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Evaluation of Hospital Mass Screening and Infection Control Practices in a Pandemic Influenza Full-Scale Exercise

Abstract
ABSTRACT

Objective: Nonpharmacologic interventions such as limiting nosocomial spread have been suggested for mitigation of respiratory epidemics at health care facilities. This observational study tested the efficacy of a mass screening, isolation, and triage protocol in correctly identifying and placing in a cohort exercise subjects according to case status in the emergency departments at 3 acute care hospitals in Brooklyn, New York, during a simulated pandemic influenza outbreak.

Methods: During a 1-day, full-scale exercise using 354 volunteer victims, variables assessing adherence to the mass screening protocol and infection control recommendations were evaluated using standardized forms.

Results: While all hospitals were able to apply the suggested mass screening protocol for separation based on case status, significant differences were observed in several infection control variables among participating hospitals and different hospital areas.

Conclusions: Implementation of mass screening and other infection control interventions during a hospital full-scale exercise was feasible and resulted in measurable outcomes. Hospital drills may be an effective way of detecting and addressing variability in following infection control recommendations.

(Disaster Med Public Health Preparedness. 2012;6:378-384)

Copyright
Corresponding author
Correspondence: Stephan A. Kohlhoff, SUNY Downstate Medical Center, Department of Pediatrics, 450 Clarkson Ave, Brooklyn, NY 11203 (e-mail: skohlhoff@downstate.edu).
References
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1.Dawood FSJain SFinelli L, et alNovel Swine-Origin Influenza A (H1N1) Virus Investigation Team. Emergence of a novel swine-origin influenza A (H1N1) virus in humans. N Engl J Med. 2009;360(25):26052615.
2.Monto ASWhitley RJ.Seasonal and pandemic influenza: a 2007 update on challenges and solutions. Clin Infect Dis. 2008;46(7):10241031.
3.Loeb MB. Severe acute respiratory syndrome: preparedness, management, and impact. Infect Control Hosp Epidemiol. 2004;25(12):10171019.
4.Svoboda THenry BShulman L, et alPublic health measures to control the spread of the severe acute respiratory syndrome during the outbreak in Toronto. N Engl J Med. 2004;350(23):23522361.
5.Srinivasan A McDonald LCJernigan D, et alSARS Healthcare Preparedness and Response Plan Team. Foundations of the severe acute respiratory syndrome preparedness and response plan for healthcare facilities. Infect Control Hosp Epidemiol. 2004;25(12):10201025.
6.Foo CLTham KYSeow E. Evolution of an emergency department screening questionnaire for severe acute respiratory syndrome. Acad Emerg Med. 2004;11(2):156161.
7.Loutfy MRWallington TRutledge T, et alHospital preparedness and SARS. Emerg Infect Dis. 2004;10(5):771776.
8.Wu DYang LCWu SS, Crisis management of SARS in a hospital. J Safety Res. 2004;35(3):345349.
9.Ong EH. War on SARS: a Singapore experience. Can J Emerg Med. 2004:3137.
10.Pandemic Influenza Plan Supplement HHS. 5 Clinical Guidelines. Department of Health and Human Services website. 2008. http://www.hhs.gov/pandemicflu/plan/pdf/S05.pdf. Accessed November 2, 2012.
11.Infectious Diseases Society of America Pandemic Influenza Medical Summary. 2008. http://biodefense.idsociety.org/idsa/influenza/panflu/biofacts/panflu_20th.html. Accessed November 2, 2012.
12.Children in disasters. In: Hospital Guidelines for Pediatric Preparedness. 3rd ed. New York, NY: New York City Dept of Health and Mental Hygiene; November 2008. http://www.nyc.gov/html/doh/downloads/pdf/bhpp/hepp-peds-childrenindisasters-010709.pdf. Accessed March 10, 2010.
13.Joint Commission on Accreditation of Healthcare Organizations. Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oakbrook Terrace, IL: Joint Commission Resources; 2006. EC 4.10.
14.Phin NFRylands AJAllan JEdwards CEnstone JENguyen-Van-Tam JS. Personal protective equipment in an influenza pandemic: a UK simulation exercise. J Hosp Infect. 2009;71(1):1521.
15.Swaminathan AMartin RGamon S, et alPersonal protective equipment and antiviral drug use during hospitalization for suspected avian or pandemic influenza. Emerg Infect Dis. 2007;13(10):15411547.
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Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
  • URL: /core/journals/disaster-medicine-and-public-health-preparedness
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