大流行性流感：对危重病护理服务的准备和提供的影响。
Pandemic influenza: implications for preparation and delivery of critical care services.
机构信息
Department of Emergency Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA 01655, USA.
出版信息
J Intensive Care Med. 2011 Nov-Dec;26(6):347-67. doi: 10.1177/0885066610393314. Epub 2011 Jan 10.
Abstract
In a 5-week span during the 1918 influenza A pandemic, more than 2000 patients were admitted to Cook County Hospital in Chicago, with a diagnosis of either influenza or pneumonia; 642 patients, approximately 31% of those admitted, died, with deaths occurring predominantly in patients of age 25 to 30 years. This review summarizes basic information on the biology, epidemiology, control, treatment and prevention of influenza overall, and then addresses the potential impact of pandemic influenza in an intensive care unit setting. Issues that require consideration include workforce staffing and safety, resource management, alternate sites of care surge of patients, altered standards of care, and crisis communication.
摘要
在 1918 年流感大流行期间的 5 周内，芝加哥库克县医院收治了 2000 多名患有流感或肺炎的患者；其中 642 名患者，约占入院患者的 31%，死亡，死亡主要发生在 25 至 30 岁的患者中。本综述总结了流感在生物学、流行病学、控制、治疗和预防方面的基本信息，然后讨论了大流行流感在重症监护病房环境中的潜在影响。需要考虑的问题包括劳动力配备和安全、资源管理、患者激增的替代护理地点、护理标准的改变，以及危机沟通。
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