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Volume 11, Number 4—April 2005
Dispatch

Patient Contact Recall after SARS Exposure

Popy Dimoulas*, Karen A. Green*, Altynay Shigayeva*, Michael Aquino*, Allison McGeer*Comments to Author , Damon C. Scales*, and Toronto SARS Hospital Investigation Team
Author affiliations: *University of Toronto, Toronto, Ontario

Main Article

Table 2

Reliability of healthcare worker recalling presence in a SARS patient’s room during patient care activities*

Activity No. (%) affirmative during initial interview No. (%) same response on follow-up interview No. (%) of responses overestimated No. (%) of responses underestimated No. (%) missing Kappa 95% CI
Respiratory characteristics and airway management
  Intubation 2 (7) 25 (93) 1 (4) 1 (4) 0 0.46 0.00–1.00
  Suctioning before intubation 2 (7) 24 (89) 2 (7) 1 (4) 0 0.34 0.23–0.91
  Suctioning after intubation 2 (7) 25 (93) 2 (7) 0 0 0.63 0.17–1.00
  Manipulation of oxygen face mask/tubing 13 (48) 22 (82) 3 (11) 2 (7) 0 0.70 0.44–0.97
  Manual ventilation 2 (7) 25 (93) 2 (7) 0 0 0.63 0.17–1.00
  Mechanical ventilation 6 (22) 24 (89) 2 (7) 1 (4) 0 0.70 0.38–1.00
  Patient coughing/spitting while healthcare worker present 11 (41) 16 (59) 8 (30) 0 3 (11) 0.38 0.11–0.66
Routine patient care
  Changing bedding 11 (41) 18 (67) 2 (7) 7 (26) 0 0.26 0.09–0.60
  Bathing patient 4 (15) 26 (96) 1 (4) 0 0 0.87 0.61–1.00
  Emptying urinary catheter collection bag or collecting urine sample 4 (15) 25 (93) 0 2 (7) 0 0.63 0.17–1.00
  Oral care or nasal swab 4 (15) 25 (93) 1 (4) 1 (4) 0 0.71 0.32–1.00
  Stool sample or rectal swab 0 25 (93) 1 (4) 0 1 (4)
  Nebulizer treatments 0 19 (70) 6 (22) 0 2 (7)
Procedures
  BiPAP 19 (70) 18 (67) 2 (7) 6 (22) 1 (4) 0.32 0.01–0.66
  Electrocardiogram 3 (11) 23 (85) 3 (11) 1 (4) 0 0.42 0.04–0.88
  Insertion of central venous catheter 0 27 (100) 0 0 (0) 0
  Insertion of peripheral intravenous catheter or arterial catheter 5 (18) 25 (93) 1 (4) 1 (4) 0 0.75 0.43–1.00
  Insertion of nasogastric tube 0 26 (96) 1 (4) 0 0
  Insertion of urinary (Foley) catheter 0 27 (100) 0 0 0
  Chest physiotherapy 0 26 (96) 1 (4) 0 0
Other
  Cleaning room/furniture 2 (7) 26 (96) 0 1 (4) 0 0.65 0.02–1.00
  Cleaning medical equipment 3 (11) 22 (82) 2 (7) 1 (4) 2 (7) 0.51 0.03–0.99

*SARS, severe acute respiratory syndrome; CI, confidence interval; BiPAP, bi-level positive air pressure.

Main Article

1B. Henry (Toronto Public Health), S. Paton (Health Canada), T. Stewart (Mount Sinai Hospital), D. Zoutman (Kingston General Hospital), J.M. Raboud and U.R. Saskin (Mount Sinai Hospital), M. Loeb (Hamilton Health Sciences Center), A.E. Simor and M. Vearncombe (Sunnybrook and Women’s College Hospital), C. MacDonald (Centers for Disease Control and Prevention), E. Bontovics (Ontario Ministry of Health and Long Term Care)

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