Rebmann Terri, Loux Travis M, Zink Thomas K, Swick Zachary, Wakefield Mary
Department of Environmental and Occupational Health, Institute for Biosecurity, College for Public Health & Social Justice, Saint Louis University, St Louis, MO.
Department of Biostatistics, College for Public Health & Social Justice, Saint Louis University, St Louis, MO.
Am J Infect Control. 2015 Mar 1;43(3):222-7. doi: 10.1016/j.ajic.2014.11.012. Epub 2015 Jan 27.
Points of dispensing (PODs) are deployed for medical countermeasure mass dispensing. However, infection prevention and vaccine administration pre-event training offered and just-in-time (JIT) education planned for POD workers have not been assessed.
Disaster planners were sent an online questionnaire in 2013. McNemar tests compared training offered to staff versus volunteers and pre-event training versus JIT training.
In total, 301 disaster planners participated. The most frequent pre-event training included hand hygiene (59.1% and 28.0%) and personal protective equipment (PPE) selection (52.1% and 24.1%) for staff and volunteers, respectively. Few provided pre-event training on the cold chain technique (14.8% and 5.1%) or smallpox vaccine administration (4.7% and 2.3%) for staff or volunteers. For all topics except smallpox vaccine administration, more staff than volunteers received pre-event training (P < .01). The most frequent planned JIT training includes hand hygiene (79.8% and 73.5%) and PPE selection (79.4% and 70.0%) to staff and volunteers. For all topics, more JIT education is planned for staff than volunteers (P < .001). More JIT training is planned than has been given pre-event for all topics (P < .001).
More pre-event training is needed on infection prevention and vaccine administration to ensure safe and successful POD deployment.
分发点（PODs）用于医疗对策的大规模分发。然而，针对分发点工作人员提供的感染预防和疫苗接种事前培训以及计划中的即时（JIT）教育尚未得到评估。
2013年向灾难规划者发送了一份在线调查问卷。采用McNemar检验比较向工作人员与志愿者提供的培训以及事前培训与即时培训。
共有301名灾难规划者参与。最常见的事前培训分别包括针对工作人员和志愿者的手部卫生（59.1%和28.0%）以及个人防护装备（PPE）选择（52.1%和24.1%）。很少有机构针对工作人员或志愿者提供冷链技术（14.8%和5.1%）或天花疫苗接种（4.7%和2.3%）的事前培训。除天花疫苗接种外，所有主题中，接受事前培训的工作人员比志愿者更多（P <.01）。最常见的计划即时培训包括针对工作人员和志愿者的手部卫生（79.8%和73.5%）以及PPE选择（79.4%和70.0%）。对于所有主题，计划为工作人员提供的即时教育比志愿者更多（P <.001）。所有主题计划的即时培训都比事前培训更多（P <.001）。
需要在感染预防和疫苗接种方面开展更多事前培训，以确保安全、成功地部署分发点。
