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爱达荷州医院应对 COVID-19 准备情况调查。

A Survey of COVID-19 Preparedness Among Hospitals in Idaho.

机构信息

Infectious Diseases, HIV and Travel Medicine, Tri-State Memorial Hospital, Clarkston, Washinton.

Infection Prevention, Saint Alphonsus Medical Center, Nampa, Idaho.

出版信息

Infect Control Hosp Epidemiol. 2020 Sep;41(9):1003-1010. doi: 10.1017/ice.2020.218. Epub 2020 May 11.

Abstract

BACKGROUND

SARS-CoV-2 has been implicated in the largest recorded coronavirus outbreak to date. Initially, most COVID-19 cases were in China, but the virus has spread to more than 184 countries worldwide, and the United States currently has more cases than any other country.

OBJECTIVE

With person-to-person spread expanding in the United States, we describe hospital preparedness for managing suspected and confirmed COVID-19 patients.

DESIGN

Cross-sectional survey focused on various elements of respiratory disease preparedness.

SETTING

Critical access hospitals (CAHs) and acute-care hospitals (ACHs) in Idaho.

METHODS

The electronic survey was sent to infection preventionists (IPs) and nurse administrators in 44 hospitals in Idaho.

RESULTS

Overall, 32 (73%) hospitals responded to the survey. Participating facilities reported their preparedness with respect to existing, formalized structures for managing infectious disease incidents-specifically COVID-19-as well as availability of resources, such as isolation rooms and personal protective equipment, for safely managing suspected and confirmed COVID-19 cases.

CONCLUSIONS

Hospitals covered by the survey had varying levels of preparedness for managing COVID-19 cases, with differences across the various categories of interest in this study. Although the study reveals strengths, including in application of emergency management and infection control frameworks, it also suggests that other areas, such as consistent implementation of federal guidelines and requirements for infection prevention, are potential areas for strengthening preparedness for SARS-CoV-2 and other respiratory pathogens with pandemic potential.

摘要

背景

SARS-CoV-2 被认为与迄今为止最大规模的冠状病毒爆发有关。最初,大多数 COVID-19 病例在中国,但该病毒已传播到全球 184 多个国家,美国目前的病例数超过任何其他国家。

目的

随着人际传播在美国的扩大,我们描述了美国医院为管理疑似和确诊 COVID-19 患者所做的准备工作。

设计

横断面调查,重点关注呼吸道疾病准备的各个方面。

地点

爱达荷州的基层医疗医院 (CAHs) 和急性护理医院 (ACHs)。

方法

电子调查发送给爱达荷州 44 家医院的感染预防员 (IP) 和护士管理人员。

结果

共有 32 家 (73%) 医院对调查做出了回应。参与的医疗机构报告了其在管理传染病事件方面的准备情况,特别是 COVID-19,以及管理疑似和确诊 COVID-19 病例所需的隔离室和个人防护设备等资源的可用性。

结论

接受调查的医院在管理 COVID-19 病例方面的准备程度各不相同,在本研究关注的各个类别中存在差异。尽管该研究显示了一些优势,包括在紧急管理和感染控制框架的应用方面,但也表明其他领域,如联邦指南的一致实施和感染预防的要求,可能是加强对 SARS-CoV-2 和其他具有大流行潜力的呼吸道病原体的准备的潜在领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93c0/7294077/d1d8dcd4d5fe/S0899823X20002184_fig1.jpg

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