Pandemic Influenza Planning in Nursing Homes: Are We Prepared?
Pandemic Influenza Planning in Nursing Homes: Are We Prepared?
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DOI：
10.1111/j.1532-5415.2007.01299.x
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发表时间：
2007-09
影响因子：
6.3
通讯作者：
L. Mody;S. Cinti
中科院分区：
文献类型：
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作者：
L. Mody;S. Cinti
禽流感或甲型流感（H5 N1）是由一种病毒株引起的，这种病毒株在野生鸟类中自然发生，但人类对它的免疫力是幼稚的。如果发生流感大流行，预计将产生可怕的后果，包括数百万人死亡、社会混乱和巨大的经济后果。2005年11月公布的卫生和人力资源部计划明确肯定了大流行病的威胁。预计社会的许多派别会出现混乱，医疗保健行业的每个部分，包括养老院，都将受到影响，需要自给自足。在2004/05年流感季节期间，由于季节性流感疫苗短缺，疫苗分发工作中断，这只是应急规划不稳定的一个例子。养老院将不得不做出重要决定，并为那些不在疫苗初始优先名单上的老年人提供护理。与此同时，疗养院将面临预期的抗病毒药物短缺，并有望为不堪重负的医院提供激增的能力。本文提供了一个概述，目前的建议，为大流行的准备和潜在的影响，大流行的养老院行业。它强调了养老院和已经大量投资于大流行准备的各种利益相关者之间合作规划和对话的必要性。
Avian influenza or Influenza A (H5N1) is caused by a viral strain that occurs naturally in wild birds, but to which humans are immunologically naïve. If an influenza pandemic occurs, it is expected to have dire consequences, including millions of deaths, social disruption, and enormous economic consequences. The Department of Health and Human Resources plan, released in November 2005, clearly affirms the threat of a pandemic. Anticipating a disruption in many factions of society, every segment of the healthcare industry, including nursing homes, will be affected and will need to be self‐sufficient. Disruption of vaccine distribution during the seasonal influenza vaccine shortage during the 2004/05 influenza season is but one example of erratic emergency planning. Nursing homes will have to make vital decisions and provide care to older adults who will not be on the initial priority list for vaccine. At the same time, nursing homes will face an anticipated shortage of antiviral medications and be expected to provide surge capacity for overwhelmed hospitals. This article provides an overview of current recommendations for pandemic preparedness and the potential effect of a pandemic on the nursing home industry. It highlights the need for collaborative planning and dialogue between nursing homes and various stakeholders already heavily invested in pandemic preparedness.