PandemieGrippaleV1, Main, Curation, bibRecord, 001849

Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic

Identifieur interne : 001849 ( Main/Curation ); précédent : 001848; suivant : 001850

Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic

Auteurs : Stella Beckman [États-Unis] ; Barbara Materna [États-Unis] ; Suzi Goldmacher [États-Unis] ; Jennifer Zipprich [États-Unis] ; Maryann D'Alessandro [États-Unis] ; Debra Novak [États-Unis] ; Robert Harrison [États-Unis]

Source :

American journal of infection control [ 0196-6553 ] ; 2013.

RBID : Pascal:14-0008698

Descripteurs français

KwdFr :
- Californie (épidémiologie), Grippe humaine (), Grippe humaine (épidémiologie), Humains, Hôpitaux, Infection croisée (), Infection croisée (épidémiologie), Pandémies, Respirateurs purificateurs d'air (), Sous-type H1N1 du virus de la grippe A (isolement et purification).
MESH :
- isolement et purification : Sous-type H1N1 du virus de la grippe A.
- épidémiologie : Californie, Grippe humaine, Infection croisée.
Pascal (Inist)
- Grippe humaine, Humains, Hôpitaux, Infection croisée, Pandémies, Respirateurs purificateurs d'air, Voie respiratoire, Protection, Californie, Hôpital, Aérosol, Infection, Contrôle, Pandémie, Grippe H1N1.
Wicri :
- topic : Aérosol.

English descriptors

KwdEn :
- Aerosols, California, California (epidemiology), Check, Cross Infection (epidemiology), Cross Infection (prevention & control), H1N1 influenza, Hospital, Hospitals, Humans, Infection, Influenza A Virus, H1N1 Subtype (isolation & purification), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Pandemics, Protection, Respiratory Protective Devices (statistics & numerical data), Respiratory tract.
MESH :
- epidemiology : California, Cross Infection, Influenza, Human.
- isolation & purification : Influenza A Virus, H1N1 Subtype.
- prevention & control : Cross Infection, Influenza, Human.
- statistics & numerical data : Respiratory Protective Devices.
- Hospitals, Humans, Pandemics.

Abstract

Background: Emergence of the novel 2009 influenza A H1N1 virus in California led to an evaluation of hospital respiratory protection programs (RPPs) and practices by the California Department of Public Health during the 2009-2010 influenza season. Methods: Onsite evaluation of 16 hospitals consisted of interviews with managers and health care workers about RPPs and practices, review of written RPPs. and limited observations of personnel using respirators. Data were analyzed using descriptive statistics. Results: All hospitals had implemented policies requiring the minimum use of N95 filtering facepiece respirators when working with patients with H1N1 virus infection; 95.5% of health care workers (n = 199) reported they would wear at least this level of protection when in close contact with a patient with confirmed or suspected H1N1 virus infection. However, evaluation of written RPPs indicated deficiencies in required areas, most commonly in recordkeeping, designation of a program administrator, program evaluation, employee training, and fit testing procedures. Conclusions: Health care workers were aware of respiratory protection required when providing care for patients with confirmed or suspected H1N1 virus infection. Hospitals should improve written RPPs. fully implement written procedures, and conduct periodic program evaluation to ensure effectiveness of respirator use for health care worker protection. Increased accessibility of resources tailored for hospital respirator program administrators may be helpful.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4615716

