Initial response of health care institutions to emergence of H1N1 influenza: experiences, obstacles, and perceived future needs.
Initial response of health care institutions to emergence of H1N1 influenza: experiences, obstacles, and perceived future needs.
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DOI：
10.1086/650169
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发表时间：
2010-02-15
期刊：
影响因子：
--
通讯作者：
Harris AD
中科院分区：
文献类型：
--
作者：
Lautenbach E;Saint S;Henderson DK;Harris AD
在H1N1危机期间接受调查的323名卫生保健流行病学专业人员中，30.7%报告抗病毒药物短缺，39.0%报告抗病毒药物储备。疫苗开发、卫生保健工作者教育、修订大流行计划和强制性流感疫苗接种被确定为未来的重要举措。H1N1流感的出现令人极为关切。尽管应对H1N1危机的最重要组成部分之一是卫生保健流行病学专业人员的工作，但这一群体的信念和经验尚不清楚，未来管理H1N1的最佳方法尚未确定。为了评估卫生保健流行病学专业人员对H1N1流感危机的态度和反应，我们对美国卫生保健流行病学协会的成员进行了一项横断面调查。我们评估了以下方面的信念：1）H1N1的重要性; 2）机构准备; 3）在H1N1危机上花费的时间;以及4）机构对H1N1的反应。在323名受访者中，195名（60.4%）表示他们的医院为大流行做好了充分准备。此外，大多数人报告说，高级管理人员提供了足够的政治支持和资源（分别为85.1%和80.2%），以应对H1N1。然而，163名（50.9%）受访者报告称，在H1N1危机期间，其他重要的感染预防活动被忽视。99名（30.7%）受访者报告抗病毒药物短缺。此外，126人（39.0%）报告其机构存在个人储存抗病毒药物的情况，166人（51.4%）报告已采取机构行动以防止个人储存。此外，294（91.0%）受访者认为H1N1流感将在今年晚些时候再次出现。疫苗开发、卫生保健工作者教育和修订大流行性流感计划被确定为未来最重要的举措。最后，251名（77.7%）受访者认为应强制要求医护人员接种流感疫苗。虽然总体上对H1N1危机做了充分的准备，但似乎有必要对大流行病准备计划进行重大修订。未来优化H1N1反应的努力应包括减少抗病毒药物的个人储备和疫苗开发，并考虑对医疗工作者进行强制性疫苗接种。
Of 323 healthcare epidemiology professionals surveyed during the H1N1 crisis, 30.7% reported shortages of antiviral medication and 39.0% reported stockpiling of antiviral medications. Vaccine development, healthcare worker education, revisions of pandemic plans, and mandatory influenza vaccination were identified as important future initiatives. The emergence of H1N1 influenza is cause for great concern. Although one of the most important components of the response to the H1N1 crisis is the work of healthcare epidemiology professionals, the beliefs and experiences of this community are unknown and the optimal approach to managing H1N1 in the future has not been delineated. To assess attitudes and responses of healthcare epidemiology professionals to the H1N1 influenza crisis, we conducted a cross-sectional survey of members of the Society for Healthcare Epidemiology of America. We assessed beliefs regarding: 1) importance of H1N1; 2) institutional preparedness; 3) time spent on the H1N1 crisis; and 4) the institution’s response to H1N1. Of 323 respondents, 195 (60.4%) reported their hospitals were well prepared for a pandemic. Furthermore, the majority reported that senior administrators provided adequate political support and resources (85.1% and 80.2%, respectively) to respond to H1N1. However, 163 (50.9%) respondents reported other important infection prevention activities were neglected during the H1N1 crisis. Shortages of antiviral medication were reported by 99 (30.7%) respondents. Furthermore, 126 (39.0%) reported that personal stockpiling of antiviral medications occurred at their institution and 166 (51.4%) reported institutional actions were initiated to prevent personal stockpiling. Also, 294 (91.0%) respondents believed H1N1 influenza would reappear later this year. Vaccine development, healthcare worker education, and revisions of pandemic influenza plans were identified as the most important future initiatives. Finally, 251 (77.7%) respondents felt healthcare workers should be mandated to receive influenza vaccine. While generally well-prepared for the H1N1 crisis, substantial revisions of pandemic preparedness plans appear necessary. Future efforts to optimize the response to H1N1 should include curtailing personal stockpiling of antivirals and vaccine development with consideration of mandatory vaccination of healthcare workers.
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