134. Performing Respiratory Procedures Does Not Increase Risk of Acute Respiratory Illness amongst Healthcare Personnel
Session: Oral Abstract Session: Protecting Healthcare Personnel from Viral Respiratory Infections
Thursday, October 3, 2013: 11:24 AM
Room: The Moscone Center: 200-212

Background: Acute Respiratory Illnesses (ARIs) are transmissible between patients and Healthcare Personnel (HCPs) in outpatient clinics.  HCPs are at an elevated exposure risk when interacting with patient with ARI symptoms.  To test the hypothesis that HCPs who perform respiratory procedures on ARI patients are at a greater risk of developing ARI symptoms when compared to their counterparts, we investigated HCP self-reported symptomatic days (sick days) as a means to provide insight to exposure risk.

 Methods : Daily work shift survey data was collected from HCPs at 7 sites across the country for 12 weeks during the peak of the 2012-2013 influenza season as part of the Respiratory Protection Effectiveness Clinical Trial (ResPECT).  HCPs reported ARI patient contact, type and frequency of respiratory procedures performed (Intubation, Airway Suction, Nebulizer, Nasopharyngeal Aspiration), and self-reported respiratory symptomatic days.  For this analysis, HCPs were assigned to either the ARI contact group (n=527, 48.9%) or the respiratory procedures group (n=355, 33%). 

Results :  A total of 882 (81.9%) out of 1077 HCPs reported ARI symptoms, patient contact, and/or performing respiratory procedures. The mean number of exposures to patients with ARI symptoms was 5.3 (range 1.4-9.7) patients per day. Mean reported HCP sick days were similar in HCPs whether they reported ARI exposure alone or performing procedures (Table 1; Mann-Whitney test; p = 0.89).  Within the respiratory procedures group, the number of sick days reported by HCPs who performed specific procedures was compared to those reported by HCPs who did not perform the procedure (Table 2; p = NS).

Conclusion :  Reported sick days are similar between HCPs that have minimal to moderate exposures to ARI.  This strategy did not find that HCPs who performed respiratory procedures were at greater risk of developing ARIs than those with ARI contact alone.  Further investigation could help determine if HCPs who perform respiratory procedures are as compliant with standard precautions compared to those exposed to ARI patients.

Amy Irwin, DNP, RN, Medicine, Denver Health Medical Center, Denver, CO, Kevin Silva, BS, Medicine, Denver Health & Hospital Authority, Denver, CO, Mary Bessesen, MD, VA Eastern Colorado Health Care System and University of Colorado School of Medicine, Denver, CO, Cynthia Gibert, MD, MSc, Washington, DC, VAMC, Washington, DC, Ann-Christine Nyquist, MD, MSPH, University of Colorado, Denver, CO, Trish M. Perl, MD, MSc, FIDSA, FSHEA, Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, Lewis Radonovich, MD, University of Florida College of Medicine, Gainesville, FL, Maria Rodriguez-Barradas, MD, Medicine- Infectious Disease, Michael E. DeBakey VA Medical Center and Baylor College of Medicine, Houston, TX, Michael Simberkoff, MD, VA NY Harbor Healthcare System, New York, NY, Connie Price, MD, Denver Health Medical Center, Denver, CO and The ResPECT Team

Disclosures:

A. Irwin, None

K. Silva, None

M. Bessesen, None

C. Gibert, None

A. C. Nyquist, None

T. M. Perl, None

L. Radonovich, None

M. Rodriguez-Barradas, None

M. Simberkoff, None

C. Price, None

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