Haffer Andrew S T, Rogers James R, Montello Michael J, Frank Ellen C, Ostroff Craig
PHS-1 Disaster Medical Assistance Team, U.S. Public Health Service (USPHS), Division of Drug Marketing, Advertising, and Communications, Food and Drug Administration (FDA), Rockville, MD, USA.
Am J Health Syst Pharm. 2002 Jun 15;59(12):1189-92. doi: 10.1093/ajhp/59.12.1189.
An anthrax prophylaxis clinic is described. In October 2001, four workers from the U.S. Postal Service's Brentwood facility in Washington, D.C., were hospitalized with inhalational anthrax; many others may have been exposed to anthrax spores. U.S. Public Health Service (USPHS) teams were deployed to establish an anthrax prophylaxis clinic that would provide education and medication to workers and people who visited the mail facility. The temporary clinic was set up at D.C. General Hospital and was staffed primarily by health care professionals from USPHS. The protocol at the clinic involved three major phases. Phase 1 consisted of gathering information from the patient and distributing educational materials. Phase 2 involved presentations by a physician and a pharmacist concerning anthrax, followed by a question-and-answer session. In phase 3, a pharmacist selected the most appropriate prophylactic agent, dispensed the medication, counseled the patient, and referred patients with flu-like symptoms or skin lesions to a physician. Two floor plans were used to maximize the number of patients seen per hour without jeopardizing patient care. The clinic operated 14 hours a day for 14 days. The 136-member health care team included 52 pharmacists, and medication was dispensed to more than 18,000 patients. The clinic may serve as a model for pharmacists and other professionals in designing and implementing disaster plans. A multidisciplinary team established and operated a clinic to treat persons who may have been exposed to anthrax through contaminated mail.
本文描述了一家炭疽预防诊所。2001年10月,美国华盛顿特区布伦特伍德邮政设施的四名工作人员因吸入性炭疽住院治疗;其他许多人可能接触了炭疽孢子。美国公共卫生服务局(USPHS)团队被部署来建立一家炭疽预防诊所,为工作人员和到访邮件设施的人员提供教育和药物。临时诊所在华盛顿特区总医院设立,主要由USPHS的医护人员提供服务。诊所的流程包括三个主要阶段。第一阶段包括从患者那里收集信息并分发教育材料。第二阶段是由一名医生和一名药剂师介绍炭疽相关情况,随后是问答环节。在第三阶段,药剂师选择最合适的预防药物,配药,为患者提供咨询,并将有流感样症状或皮肤损伤的患者转诊给医生。使用了两种楼层平面图,以在不危及患者护理的情况下最大限度地增加每小时就诊的患者数量。诊所在14天内每天运营14小时。由136名成员组成的医护团队包括52名药剂师,为超过18000名患者配药。该诊所可为药剂师和其他专业人员设计和实施灾难计划提供一个范例。一个多学科团队建立并运营了一家诊所,以治疗可能通过受污染邮件接触炭疽的人员。