Cited by 345Infection Control and VentilationInfection Control in HealthcareSARS-CoV-2 and COVID-19 Research

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SARS among Critical Care Nurses, Toronto

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Loeb, Mark, McGeer, Allison, Henry, Bonnie, Ofner, Marianna, Rose, David, Hlywka, Tammy, Levie, Joanne, McQueen, Jane, Smith, Stephanie, Moss, Lorraine, Smith, Andrew, Green, Karen, Walter, Stephen D.·2004·Emerging Infectious Diseases

DOI 10.3201/eid1002.030838PMC PMC3322898

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Abstract

To determine factors that predispose or protect healthcare workers from severe acute respiratory syndrome (SARS), we conducted a retrospective cohort study among 43 nurses who worked in two Toronto critical care units with SARS patients. Eight of 32 nurses who entered a SARS patient's room were infected. The probability of SARS infection was 6% per shift worked. Assisting during intubation, suctioning before intubation, and manipulating the oxygen mask were high-risk activities. Consistently wearing a mask (either surgical or particulate respirator type N95) while caring for a SARS patient was protective for the nurses, and consistent use of the N95 mask was more protective than not wearing a mask. Risk was reduced by consistent use of a surgical mask, but not significantly. Risk was lower with consistent use of a N95 mask than with consistent use of a surgical mask. We conclude that activities related to intubation increase SARS risk and use of a mask (particularly a N95 mask) is protective.

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Authors: Loeb, M., McGeer, A., Henry, B., Ofner, M., Rose, D., Hlywka, T., Levie, J., McQueen, J., Smith, S., Moss, L., Smith, A., Green, K., & Walter, S. D.
Affiliations: McMaster University (CA)
Mount Sinai Hospital (CA)
Toronto Public Health (CA)
Health Canada (CA)
Scarborough Grace Hospital, Ontario, Canada
McMaster University, Hamilton, Ontario, Canada
Corresponding author: Loeb, Mark
ORCID: Loeb, Mark
McGeer, Allison
Ofner, Marianna
Rose, David
Smith, Stephanie
Smith, Andrew
Green, Karen
Walter, Stephen D.
Venue: Emerging Infectious Diseases
Publisher: Centers for Disease Control and Prevention (CDC)
Published: 2004-02
Volume: 10
Issue: 2
Pages: 251-255
ISSN: 1080-6040 (ISSN-L)
1080-6059
DOI: 10.3201/eid1002.030838
PMC: PMC3322898
OpenAlex: W1973418860
Cited by: 345
References: 9
Citations by year: 2026: 4 · 2025: 1 · 2024: 3 · 2023: 8 · 2022: 34 · 2021: 51 · 2020: 95 · 2019: 7 · 2018: 3 · 2017: 4 · 2016: 7 · 2015: 4 · 2014: 2 · 2013: 7 · 2012: 13
FWCI: 14.68
Type: journal article
Language: en
Open access: diamond
doi.org
Licence: cc-by
Locations: Emerging infectious diseases (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders: McMaster University
Ontario Ministry of Health and Long-Term Care
Canadian Institutes of Health Research
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
Keywords: SARS, intensive care unit nurses, occupational infection risk, healthcare worker infection, N95 respirators, surgical masks, personal protective equipment, intubation, aerosol-generating procedures, infection control
MeSH terms: Critical Care, Disease Outbreaks, Female, Humans, Male, Masks, Nurses, Occupational Diseases, Ontario, Retrospective Studies, Risk Factors, Cohort Studies, Occupational Exposure, Infectious Disease Transmission, Patient-to-Professional, Severe Acute Respiratory Syndrome

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