[Occupational health and practice management of primary care practitioners during influenza pandemic 2009/10 in Germany - a survey of 1150 physicians participating in syndromic influenza surveillance at Robert Koch Institute].
Identifieur interne : 000158 ( Main/Exploration ); précédent : 000157; suivant : 000159[Occupational health and practice management of primary care practitioners during influenza pandemic 2009/10 in Germany - a survey of 1150 physicians participating in syndromic influenza surveillance at Robert Koch Institute].
Auteurs : U. Rexroth [Allemagne] ; S. Buda [Allemagne]Source :
- Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) [ 1439-4421 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Allemagne (épidémiologie), Femelle (MeSH), Grippe humaine (prévention et contrôle), Grippe humaine (épidémiologie), Humains (MeSH), Maladies professionnelles (prévention et contrôle), Maladies professionnelles (épidémiologie), Mâle (MeSH), Médecins de premier recours (statistiques et données numériques), Pandémies (prévention et contrôle), Pandémies (statistiques et données numériques), Santé au travail (statistiques et données numériques), Sujet âgé (MeSH), Surveillance de la population (MeSH), Types de pratiques des médecins (statistiques et données numériques), Vaccination (statistiques et données numériques), Vaccins antigrippaux (usage thérapeutique).
- MESH :
- prévention et contrôle : Grippe humaine, Maladies professionnelles, Pandémies.
- statistiques et données numériques : Médecins de premier recours, Pandémies, Santé au travail, Types de pratiques des médecins, Vaccination.
- usage thérapeutique : Vaccins antigrippaux.
- épidémiologie : Allemagne, Grippe humaine, Maladies professionnelles.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Sujet âgé, Surveillance de la population.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Female (MeSH), Germany (epidemiology), Humans (MeSH), Influenza Vaccines (therapeutic use), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Male (MeSH), Middle Aged (MeSH), Occupational Diseases (epidemiology), Occupational Diseases (prevention & control), Occupational Health (statistics & numerical data), Pandemics (prevention & control), Pandemics (statistics & numerical data), Physicians, Primary Care (statistics & numerical data), Population Surveillance (MeSH), Practice Patterns, Physicians' (statistics & numerical data), Vaccination (statistics & numerical data).
- MESH :
- chemical , therapeutic use : Influenza Vaccines.
- epidemiology : Germany, Influenza, Human, Occupational Diseases.
- prevention & control : Influenza, Human, Occupational Diseases, Pandemics.
- statistics & numerical data : Occupational Health, Pandemics, Physicians, Primary Care, Practice Patterns, Physicians', Vaccination.
- Adult, Aged, Female, Humans, Male, Middle Aged, Population Surveillance.
Abstract
BACKGROUND
In preparation of an influenza pandemic, public health authorities and professional organisations recommend physicians to change practice management for patients with acute respiratory infections (ARI), in order to reduce transmission and protect practice staff. This study evaluates the implementation of these recommendations during the influenza pandemic 2009/10.
METHODS
In 2010, we sent a standardised paper-and-pencil questionnaire on information sources, practice management, occupational safety and vaccination to physicians participating in the national sentinel syndromic influenza surveillance in Germany. Taken measures were compared according to specialisation of physicians.
RESULTS
Out of 1,150 physicians, 760 replied (66%). The recommendations were considered reasonable by 64%. Physicians used hand disinfection (76%), gloves (62%) and facial masks (52%) more frequently than usual. Overall, 68% changed their practice management during the pandemic. Physicians separated ARI patients spatially (74%) and in time (38%) from others. In 72%, physicians were vaccinated against pandemic influenza. The physicians found time and effort spent on the sentinel appropriate (82%), even during the influenza pandemic. Paediatricians considered the recommendations less practicable than GPs or internists.
CONCLUSION
The majority of participating physicians considered the recommendations on occupational safety reasonable and changed their practice management accordingly. However, the recommendations might not reflect the special needs of paediatricians.
