학술논문
Effect of Occupational Exposure on A(H1N1) pdm09 Infection and Hospitalization.
Document Type
Article
Author
Source
Subject
*H1N1 influenza
*INFECTIOUS disease transmission
*CONFIDENCE intervals
*HOSPITAL care
*MEDICAL personnel
*PATIENT-professional relations
*POLYMERASE chain reaction
*OCCUPATIONAL hazards
*ENVIRONMENTAL exposure
*REVERSE transcriptase polymerase chain reaction
*DATA analysis software
*DESCRIPTIVE statistics
*ODDS ratio
*INFLUENZA
*DISEASE risk factors
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Language
ISSN
0003-4878
Abstract
Objective: To analyze relationships between occupational exposure and influenza infection and hospitalization during the 2009-2010 pandemic wave and the 2010-2011 influenza seasonal epidemic in Spain. Methods: Occupations were classified as high, medium, or low risk of influenza exposure. To assess the risk of infection, 588 outpatient cases of influenza confirmed by reverse-transcription polymerase-chain-reaction (RT-PCR) were compared with 588 outpatients without influenza symptoms. To assess the risk of hospitalization, 337 outpatient influenza cases were compared with 337 inpatient influenza cases. Results: The high risk of occupational exposure group was composed only of health care workers. After adjustment for age, sex, vaccination status, and predictive variables of influenza infection, patients with a high risk of occupational exposure had an aOR of 2.14 (95%CI: 1.25-3.66) of being an outpatient influenza case and an aOR of 0.43 (95%CI: 0.20-0.95) of being an inpatient influenza case, compared with those with a low risk. Conclusions: A high risk of occupational exposure is a risk factor for influenza infection but not for hospitalization. [ABSTRACT FROM AUTHOR]