| Summary: | 碩士 === 國立高雄第一科技大學 === 環境與安全衛生工程所 === 92 === After the first identified case of severe acute respiratory syndrome (SARS) occurred in Guangdong, China on November 1, 2002, World Health Organization had accumulated 8437 suspected cases of SARS until July 11, 2003 in hospitals. The mortality number and rate of SARS reported were 813 and 9.6% respectively. A total of 671 probable cases of SARS had been reported in Taiwan, of which 84 died, resulting in an mortality rate of 12.5%. The emergence of SARS has highlighted the importance of hospital infection-control programs. Based on the data of probable SARS cases in Taiwan by the Department of Health, 94% of the cases were originated from nosocomial infection. Therefore, all medical facilities should, in addition to reinforce all measures in infection controlling, take into serious account of problems on nosocomial infection of SARS. Previous studies had revealed that effective traffic control might play an important role on the reduction of transmission in nosocomial infection; therefore, “traffic control” could possibly be employed as one of the important basic standard procedures in preventing nosocomial infection of SARS. The aim of this study was to investigate the incidence of nosocomial SARS, including numbers of cases reported as probable, suspected, death, reported, excluded pending, and confirmed SARS to identify the ultimate effectiveness of motive and scheme for nosocomial control by one medical center in Kaohsiung city during the period of SARS epidemics. This study revealed that there was no case of SARS acquired from the medical center during its reinforcement period on “traffic control”. The study limitations include the incapability of estimating the significance of carrying out “traffic control” on the control of nosocomial infection of SARS due to the lack of related statistics on SARS epidemic appraisal from other medical centers and knowledge on whether traffic control measures were also employed these centers. This present study was the preliminary report to investigate the effectiveness of traffic control and its correlations to nosocomial infection caused by SARS in Taiwan. It will provide important reference of public health as how to ascertain “traffic control” and nosocomial SARS infection in the future.
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