DOI: 10.1055/s-0033-1355402
PubMed: 24165918
Affiliations:
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Buda</name><affiliation wicri:level="3"><nlm:affiliation>Robert Koch-Institut, Arbeitsgemeinschaft Influenza, Fachgebiet 36 (Respiratorisch übertragene Erkrankungen), Berlin.</nlm:affiliation><country>Allemagne</country><placeName><settlement type="city">Berlin</settlement><region type="land" nuts="2">Berlin</region></placeName><wicri:orgArea>Robert Koch-Institut, Arbeitsgemeinschaft Influenza, Fachgebiet 36 (Respiratorisch übertragene Erkrankungen)</wicri:orgArea></affiliation></author></analytic><series><title level="j">Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))</title><idno type="eISSN">1439-4421</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Female (MeSH)</term><term>Germany (epidemiology)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (therapeutic use)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (prevention & control)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Occupational Diseases (epidemiology)</term><term>Occupational Diseases (prevention & control)</term><term>Occupational Health (statistics & numerical data)</term><term>Pandemics (prevention & control)</term><term>Pandemics (statistics & numerical data)</term><term>Physicians, Primary Care (statistics & numerical data)</term><term>Population Surveillance (MeSH)</term><term>Practice Patterns, Physicians' (statistics & numerical data)</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Allemagne (épidémiologie)</term><term>Femelle (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Grippe humaine (épidémiologie)</term><term>Humains (MeSH)</term><term>Maladies professionnelles (prévention et contrôle)</term><term>Maladies professionnelles (épidémiologie)</term><term>Mâle (MeSH)</term><term>Médecins de premier recours (statistiques et données numériques)</term><term>Pandémies (prévention et contrôle)</term><term>Pandémies (statistiques et données numériques)</term><term>Santé au travail (statistiques et données numériques)</term><term>Sujet âgé (MeSH)</term><term>Surveillance de la population (MeSH)</term><term>Types de pratiques des médecins (statistiques et données numériques)</term><term>Vaccination (statistiques et données numériques)</term><term>Vaccins antigrippaux (usage thérapeutique)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Germany</term><term>Influenza, Human</term><term>Occupational Diseases</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term><term>Occupational Diseases</term><term>Pandemics</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Grippe humaine</term><term>Maladies professionnelles</term><term>Pandémies</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Occupational Health</term><term>Pandemics</term><term>Physicians, Primary Care</term><term>Practice Patterns, Physicians'</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Médecins de premier recours</term><term>Pandémies</term><term>Santé au travail</term><term>Types de pratiques des médecins</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Allemagne</term><term>Grippe humaine</term><term>Maladies professionnelles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Population Surveillance</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Surveillance de la population</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>In preparation of an influenza pandemic, public health authorities and professional organisations recommend physicians to change practice management for patients with acute respiratory infections (ARI), in order to reduce transmission and protect practice staff. This study evaluates the implementation of these recommendations during the influenza pandemic 2009/10.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>In 2010, we sent a standardised paper-and-pencil questionnaire on information sources, practice management, occupational safety and vaccination to physicians participating in the national sentinel syndromic influenza surveillance in Germany. Taken measures were compared according to specialisation of physicians.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Out of 1,150 physicians, 760 replied (66%). The recommendations were considered reasonable by 64%. Physicians used hand disinfection (76%), gloves (62%) and facial masks (52%) more frequently than usual. Overall, 68% changed their practice management during the pandemic. Physicians separated ARI patients spatially (74%) and in time (38%) from others. In 72%, physicians were vaccinated against pandemic influenza. The physicians found time and effort spent on the sentinel appropriate (82%), even during the influenza pandemic. Paediatricians considered the recommendations less practicable than GPs or internists.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The majority of participating physicians considered the recommendations on occupational safety reasonable and changed their practice management accordingly. However, the recommendations might not reflect the special needs of paediatricians.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24165918</PMID><DateCompleted><Year>2015</Year><Month>08</Month><Day>12</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1439-4421</ISSN><JournalIssue CitedMedium="Internet"><Volume>76</Volume><Issue>10</Issue><PubDate><Year>2014</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))</Title><ISOAbbreviation>Gesundheitswesen</ISOAbbreviation></Journal><ArticleTitle>[Occupational health and practice management of primary care practitioners during influenza pandemic 2009/10 in Germany - a survey of 1150 physicians participating in syndromic influenza surveillance at Robert Koch Institute].</ArticleTitle><Pagination><MedlinePgn>670-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0033-1355402</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In preparation of an influenza pandemic, public health authorities and professional organisations recommend physicians to change practice management for patients with acute respiratory infections (ARI), in order to reduce transmission and protect practice staff. This study evaluates the implementation of these recommendations during the influenza pandemic 2009/10.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">In 2010, we sent a standardised paper-and-pencil questionnaire on information sources, practice management, occupational safety and vaccination to physicians participating in the national sentinel syndromic influenza surveillance in Germany. Taken measures were compared according to specialisation of physicians.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Out of 1,150 physicians, 760 replied (66%). The recommendations were considered reasonable by 64%. Physicians used hand disinfection (76%), gloves (62%) and facial masks (52%) more frequently than usual. Overall, 68% changed their practice management during the pandemic. Physicians separated ARI patients spatially (74%) and in time (38%) from others. In 72%, physicians were vaccinated against pandemic influenza. The physicians found time and effort spent on the sentinel appropriate (82%), even during the influenza pandemic. Paediatricians considered the recommendations less practicable than GPs or internists.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The majority of participating physicians considered the recommendations on occupational safety reasonable and changed their practice management accordingly. However, the recommendations might not reflect the special needs of paediatricians.</AbstractText><CopyrightInformation>© Georg Thieme Verlag KG Stuttgart · New York.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rexroth</LastName><ForeName>U</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Robert Koch-Institut, Arbeitsgemeinschaft Influenza, Fachgebiet 36 (Respiratorisch übertragene Erkrankungen), Berlin.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Buda</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Robert Koch-Institut, Arbeitsgemeinschaft Influenza, Fachgebiet 36 (Respiratorisch übertragene Erkrankungen), Berlin.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Praxismanagement und Arbeitsschutz während der Influenza-Pandemie 2009/2010 - Eine Umfrage unter 1150 Ärzten der Arbeitsgemeinschaft Influenza am Robert Koch-Institut.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2013</Year><Month>10</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Gesundheitswesen</MedlineTA><NlmUniqueID>9204210</NlmUniqueID><ISSNLinking>0941-3790</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N">Germany</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009784" MajorTopicYN="N">Occupational Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016272" MajorTopicYN="N">Occupational Health</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058007" MajorTopicYN="N">Physicians, Primary Care</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011159" MajorTopicYN="N">Population Surveillance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010818" MajorTopicYN="N">Practice Patterns, Physicians'</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>10</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>10</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>8</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24165918</ArticleId><ArticleId IdType="doi">10.1055/s-0033-1355402</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Berlin</li></region><settlement><li>Berlin</li></settlement></list><tree><country name="Allemagne"><region name="Berlin"><name sortKey="Rexroth, U" sort="Rexroth, U" uniqKey="Rexroth U" first="U" last="Rexroth">U. 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