Skip to main content
×
×
Home

Lessons Learned From Hospital Ebola Preparation

  • Daniel J. Morgan (a1) (a2), Barbara Braun (a3), Aaron M. Milstone (a4), Deverick Anderson (a5), Ebbing Lautenbach (a6), Nasia Safdar (a7), Marci Drees (a8), Jennifer Meddings (a9), Darren R. Linkin (a6), Lindsay D. Croft (a2), Lisa Pineles (a2), Daniel J. Diekema (a10) and Anthony D. Harris (a2)...
Abstract
BACKGROUND

Hospital Ebola preparation is underway in the United States and other countries; however, the best approach and resources involved are unknown.

OBJECTIVE

To examine costs and challenges associated with hospital Ebola preparation by means of a survey of Society for Healthcare Epidemiology of America (SHEA) members.

DESIGN

Electronic survey of infection prevention experts.

RESULTS

A total of 257 members completed the survey (221 US, 36 international) representing institutions in 41 US states, the District of Columbia, and 18 countries. The 221 US respondents represented 158 (43.1%) of 367 major medical centers that have SHEA members and included 21 (60%) of 35 institutions recently defined by the US Centers for Disease Control and Prevention as Ebola virus disease treatment centers. From October 13 through October 19, 2014, Ebola consumed 80% of hospital epidemiology time and only 30% of routine infection prevention activities were completed. Routine care was delayed in 27% of hospitals evaluating patients for Ebola.

LIMITATIONS

Convenience sample of SHEA members with a moderate response rate.

CONCLUSIONS

Hospital Ebola preparations required extraordinary resources, which were diverted from routine infection prevention activities. Patients being evaluated for Ebola faced delays and potential limitations in management of other diseases that are more common in travelers returning from West Africa.

Infect Control Hosp Epidemiol 2015;00(0): 1–5

Copyright
Corresponding author
Address correspondence to Daniel J. Morgan, MD, University of Maryland School of Medicine, 10 S. Pine Street, MSTF 334, Baltimore, MD (dmorgan@epi.umaryland.edu).
References
Hide All
1. Centers for Disease Control and Prevention. 2014 Ebola outbreak in West Africa. 2014. Available at: http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/index.html. Accessed November 18, 2014.
2. Centers for Disease Control and Prevention. Cases of Ebola diagnosed in the United States. 2014. Available at: http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/united-states-imported-case.html. Accessed November 18, 2014.
3. World Health Organization. Ebola virus disease. 2014. Available at: http://www.who.int/csr/disease/ebola/en/. Accessed November 18, 2014.
4. Centers for Disease Control and Prevention. Ebola. 2014. Available at: http://www.cdc.gov/vhf/ebola/index.html. Accessed November 18, 2014.
5. Sifferlin A. CDC changes Ebola guidelines. 2014. Available at: http://time.com/3525869/cdc-changes-ebola-guidelines/. Accessed November 18, 2014.
6. Harlan C. An epidemic of fear and anxiety hits Americans amid Ebola outbreak. Washington Post, October 15, 2014. Available at: http://www.washingtonpost.com/business/economy/an-epidemic-of-fear-and-anxiety-hits-americans-amid-ebola-outbreak/2014/10/15/0760fb96-54a8-11e4-ba4b-f6333e2c0453_story.html. Accessed November 18, 2014.
7. Rabin RC. Ebola guidelines for doctors’ offices are called vague and vary by region. New York Times, October 23, 2014. Available at: http://www.nytimes.com/2014/10/23/us/ebola-guidelines-for-doctors-offices-are-called-vague-and-vary-by-state.html. Accessed November 18, 2014.
8. Pollack A. Researchers seek crucial tool: a fast, finger-prick Ebola test. New York Times, November 5, 2014. Available at: http://www.nytimes.com/2014/11/05/business/ebola-researchers-rush-to-find-a-fast-diagnostic-test.html. Accessed November 18, 2014.
9. Association for Professionals in Infection Control. APIC Ebola readiness poll. 2014. Available at: http://www.apic.org/Resource_/TinyMceFileManager/Topic-specific/Ebola_Readiness_Poll_Results_FINAL.pdf. Accessed November 18, 2014.
10. US Department of Health and Human Services. 35 US hospitals designated as Ebola treatment centers. 2014. Available at: http://www.hhs.gov/news/press/2014pres/12/20141202b.html
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 8
Total number of PDF views: 65 *
Loading metrics...

Abstract views

Total abstract views: 440 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 17th January 2018. This data will be updated every 24 hours.