Tartari Ermira, Allegranzi Benedetta, Ang Brenda, Calleja Neville, Collignon Peter, Hopman Joost, Lang Lily, Lee Lai Chee, Ling Moi Lin, Mehtar Shaheen, Tambyah Paul A, Widmer Andreas, Voss Andreas
Infection Control Unit, Mater Dei Hospital, Msida, Malta.
World Health Organization, Geneva, Switzerland.
Antimicrob Resist Infect Control. 2015 Jun 8;4:22. doi: 10.1186/s13756-015-0061-8. eCollection 2015.
In response to global concerns about the largest Ebola virus disease (EVD), outbreak to-date in West Africa documented healthcare associated transmission and the risk of global spread, the International Society of Chemotherapy (ISC) Infection Control Working Group created an Ebola Infection Control Readiness Checklist to assess the preparedness of institutions around the globe. We report data from the electronic checklist that was disseminated to medical professionals from October to December 2014 and identify action needed towards better preparedness levels.
Data from 192 medical professionals (one third from Africa) representing 125 hospitals in 45 countries around the globe were obtained through a specifically developed electronic survey. The survey contained 76 specific questions in 7 major sections: Administrative/operational support; Communications; Education and audit; Human resources, Supplies, Infection Prevention and Control practices and Clinical management of patients. The majority of respondents were infectious disease specialists/infection control consultants/clinical microbiologists (75; 39 %), followed by infection control professionals (59; 31 %) and medical doctors of other specialties (17; 9 %). Nearly all (149; 92 %) were directly involved in Ebola preparedness activities. Whilst, 54 % indicated that their hospital would need to handle suspected and proven Ebola cases, the others would subsequently transfer suspected cases to a specialized centre.
The results from our survey reveal that the general preparedness levels for management of potentially suspected cases of Ebola virus disease is only partially adequate in hospitals. Hospitals designated for admitting EVD suspected and proven patients had more frequently implemented Infection Control preparedness activities than hospitals that would subsequently transfer potential EVD cases to other centres. Results from this first international survey provide a framework for future efforts to improve hospital preparedness worldwide.
为应对全球对西非有史以来最大规模埃博拉病毒病（EVD）疫情的关注，该疫情记录了医疗保健相关传播以及全球传播风险，国际化疗学会（ISC）感染控制工作组创建了埃博拉感染控制准备清单，以评估全球各机构的准备情况。我们报告了2014年10月至12月分发给医学专业人员的电子清单数据，并确定为提高准备水平所需采取的行动。
通过专门开发的电子调查，获得了来自全球45个国家125家医院的192名医学专业人员（三分之一来自非洲）的数据。该调查在7个主要部分包含76个具体问题：行政/运营支持；沟通；教育与审计；人力资源、物资、感染预防与控制措施以及患者的临床管理。大多数受访者是传染病专家/感染控制顾问/临床微生物学家（75人；39%），其次是感染控制专业人员（59人；31%）和其他专科医生（17人；9%）。几乎所有受访者（149人；92%）都直接参与了埃博拉准备活动。虽然54%的人表示他们的医院需要处理疑似和确诊的埃博拉病例，但其他人随后会将疑似病例转诊至专门中心。
我们的调查结果显示，医院对潜在疑似埃博拉病毒病病例的总体准备水平仅部分充足。指定收治埃博拉病毒病疑似和确诊患者的医院比随后将潜在埃博拉病毒病病例转诊至其他中心的医院更频繁地开展了感染控制准备活动。这项首次国际调查的结果为未来全球范围内提高医院准备水平的努力提供了一个框架。
