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Infectious Disease Physician Assessment of Hospital Preparedness for Ebola Virus Disease

机译:医院对埃博拉病毒病的准备情况的传染病医师评估

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Background.?The first case of Ebola diagnosed in the United States and subsequent cases among 2 healthcare workers caring for that patient highlighted the importance of hospital preparedness in caring for Ebola patients. Methods.?From October 21, 2014 to November 11, 2014, infectious disease physicians who are part of the Emerging Infections Network (EIN) were surveyed about current Ebola preparedness at their institutions. Results.?Of 1566 EIN physician members, 869 (55.5%) responded to this survey. Almost all institutions represented in this survey showed a substantial degree of preparation for the management of patients with suspected and confirmed Ebola virus disease. Despite concerns regarding shortages of personal protective equipment, approximately two thirds of all respondents reported that their facilities had sufficient and ready availability of hoods, full body coveralls, and fluid-resistant or impermeable aprons. The majority of respondents indicated preference for transfer of Ebola patients to specialized treatment centers rather than caring for them locally. In general, we found that larger hospitals and teaching hospitals reported higher levels of preparedness. Conclusions.?Prior to the Centers for Disease Control and Prevention's plan for a tiered approach that identified specific roles for frontline, assessment, and designated treatment facilities, our query of infectious disease physicians suggested that healthcare facilities across the United States were making preparations for screening, diagnosis, and treatment of Ebola patients. Nevertheless, respondents from some hospitals indicated that they were relatively unprepared.
机译:背景:在美国诊断出第一例埃博​​拉病毒,随后在两名护理该患者的医护人员中发现了埃博拉病毒,这凸显了医院准备在照顾埃博拉病毒患者方面的重要性。方法:从2014年10月21日至2014年11月11日,对属于新兴感染网络(EIN)的传染病医生进行了调查,了解其机构当前的埃博拉疫情准备情况。结果。在1566名EIN医师中,有869名(55.5%)对此调查做出了回应。参加此次调查的几乎所有机构都为管理可疑和确诊的埃博拉病毒病患者做好了充分的准备。尽管担心缺少个人防护设备,但所有受访者中约有三分之二报告说,他们的设施有足够的现成的罩子,全身连体工作服以及防流体或不渗透的围裙。大多数受访者表示,他们更愿意将埃博拉患者转移到专门的治疗中心,而不是在当地照顾他们。通常,我们发现大型医院和教学医院的备灾水平更高。结论:在疾病控制与预防中心制定分级方法的计划之前,该方法确定了前线,评估和指定治疗设施的具体作用,我们对传染病医生的询问表明,美国各地的医疗机构正在为筛查做准备,埃博拉病毒患者的诊断和治疗。但是,一些医院的受访者表示他们没有准备好。

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