Simulated Pediatric Resuscitation Use for Personal Protective Equipment Adherence Measurement and Training During the 2009 Influenza (H1N1) Pandemic

摘要

During an influenza pandemic, such as with the 2009 influenza A (H1N1) virus, minimizing the risk of bidirectional health care-associated transmission between patients and health care workers (HCWs) represents an urgent priority with unique challenges.~(1,2) During the 14 months that the World Health Organization (WHO) considered the 2009 outbreak to be novel, sustained, and global in spread-a true pandemic-the 2009 H1N1 virus was detected in 214 cerritories and countries and attributed to at least 18,449 deaths, with some further estimates suggesting that 20% to 40% of the population was infected at some point,~(3,4) Unlike annual influenza and more akin epidemiologically to past epidemics, the 2009 H1N1 attack rate was greatest among children 5 to 14 years of age, exceeding 14 times the attack rate for adults 60 years and older.5 Hospitaliza-tion rates were also greatest among children younger than 4 years of age, with higher mortality among children younger than 5 years of age and those with at least one high-risk medical condition.~6