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大流感疫情设备和基础设施与禽流感演练表现的关系。

Relationship between equipment and infrastructure for pandemic influenza and performance in an avian flu drill.

机构信息

Emergency and Disaster Management Division, Ministry of Health, Israel.

出版信息

Emerg Med J. 2009 Nov;26(11):786-90. doi: 10.1136/emj.2008.066746.

DOI:10.1136/emj.2008.066746
PMID:19850801
Abstract

BACKGROUND

Effective preparedness for pandemic influenza necessitates acquisition and maintenance of vital equipment and infrastructure. The aim of this study was to investigate the relationship between the level of hospital preparedness relating to infrastructure and equipment and performance of the hospital in an avian flu drill.

METHODS

The levels of preparedness of the infrastructure and equipment for pandemic influenza of all 24 general hospitals were evaluated using a tool developed for this purpose. The hospital evaluation scores were then compared with the scores obtained by the hospitals in a simulated avian flu drill.

RESULTS

The overall scores of equipment and infrastructure for pandemic influenza of general hospitals ranged from 67% to 100%. Comparison of the overall level of preparedness of equipment and infrastructure for pandemic influenza with the overall scores achieved in the avian flu drill revealed a medium correlation. A medium correlation was also found between stockpiling of medications and performance in the avian flu drill. No correlations were found between operating infrastructure, availability of protective measures and medical forms and performance in the avian flu drill.

CONCLUSIONS

This study has identified benchmarks of infrastructure and equipment required for managing a pandemic influenza event and evaluating the level of emergency preparedness of the hospital. The significant relationship between maintaining stockpiles of antiviral medications for patients and staff and performance in an avian flu drill emphasises its importance in the process of maintaining emergency preparedness for a pandemic influenza outbreak.

摘要

背景

有效应对大流行性流感需要获取和维护重要的设备和基础设施。本研究的目的是调查与基础设施和设备相关的医院准备程度与医院在禽流感演习中的表现之间的关系。

方法

使用为此目的开发的工具评估所有 24 家综合医院应对大流行性流感的基础设施和设备的准备程度。然后将医院评估得分与在模拟禽流感演习中获得的得分进行比较。

结果

综合医院应对大流行性流感的设备和基础设施的总体得分在 67%至 100%之间。设备和基础设施应对大流行性流感的总体准备程度与禽流感演习中的总体得分之间存在中等相关性。药物储备与禽流感演习中的表现之间也存在中等相关性。操作基础设施、防护措施和医疗表格的可用性与禽流感演习中的表现之间没有相关性。

结论

本研究确定了管理大流行性流感事件和评估医院应急准备水平所需的基础设施和设备基准。维持患者和员工抗病毒药物储备与禽流感演习表现之间的显著关系强调了其在维持大流行性流感爆发应急准备过程中的重要性。

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