Source:http://linkedlifedata.com/resource/pubmed/id/16948699
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2006-9-4
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pubmed:abstractText |
Certain respiratory tract infections can be transmitted by hand-to-mucous-membrane contact, inhalation, and/or direct respiratory droplet spray. In a room occupied by a patient with such a transmissible infection, pathogens present on textile and nontextile surfaces, and pathogens present in the air, provide sources of exposure for an attending health-care worker (HCW); in addition, close contact with the patient when the latter coughs allows for droplet spray exposure. We present an integrated model of pertinent source-environment-receptor pathways, and represent physical elements in these pathways as "states" in a discrete-time Markov chain model. We estimate the rates of transfer at various steps in the pathways, and their relationship to the probability that a pathogen in one state has moved to another state by the end of a specified time interval. Given initial pathogen loads on textile and nontextile surfaces and in room air, we use the model to estimate the expected pathogen dose to a HCW's mucous membranes and respiratory tract. In turn, using a nonthreshold infectious dose model, we relate the expected dose to infection risk. The system is illustrated with a hypothetical but plausible scenario involving a viral pathogen emitted via coughing. We also use the model to show that a biocidal finish on textile surfaces has the potential to substantially reduce infection risk via the hand-to-mucous-membrane exposure pathway.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0272-4332
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
26
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1085-96
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:16948699-Cough,
pubmed-meshheading:16948699-Hand,
pubmed-meshheading:16948699-Humans,
pubmed-meshheading:16948699-Infection,
pubmed-meshheading:16948699-Infection Control,
pubmed-meshheading:16948699-Infectious Disease Transmission, Patient-to-Professional,
pubmed-meshheading:16948699-Markov Chains,
pubmed-meshheading:16948699-Models, Biological,
pubmed-meshheading:16948699-Mucous Membrane,
pubmed-meshheading:16948699-Respiratory System,
pubmed-meshheading:16948699-Respiratory Tract Infections,
pubmed-meshheading:16948699-Risk Assessment,
pubmed-meshheading:16948699-Textiles
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pubmed:year |
2006
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pubmed:articleTitle |
An integrated model of infection risk in a health-care environment.
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pubmed:affiliation |
School of Public Health, University of California, Berkeley, 94720, USA. mnicas@berkeley.edu
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, Non-P.H.S.
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