs should refrain from patient care duties while ill, and staffing contingencies should accommodate them.
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Registered trials
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