Baka A, Fusco F M, Puro V, Vetter N, Skinhoj P, Ott K, Siikamaki H, Brodt H R, Gottschalk R, Follin P, Bannister B, De Carli G, Nisii C, Heptonstall J, Ippolito G
Hellenic Center for Disease Control and Prevention, Athens, Greece.
Euro Surveill. 2007 Jun 1;12(6):E5-6. doi: 10.2807/esm.12.06.00716-en.
The SARS epidemic, the threat of bioterrorism, and recent examples of imported highly infectious diseases (HID) in Europe have all highlighted the importance of competent clinical and public health management of infectious disease emergencies. Although the European Union of Medical Specialists in Europe and the Infectious Diseases Society of America have developed curricula for training in infectious disease medicine, neither of those mentions training in the management of HIDs. The European Network for Infectious Diseases (EUNID, http://www.eunid.com) is a European Commission co-funded network of experts in HID management, created to help improve the preparedness for HID emergencies within Europe. One of EUNID's agreed tasks is the development of a curriculum for such a training. Between April 2005 and September 2006, EUNID developed a curriculum and accompanying training course on the basis of a questionnaire that was sent to all country representatives and discussion, followed by amendment of drafts shared through the project website, and a final consensus meeting. The resulting curriculum consists of a two-module course covering the core knowledge and skills that healthcare workers need to safely treat a patient who has, or who may have, an HID. The first module introduces theoretical aspects of HID management, including disease-specific knowledge, infection control, and the public health response, through didactic teaching and class-based discussion. The second module involves a "skill station" and a clinical scenario, and equips trainees with relevant practical skills, including the use of specialised equipment and teamwork practice in patient management. Together, the curriculum and course contribute to the creation of a common framework for training healthcare professionals in Europe, and although they are designed primarily for clinicians that are directly involved in patient care, they are relevant also to public health professionals and others who may be involved in HID management and emergency response.
非典疫情、生物恐怖主义威胁以及欧洲近期输入性高传染性疾病(HID)的实例,都凸显了对传染病突发事件进行专业临床和公共卫生管理的重要性。尽管欧洲医学专家联盟和美国传染病学会已制定了传染病医学培训课程,但两者均未提及HID管理方面的培训。欧洲传染病网络(EUNID,http://www.eunid.com)是一个由欧盟委员会共同资助的HID管理专家网络,旨在帮助提高欧洲应对HID突发事件的准备能力。EUNID商定的任务之一是制定此类培训的课程。2005年4月至2006年9月期间,EUNID在向所有国家代表发送问卷并进行讨论的基础上,制定了一门课程及配套培训课程,随后通过项目网站共享草案进行修订,并召开了最终共识会议。最终形成的课程包括一个两模块课程,涵盖医护人员安全治疗患有或可能患有HID患者所需的核心知识和技能。第一个模块通过讲授式教学和课堂讨论,介绍HID管理的理论方面,包括特定疾病知识、感染控制和公共卫生应对措施。第二个模块包括一个“技能站”和一个临床场景,使学员具备相关实践技能,包括使用专门设备以及在患者管理中的团队协作实践。该课程和培训共同为欧洲医护专业人员培训创建了一个通用框架,尽管它们主要是为直接参与患者护理的临床医生设计的,但对公共卫生专业人员以及其他可能参与HID管理和应急响应的人员也具有相关性。