title: Outbreaks of influenza A among nonvaccinated healthcare workers: implications for resource-limited settings.
abstract: We identified 3 outbreaks of influenza A (attack rates, 18%-24%) among Thai healthcare workers in intensive care units. All outbreaks were epidemiologically linked to an index patient with pneumonia due to influenza A virus (subtype H3N2). The investigations of these outbreaks incurred costs that exceeded the estimated costs of healthcare worker influenza vaccination by more than 10-fold.
authors.affiliation: Division of Infectious Diseases, Thammasart University Hospital, Pratumthani, Bangkok, Thailand. anapisarn@yahoo.com
authors.forename: Anucha
authors.initials: A
authors.lastname: Apisarnthanarak
authors.forename: Pilaipan
authors.initials: P
authors.lastname: Puthavathana
authors.forename: Rungrueng
authors.initials: R
authors.lastname: Kitphati
authors.forename: Prasert
authors.initials: P
authors.lastname: Auewarakul
authors.forename: Linda M
authors.initials: LM
authors.lastname: Mundy
mesh_terms: D003362:Cost-Benefit Analysis; D003428:Cross Infection / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control / Q000821:virology; D004196:Disease Outbreaks / Q000191:economics; D006282:Health Personnel / Q000706:statistics & numerical data*; D006785:Hospitals, University; D006801:Humans; D017053:Infection Control / Q000379:methods; D053122:Influenza A Virus, H3N2 Subtype; D007252:Influenza Vaccines / Q000008:administration & dosage* / Q000191:economics*; D007251:Influenza, Human / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control / Q000821:virology; D007362:Intensive Care Units; D011203:Poverty; D013785:Thailand / Q000453:epidemiology; D014611:Vaccination / Q000191:economics / Q000706:statistics & numerical data
chemical_list: D007252:Influenza Vaccines