Department of Pathology and Molecular Medicine, Queen's University and Infection Control Service, Kingston General Hospital, Kingston, Ontario, Canada.
Am J Infect Control. 2010 Feb;38(1):3-8. doi: 10.1016/j.ajic.2009.10.002. Epub 2009 Dec 22.
There will be little time to prepare when an influenza pandemic strikes; hospitals need to develop and test pandemic influenza plans beforehand.
Acute care hospitals in Ontario were surveyed regarding their pandemic influenza preparedness plans.
The response rate was 78.5%, and 95 of 121 hospitals participated. Three quarters (76.8%, 73 of 95) of hospitals had pandemic influenza plans. Only 16.4% (12 of 73) of hospitals with plans had tested them. Larger (chi(2) = 6.7, P = .01) and urban hospitals (chi(2) = 5.0, P = .03) were more likely to have tested their plans. 70.4% (50 of 71) Of respondents thought the pandemic influenza planning process was not adequately funded. No respondents were "very satisfied" with the completeness of their hospital's pandemic plan, and only 18.3% were "satisfied."
Important challenges were identified in pandemic planning: one quarter of hospitals did not have a plan, few plans were tested, key players were not involved, plans were frequently incomplete, funding was inadequate, and small and rural hospitals were especially disadvantaged. If these problems are not addressed, the result may be increased morbidity and mortality when a virulent influenza pandemic hits.
流感大流行爆发时几乎没有时间准备；医院需要事先制定和测试大流行流感计划。
对安大略省的急症护理医院进行了大流行流感准备计划调查。
回应率为 78.5%，有 121 家医院中有 95 家参与。四分之三（76.8%，73/95）的医院有大流行流感计划。只有 16.4%（12/73）的有计划的医院对其进行了测试。较大的（chi(2) = 6.7，P =.01）和城市医院（chi(2) = 5.0，P =.03）更有可能测试他们的计划。70.4%（50/71）的受访者认为大流行流感规划过程没有得到充分资金支持。没有受访者对医院大流行计划的完整性“非常满意”，只有 18.3%的人“满意”。
在大流行规划中发现了重要的挑战：四分之一的医院没有计划，很少有计划进行测试，关键人员没有参与，计划经常不完整，资金不足，小医院和农村医院尤其处于不利地位。如果这些问题得不到解决，当一种致命的流感大流行来袭时，可能会导致发病率和死亡率上升。
