Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic
Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic
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DOI：
10.1016/j.ajic.2013.05.006
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发表时间：
2013-11-01
影响因子：
4.9
通讯作者：
Harrison, Robert
中科院分区：
文献类型：
--
作者：
Beckman, Stella;Materna, Barbara;Harrison, Robert
工作背景：2009年新型甲型H1N1流感病毒在加州的出现促使加州公共卫生部对2009 - 2010年流感季节期间的医院呼吸防护计划（RPP）和实践进行了评估。对16家医院的现场评估包括与管理人员和卫生保健工作者就RPP和实践进行访谈，审查书面RPP，以及对使用制冷机的人员的有限观察。数据进行了分析，使用描述性statistics.Results：所有医院都实施了政策，要求最低限度地使用N95过滤面罩呼吸机时，与H1N1病毒感染的患者工作，95.5%的医护人员（n = 199）报告说，他们会穿至少这个级别的保护时，与确诊或疑似H1N1病毒感染的患者密切接触。然而，书面RPPs的评价表明，在所需的领域，最常见的记录保存，指定的程序管理员，程序评估，员工培训，并适合testingprocedure.Conclusions的不足之处：卫生保健工作者都知道呼吸保护时，需要为确诊或疑似H1N1病毒感染的患者提供护理。医院应完善书面RPP，全面实施书面程序，并进行定期项目评估，以确保呼吸器用于保护医护人员的有效性。增加为医院呼吸机项目管理者量身定制的资源的可及性可能是有帮助的。版权所有（C）2013由感染控制和流行病学专业人员协会，Inc.爱思唯尔公司出版All rights reserved.
Background: Emergence of the novel 2009 influenza A H1N1 virus in California led to an evaluation of hospital respiratory protection programs (RPPs) and practices by the California Department of Public Health during the 2009-2010 influenza season.Methods: Onsite evaluation of 16 hospitals consisted of interviews with managers and health care workers about RPPs and practices, review of written RPPs, and limited observations of personnel using respirators. Data were analyzed using descriptive statistics.Results: All hospitals had implemented policies requiring the minimum use of N95 filtering facepiece respirators when working with patients with H1N1 virus infection; 95.5% of health care workers (n = 199) reported they would wear at least this level of protection when in close contact with a patient with confirmed or suspected H1N1 virus infection. However, evaluation of written RPPs indicated deficiencies in required areas, most commonly in recordkeeping, designation of a program administrator, program evaluation, employee training, and fit testing procedures.Conclusions: Health care workers were aware of respiratory protection required when providing care for patients with confirmed or suspected H1N1 virus infection. Hospitals should improve written RPPs, fully implement written procedures, and conduct periodic program evaluation to ensure effectiveness of respirator use for health care worker protection. Increased accessibility of resources tailored for hospital respirator program administrators may be helpful. Copyright (C) 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.