Institute of Biosecurity, Saint Louis University, School of Public Health, St. Louis, MO 63104, USA.
Am J Infect Control. 2009 Dec;37(10):e5-e16. doi: 10.1016/j.ajic.2009.09.003.
A novel strain of influenza A (H1N1) was identified in April 2009 and developed into a pandemic by June 2009. This rapid and unexpected event had enormous implications for infection preventionists (IP) internationally. Lessons learned from this event should guide future pandemic planning efforts.
Focus groups were conducted at the Association for Professionals in Infection Control and Epidemiology, Inc, (APIC) 2009 conference to evaluate IPs' experience with the novel H1N1 influenza pandemic and assess their perceived needs related to novel H1N1 topics and products required for future education and reference materials.
Forty IPs (37 from the United States and 3 international) participated in the focus groups. Needed reference materials identified by attendees included infection prevention guidance for nonacute care settings; occupational health polices; and brief, multilanguage patient/family educational materials. Educational topics on which IPs need to be trained include isolation precautions/personal protective equipment recommendations for novel H1N1 patients, coordination between hospitals and community response agencies, and surge management. The rapidly changing and conflicting recommendations related to patient management made responding to this event challenging. IPs require synthesized infection prevention guidelines developed in a concise, real-time format.
IPs must continue to partner with public health and other response agencies to address gaps in pandemic planning.
一种新型甲型 H1N1 流感于 2009 年 4 月被发现，并于 2009 年 6 月发展成为大流行。这一迅速而意外的事件对国际感染预防专家（IP）产生了巨大影响。从这一事件中吸取的经验教训应指导未来的大流行规划工作。
在协会专业人员感染控制和流行病学，公司（APIC）2009 年会议上进行了焦点小组讨论，以评估 IP 对新型 H1N1 流感大流行的经验，并评估他们对新型 H1N1 主题的感知需求以及未来教育和参考资料所需的产品。
40 名 IP（37 名来自美国，3 名来自国际）参加了焦点小组。与会者确定的所需参考资料包括非急性护理环境的感染预防指南；职业卫生政策；以及简短的多语言患者/家庭教育材料。IP 需接受培训的教育主题包括针对新型 H1N1 患者的隔离预防/个人防护设备建议、医院与社区反应机构之间的协调以及激增管理。与患者管理相关的建议迅速变化且相互冲突，这使得应对这一事件具有挑战性。IP 需要制定简洁、实时格式的综合感染预防指南。
IP 必须继续与公共卫生和其他反应机构合作，以解决大流行规划中的差距。
