Hospital Universitario La Paz-IDIPAZ, Madrid, Spain.
Clin Microbiol Infect. 2011 Jun;17(6):845-50. doi: 10.1111/j.1469-0691.2010.03322.x. Epub 2010 Jul 29.
The first influenza pandemic in more than 40 years was declared in 2009. We aimed to evaluate the beliefs of Spanish infectious diseases professionals regarding several aspects of 2009 A (H1N1) influenza once the epidemic waned. An online survey was designed and distributed among members of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC). The survey considered hospital organization and preparedness planning and conduct, as well as the opinion of the infectious diseases professionals regarding several key issues. Between 7 March and 22 March 2010, 303 responses, corresponding to 12.8% of the SEIMC membership, were received. Of the respondents, 48.2% were microbiologists and 42.3% were clinicians dealing with infectious diseases. Forty-one per cent of respondents did not believe that 2009 A (H1N1) influenza had a more severe presentation than other seasonal influenzas. Only 5% fully agreed that 2009 A (H1N1) influenza had a more severe presentation. Influenza planning was available in 69.7% of represented institutions before the arrival of 2009 A (H1N1) influenza, and was considered to be useful, to different extents, by most professionals. In most institutions (88.3%), a multidisciplinary team was created to coordinate local pandemic influenza actions. The most successful protocols were those provided by regional healthcare authorities, followed by those from the CDC. The most problematic issues regarding 2009 A (H1N1) influenza were the management of patients in the emergency room and the vaccination and awareness of healthcare professionals (HCPs) regarding infection control. Microbiological diagnosis and the availability of antivirals were the least problematic areas. Although the majority of surveyed infectious diseases professionals did not believe that 2009 A (H1N1) influenza had an especially severe presentation, most of them agreed with the way that this epidemic was managed in their institutions.
2009 年宣布了 40 多年来的第一次流感大流行。我们旨在评估西班牙传染病专业人员在大流行消退后对 2009 年甲型 H1N1 流感的几个方面的看法。设计了一项在线调查，并分发给西班牙传染病学会和临床微生物学学会（SEIMC）的成员。该调查考虑了医院组织和准备计划的实施，以及传染病专业人员对几个关键问题的看法。2010 年 3 月 7 日至 22 日期间，收到了 303 份回复，占 SEIMC 成员的 12.8%。在回复者中，48.2%是微生物学家，42.3%是处理传染病的临床医生。41%的受访者不认为 2009 年甲型 H1N1 流感的表现比其他季节性流感更严重。只有 5%的人完全同意 2009 年甲型 H1N1 流感的表现更严重。在 2009 年甲型 H1N1 流感到来之前，69.7%的代表机构已经制定了流感计划，大多数专业人员认为这些计划在不同程度上是有用的。在大多数机构（88.3%）中，成立了一个多学科团队来协调当地的大流行性流感行动。最成功的方案是由区域卫生当局提供的方案，其次是由疾病预防控制中心提供的方案。2009 年甲型 H1N1 流感最成问题的问题是急诊室患者的管理以及医护人员（HCPs）对感染控制的疫苗接种和认识。微生物学诊断和抗病毒药物的供应是最不成问题的领域。尽管大多数接受调查的传染病专业人员不认为 2009 年甲型 H1N1 流感的表现特别严重，但他们大多数都同意他们所在机构管理这种流行病的方式。
