Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States.
Geriatrics Research Education and Clinical Center, Veterans' Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, United States.
Infect Control Hosp Epidemiol. 2022 Feb;43(2):156-166. doi: 10.1017/ice.2021.25. Epub 2021 Jan 25.
This SHEA white paper identifies knowledge gaps and challenges in healthcare epidemiology research related to coronavirus disease 2019 (COVID-19) with a focus on core principles of healthcare epidemiology. These gaps, revealed during the worst phases of the COVID-19 pandemic, are described in 10 sections: epidemiology, outbreak investigation, surveillance, isolation precaution practices, personal protective equipment (PPE), environmental contamination and disinfection, drug and supply shortages, antimicrobial stewardship, healthcare personnel (HCP) occupational safety, and return to work policies. Each section highlights three critical healthcare epidemiology research questions with detailed description provided in supplementary materials. This research agenda calls for translational studies from laboratory-based basic science research to well-designed, large-scale studies and health outcomes research. Research gaps and challenges related to nursing homes and social disparities are included. Collaborations across various disciplines, expertise and across diverse geographic locations will be critical.
这份 SHEA 白皮书确定了与 2019 年冠状病毒病（COVID-19）相关的医疗保健流行病学研究中的知识空白和挑战，重点是医疗保健流行病学的核心原则。这些在 COVID-19 大流行最严重阶段暴露出来的差距在 10 个部分中进行了描述：流行病学、疫情调查、监测、隔离预防措施、个人防护设备（PPE）、环境污染和消毒、药物和用品短缺、抗菌药物管理、医护人员（HCP）职业安全以及返工政策。每个部分都强调了三个关键的医疗保健流行病学研究问题，并在补充材料中提供了详细说明。该研究议程呼吁从基于实验室的基础科学研究到精心设计的大规模研究和健康结果研究进行转化研究。还包括与养老院和社会差异相关的研究差距和挑战。跨不同学科、专业知识和不同地理位置的合作将是至关重要的。
