Challenges Faced by Hospital Healthcare Workers in Using a Syndrome-Based Surveillance System During the 2003 Outbreak of Severe Acute Respiratory Syndrome in Taiwan

Fuh-Yuan Shih, MD; Muh-Yong Yen, MD; Jiunn-Shyan Wu, MS; Fang-Kuei Chang, BS; Lih-Wen Lin, BS; Mei-Shang Ho, MD; Chao A. Hsiung, PhD; Ih-Jen Su, MD; Melissa A. Marx, DrPH; Howard Sobel, MD; Chwan-Chuen King, DrPH

Because the severe acute respiratory syndrome (SARS) outbreak in Taiwan in 2003 was worsened by hospital infections, we analyzed 229 questionnaires (84.8% of 270 sent) completed by surveyed healthcare workers who cared for patients with SARS in 3 types of hospitals, to identify surveillance problems. Atypical clinical presentation was the most often reported problem, regardless of hospital type, which strongly indicates that more timely syndromic surveillance was needed.
 – Infect Control Hosp Epidemiol 2007; 28:354-357

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