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. 2014 Mar 17;12(3):124–131. doi: 10.1007/s10156-006-0436-0

Substantial differences in preparedness for emergency infection control measures among major hospitals in Japan: lessons from SARS

Teppei Imai 1, Ken Takahashi 1,*, Tsutomu Hoshuyama 1, Naoki Hasegawa 2, Sin Eng Chia 3, David Koh 3
PMCID: PMC7087705  PMID: 16826344

Abstract

Emergency infection control measures are essential in hospitals. Although Japan was spared from the 2003 epidemic of severe acute respiratory syndrome (SARS), hospitals were placed on high alert. The actual preparedness level of hospitals can be determined by examining individual perceptions among the hospital healthcare workers (HCWs). The objective of this study was to assess the level of preparedness of emergency infection control measures in Japan and to quantify the differences in preparedness across institutions and disciplines. From July to September 2003, a questionnaire survey concerning the perceptions of risks and countermeasures and knowledge about SARS was distributed at seven tertiary hospitals. Disciplines were categorized as emergency room (ER)/intensive care unit (ICU), surgical, medical, and “others”. Of the 9978 questionnaires administered, 6929 valid responses were received and analyzed. After adjusting for age, sex, and job category, specific institutional measures (I-scores) were found to be more indicative of the level of preparedness across institutions and disciplines than were measures of overall effectiveness (E-scores) or knowledge of preventive measures (K-scores). In particular, the difference in I-scores was much more substantial across institutions than across disciplines. Across disciplines, surgical ranked lower than ER/ICU or medical. In conclusion, substantial differences in emergency infection control measures, as perceived by HCWs, exists among hospitals in Japan, with the differences across institutions exceeding those across disciplines. To achieve a higher level of preparedness for infectious diseases, institutions should designate and implement effective emergency infection control measures.

Key words: Infection control, Occupational health, SARS, Questionnaires

References

  • 1.WHO. Summary of probable SARS cases with onset of illness from 1 November 2002 to 31 July 2003. http://www.who.int/csr/sars/country/table2004_04_21/en/
  • 2.Svoboda T., Henry B., Shulman L., Kennedy E., Rea E., Ng W., et al. Public health measures to control the spread of the svere aute rspiratory syndrome during the outbreak in Toronto. N Engl J Med. 2004;350:2352–2361. doi: 10.1056/NEJMoa032111. 10.1056/NEJMoa032111. [DOI] [PubMed] [Google Scholar]
  • 3.Watts J. China makes preparations for possible new SARS outbreak. Lancet. 2003;362:1294. doi: 10.1016/S0140-6736(03)14626-0. 10.1016/S0140-6736(03)14626-0. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Pang X., Zhu Z., Xu F., Guo J., Gong X., Liu D., et al. Evaluation of control measures implemented in the severe acute respiratory syndrome outbreak in Beijing, 2003. JAMA. 2003;290:3215–3221. doi: 10.1001/jama.290.24.3215. 10.1001/jama.290.24.3215. [DOI] [PubMed] [Google Scholar]
  • 5.Singh K., Hsu L.Y., Villacian J.S., Habib A., Fisher D., Tambyah P.A., et al. Severe Acute Respiratory Syndrome: lessons from Singapore. Emerg Infect Dis. 2003;9:1294–1298. doi: 10.3201/eid0910.030388. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.WHO, Western Pacific Region. Practical guidelines for infection control in health care facilities. http://www.wpro.who.int/sars/docs/practicalguidelines/chapter1.pdf
  • 7.Imai T., Takahashi K., Hoshuyama T., Hasegawa N., Lim M.K., Koh D., et al. SARS risk perceptions among healthcare workers Japan. Emerg Infect Dis. 2005;11:404–410. doi: 10.3201/eid1103.040631. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8.Kaminota M. Prepare for the return of SARS in this winter (in Japanese) Koshu Eisei. 2003;67:826–830. [Google Scholar]
  • 9.Nakashima H. Prevention and therapy for SARS virus infection (in Japanese). BIO. Clinica. 2003;18:983–988. [Google Scholar]
  • 10.WHO. Hospital infection control guidance for severe acute respiratory syndrome (SARS). http://www.who.int/csr/sars/infectioncontrol/en/
  • 11.Koh D., Takahashi K., Lim M.K., Imai T., Chia S.E., Qian F., et al. SARS risk perception and preventive measures, Singapore and Japan. Emerg Infect Dis. 2005;11:641–642. doi: 10.3201/eid1104.040765. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Fowler R.A., Guest C.B., Lapinsky S.E., Sibbald W.J., Louie M., Tang P., et al. Transmission of severe acute respiratory syndrome during intubation and mechanical ventilation. Am J Respir Crit Care Med. 2004;169:1198–1202. doi: 10.1164/rccm.200305-715OC. 10.1164/rccm.200305-715OC. [DOI] [PubMed] [Google Scholar]
  • 13.Peiris J.S., Chu C.M., Cheng V.C., Chan K.S., Hung I.F., Poon L.L., et al. Clinical progression and viral load in community outbreak of coronavirus-associated SARS pneumonia: a prospective study. Lancet. 2003;361:1767–1772. doi: 10.1016/S0140-6736(03)13412-5. 10.1016/S0140-6736(03)13412-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Grosch J.W., Gershon R.R., Murphy L.R., Dejoy D.M. Safety climate dimensions associated with occupational exposure to blood-borne pathogens in nurses. Am J Ind Med. 1999 Sep;Suppl 1:125–127. doi: 10.1002/(sici)1097-0274(199909)36:1+<122::aid-ajim43>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
  • 15.Gershon R.R., Karkashian C.D., Vlahov D., Kummer L., Kasting C., Green-Mckenzie J., et al. Compliance with universal precautions in correctional health care facilities. J Occup Environ Med. 1999;41:181–189. doi: 10.1097/00043764-199903000-00007. 10.1097/00043764-199903000-00007. [DOI] [PubMed] [Google Scholar]
  • 16.Michalsen A., Delclos G.L., Felknor S.A., Davidson A.L., Johnson P.C., Vesley D., et al. Compliance with universal precautions among physicians. J Occup Environ Med. 1997;39:130–137. doi: 10.1097/00043764-199702000-00010. 10.1097/00043764-199702000-00010. [DOI] [PubMed] [Google Scholar]
  • 17.Rosenthal V.D., McCormick R.D., Guzman S., Villamayor C., Orellane P.W. Effect of education and performance feedback on handwashing: the benefit of administrative support in Argentinean hospitals. Am J Infect Control. 2003;31:85–92. doi: 10.1067/mic.2003.63. 10.1067/mic.2003.63. [DOI] [PubMed] [Google Scholar]
  • 18.Pittet D., Hugonnet S., Harbarth S., Mourouga P., Sauran V., Touveneau S., et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet. 2000;356:1307–1312. doi: 10.1016/s0140-6736(00)02814-2. 10.1016/S0140-6736(00)02814-2. [DOI] [PubMed] [Google Scholar]

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