Mask-wearing and respiratory infection in healthcare workers in Beijing, China

Objectives: The aim of the study was to determine rates of mask-wearing, of respiratory infection and the factors associated with mask-wearing and of respiratory infection in healthcare workers (HCWs) in Beijing during the winter of 2007/2008. Methods: We conducted a survey of 400 HCWs working in ei...

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Main Authors: Peng Yang, MD, Holly Seale, MD, C. Raina MacIntyre, Haiyan Zhang, MD, Zhen Zhang, MD, Yi Zhang, Xiaoli Wang, MD, Xinyu Li, MD, Xinghuo Pang, MD, Quanyi Wang, MD
Format: Article
Language:English
Published: Elsevier 2011-03-01
Series:Brazilian Journal of Infectious Diseases
Online Access:http://www.sciencedirect.com/science/article/pii/S1413867011701532
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author Peng Yang, MD
Holly Seale, MD
C. Raina MacIntyre
Haiyan Zhang, MD
Zhen Zhang, MD
Yi Zhang
Xiaoli Wang, MD
Xinyu Li, MD
Xinghuo Pang, MD
Quanyi Wang, MD
author_facet Peng Yang, MD
Holly Seale, MD
C. Raina MacIntyre
Haiyan Zhang, MD
Zhen Zhang, MD
Yi Zhang
Xiaoli Wang, MD
Xinyu Li, MD
Xinghuo Pang, MD
Quanyi Wang, MD
author_sort Peng Yang, MD
collection DOAJ
description Objectives: The aim of the study was to determine rates of mask-wearing, of respiratory infection and the factors associated with mask-wearing and of respiratory infection in healthcare workers (HCWs) in Beijing during the winter of 2007/2008. Methods: We conducted a survey of 400 HCWs working in eight hospitals in Beijing by face to face interview using a standardized questionnaire. Results: We found that 280/400 (70.0%) of HCWs were compliant with mask-wearing while in contact with patients. Respiratory infection occurred in 238/400 (59.5%) subjects from November, 2007 through February, 2008. Respiratory infection was higher among females (odds ratio [OR], 2.00 [95% confidence interval {CI}, 1.16-3.49]) and staff working in larger hospitals (OR, 1.72 [95% CI, 1.09-2.72]), but was lower among subjects with seasonal influenza vaccination (OR, 0.46 [95% CI, 0.28-0.76]), wearing medical masks (reference: cotton-yarn; OR, 0.60 [95% CI, 0.39-0.91]) or with good mask-wearing adherence (OR, 0.60 [95% CI, 0.37-0.98]). The risk of respiratory infection of HCWs working in low risk areas was similar to that of HCWs in high risk area. Conclusion: Our data suggest that female HCWs and staffs working in larger hospitals are the focus of prevention and control of respiratory infection in Beijing hospitals. Mask-wearing and seasonal influenza vaccination are protective for respiratory infection in HCWs; the protective efficacy of medical masks is better than that of cotton yarn ones; respiratory infection of HCWs working in low risk areas should also be given attention. Keywords: masks, respiratory tract infections, health personnel
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spelling doaj.art-3f83b03204dd421792265c41972b13892022-12-21T20:48:29ZengElsevierBrazilian Journal of Infectious Diseases1413-86702011-03-01152102108Mask-wearing and respiratory infection in healthcare workers in Beijing, ChinaPeng Yang, MD0Holly Seale, MD1C. Raina MacIntyre2Haiyan Zhang, MD3Zhen Zhang, MD4Yi Zhang5Xiaoli Wang, MD6Xinyu Li, MD7Xinghuo Pang, MD8Quanyi Wang, MD9Lecturer, Beijing Center for Disease Prevention and Control (CDC), Beijing, China; Capital Medical University School of Public Health and Family Medicine, Beijing, ChinaLecturer, School of Public Health and Community Medicine, University of New South Wales, Sydney, AustraliaProfessor, School of Public Health and Community Medicine, University of New South Wales, Sydney, AustraliaLecturer, Dong Cheng District CDC, Beijing, ChinaLecturer, Xi Cheng District CDC, Beijing, ChinaAssociate Lecturer, Beijing CDC, Beijing, China; Capital Medical University School of Public Health and Family Medicine, Beijing, ChinaAssociate Lecturer, Beijing CDC, Beijing, China; Capital Medical University School of Public Health and Family Medicine, Beijing, ChinaLecturer, Beijing CDC, Beijing, China; Capital Medical University School of Public Health and Family Medicine, Beijing, ChinaProfessor, Beijing CDC, Beijing, China; Capital Medical University School of Public Health and Family Medicine, Beijing, ChinaProfessor, Beijing CDC, Beijing, China; Capital Medical University School of Public Health and Family Medicine, Beijing, China; Correspondence to: MPH No.16 He Pingli Middle Street, Dongcheng District, Beijing, 100013, China Phone: (86) 10 6440 7108 Fax: (86) 10 6440 7113.Objectives: The aim of the study was to determine rates of mask-wearing, of respiratory infection and the factors associated with mask-wearing and of respiratory infection in healthcare workers (HCWs) in Beijing during the winter of 2007/2008. Methods: We conducted a survey of 400 HCWs working in eight hospitals in Beijing by face to face interview using a standardized questionnaire. Results: We found that 280/400 (70.0%) of HCWs were compliant with mask-wearing while in contact with patients. Respiratory infection occurred in 238/400 (59.5%) subjects from November, 2007 through February, 2008. Respiratory infection was higher among females (odds ratio [OR], 2.00 [95% confidence interval {CI}, 1.16-3.49]) and staff working in larger hospitals (OR, 1.72 [95% CI, 1.09-2.72]), but was lower among subjects with seasonal influenza vaccination (OR, 0.46 [95% CI, 0.28-0.76]), wearing medical masks (reference: cotton-yarn; OR, 0.60 [95% CI, 0.39-0.91]) or with good mask-wearing adherence (OR, 0.60 [95% CI, 0.37-0.98]). The risk of respiratory infection of HCWs working in low risk areas was similar to that of HCWs in high risk area. Conclusion: Our data suggest that female HCWs and staffs working in larger hospitals are the focus of prevention and control of respiratory infection in Beijing hospitals. Mask-wearing and seasonal influenza vaccination are protective for respiratory infection in HCWs; the protective efficacy of medical masks is better than that of cotton yarn ones; respiratory infection of HCWs working in low risk areas should also be given attention. Keywords: masks, respiratory tract infections, health personnelhttp://www.sciencedirect.com/science/article/pii/S1413867011701532
spellingShingle Peng Yang, MD
Holly Seale, MD
C. Raina MacIntyre
Haiyan Zhang, MD
Zhen Zhang, MD
Yi Zhang
Xiaoli Wang, MD
Xinyu Li, MD
Xinghuo Pang, MD
Quanyi Wang, MD
Mask-wearing and respiratory infection in healthcare workers in Beijing, China
Brazilian Journal of Infectious Diseases
title Mask-wearing and respiratory infection in healthcare workers in Beijing, China
title_full Mask-wearing and respiratory infection in healthcare workers in Beijing, China
title_fullStr Mask-wearing and respiratory infection in healthcare workers in Beijing, China
title_full_unstemmed Mask-wearing and respiratory infection in healthcare workers in Beijing, China
title_short Mask-wearing and respiratory infection in healthcare workers in Beijing, China
title_sort mask wearing and respiratory infection in healthcare workers in beijing china
url http://www.sciencedirect.com/science/article/pii/S1413867011701532
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