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

Published online by Cambridge University Press:  08 April 2013

Stephan A. Kohlhoff ,
Bindy Crouch ,
Patricia M. Roblin ,
Baruch Fertel ,
Darrin Pruitt ,
Debra E. Berg ,
Jeremy Weedon ,
Bonnie Arquilla  and
Michael Augenbraun
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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)

Keywords

pandemic influenzadisaster planninginfection controlmass screeningtriage
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 6 , Issue 4 , December 2012 , pp. 378 - 384
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2012

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References

REFERENCES

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):2605–2615.Google Scholar
2.Monto, ASWhitley, RJ.Seasonal and pandemic influenza: a 2007 update on challenges and solutions. Clin Infect Dis. 2008;46(7):1024–1031.Google Scholar
3.Loeb, MB. Severe acute respiratory syndrome: preparedness, management, and impact. Infect Control Hosp Epidemiol. 2004;25(12):1017–1019.Google Scholar
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):2352–2361.CrossRefGoogle ScholarPubMed
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):1020–1025.Google Scholar
6.Foo, CLTham, KYSeow, E. Evolution of an emergency department screening questionnaire for severe acute respiratory syndrome. Acad Emerg Med. 2004;11(2):156–161.Google Scholar
7.Loutfy, MRWallington, TRutledge, T, et alHospital preparedness and SARS. Emerg Infect Dis. 2004;10(5):771–776.Google Scholar
8.Wu, DYang, LCWu, SS, Crisis management of SARS in a hospital. J Safety Res. 2004;35(3):345–349.Google Scholar
9.Ong, EH. War on SARS: a Singapore experience. Can J Emerg Med. 2004:31–37.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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):15–21.Google Scholar
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):1541–1547.CrossRefGoogle ScholarPubMed