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<term>California</term>
<term>California (epidemiology)</term>
<term>Check</term>
<term>Cross Infection (epidemiology)</term>
<term>Cross Infection (prevention & control)</term>
<term>H1N1 influenza</term>
<term>Hospital</term>
<term>Hospitals</term>
<term>Humans</term>
<term>Infection</term>
<term>Influenza A Virus, H1N1 Subtype (isolation & purification)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Pandemics</term>
<term>Protection</term>
<term>Respiratory Protective Devices (statistics & numerical data)</term>
<term>Respiratory tract</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Californie (épidémiologie)</term>
<term>Grippe humaine ()</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains</term>
<term>Hôpitaux</term>
<term>Infection croisée ()</term>
<term>Infection croisée (épidémiologie)</term>
<term>Pandémies</term>
<term>Respirateurs purificateurs d'air ()</term>
<term>Sous-type H1N1 du virus de la grippe A (isolement et purification)</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>California</term>
<term>Cross Infection</term>
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
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<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cross Infection</term>
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Respiratory Protective Devices</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Californie</term>
<term>Grippe humaine</term>
<term>Infection croisée</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Hospitals</term>
<term>Humans</term>
<term>Pandemics</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Grippe humaine</term>
<term>Humains</term>
<term>Hôpitaux</term>
<term>Infection croisée</term>
<term>Pandémies</term>
<term>Respirateurs purificateurs d'air</term>
<term>Voie respiratoire</term>
<term>Protection</term>
<term>Californie</term>
<term>Hôpital</term>
<term>Aérosol</term>
<term>Infection</term>
<term>Contrôle</term>
<term>Pandémie</term>
<term>Grippe H1N1</term>
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<front><div type="abstract" xml:lang="en">Background: Emergence of the novel 2009 influenza A H1N1 virus in California led to an evaluation of hospital respiratory protection programs (RPPs) and practices by the California Department of Public Health during the 2009-2010 influenza season. Methods: Onsite evaluation of 16 hospitals consisted of interviews with managers and health care workers about RPPs and practices, review of written RPPs. and limited observations of personnel using respirators. Data were analyzed using descriptive statistics. Results: All hospitals had implemented policies requiring the minimum use of N95 filtering facepiece respirators when working with patients with H1N1 virus infection; 95.5% of health care workers (n = 199) reported they would wear at least this level of protection when in close contact with a patient with confirmed or suspected H1N1 virus infection. However, evaluation of written RPPs indicated deficiencies in required areas, most commonly in recordkeeping, designation of a program administrator, program evaluation, employee training, and fit testing procedures. Conclusions: Health care workers were aware of respiratory protection required when providing care for patients with confirmed or suspected H1N1 virus infection. Hospitals should improve written RPPs. fully implement written procedures, and conduct periodic program evaluation to ensure effectiveness of respirator use for health care worker protection. Increased accessibility of resources tailored for hospital respirator program administrators may be helpful.</div>
</front>
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<author><name sortKey="D Alessandro, Maryann" sort="D Alessandro, Maryann" uniqKey="D Alessandro M" first="Maryann" last="D'Alessandro">Maryann D'Alessandro</name>
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<author><name sortKey="Novak, Debra" sort="Novak, Debra" uniqKey="Novak D" first="Debra" last="Novak">Debra Novak</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic</title>
<author><name sortKey="Beckman, Stella" sort="Beckman, Stella" uniqKey="Beckman S" first="Stella" last="Beckman">Stella Beckman</name>
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<sZ>1 aut.</sZ>
</inist:fA14>
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<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>California Department of Public Health, Occupational Health Branch</s1>
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<placeName><region type="state">Californie</region>
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</affiliation>
</author>
<author><name sortKey="Materna, Barbara" sort="Materna, Barbara" uniqKey="Materna B" first="Barbara" last="Materna">Barbara Materna</name>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>California Department of Public Health, Occupational Health Branch</s1>
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</author>
<author><name sortKey="Goldmacher, Suzi" sort="Goldmacher, Suzi" uniqKey="Goldmacher S" first="Suzi" last="Goldmacher">Suzi Goldmacher</name>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>California Department of Public Health, Occupational Health Branch</s1>
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<placeName><region type="state">Californie</region>
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<affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Public Health Institute</s1>
<s2>Oakland, CA</s2>
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<placeName><region type="state">Californie</region>
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</affiliation>
</author>
<author><name sortKey="Zipprich, Jennifer" sort="Zipprich, Jennifer" uniqKey="Zipprich J" first="Jennifer" last="Zipprich">Jennifer Zipprich</name>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>California Department of Public Health, Occupational Health Branch</s1>
<s2>Richmond, CA</s2>
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<placeName><region type="state">Californie</region>
</placeName>
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<affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Centers for Disease Control and Prevention, Office of Workforce and Career Development, Epidemic Intelligence Service</s1>
<s2>Atlanta, GA</s2>
<s3>USA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="D Alessandro, Maryann" sort="D Alessandro, Maryann" uniqKey="D Alessandro M" first="Maryann" last="D'Alessandro">Maryann D'Alessandro</name>
<affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory</s1>
<s2>Pittsburgh, PA</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Novak, Debra" sort="Novak, Debra" uniqKey="Novak D" first="Debra" last="Novak">Debra Novak</name>
<affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory</s1>
<s2>Pittsburgh, PA</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Harrison, Robert" sort="Harrison, Robert" uniqKey="Harrison R" first="Robert" last="Harrison">Robert Harrison</name>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>California Department of Public Health, Occupational Health Branch</s1>
<s2>Richmond, CA</s2>
<s3>USA</s3>
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<placeName><region type="state">Californie</region>
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</analytic>
<series><title level="j" type="main">American journal of infection control</title>
<title level="j" type="abbreviated">Am. j. infect. control</title>
<idno type="ISSN">0196-6553</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">American journal of infection control</title>
<title level="j" type="abbreviated">Am. j. infect. control</title>
<idno type="ISSN">0196-6553</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aerosols</term>
<term>California</term>
<term>Check</term>
<term>H1N1 influenza</term>
<term>Hospital</term>
<term>Infection</term>
<term>Protection</term>
<term>Respiratory tract</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Voie respiratoire</term>
<term>Protection</term>
<term>Californie</term>
<term>Hôpital</term>
<term>Aérosol</term>
<term>Infection</term>
<term>Contrôle</term>
<term>Pandémie</term>
<term>Grippe H1N1</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Aérosol</term>
</keywords>
</textClass>
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</teiHeader>
<front><div type="abstract" xml:lang="en">Background: Emergence of the novel 2009 influenza A H1N1 virus in California led to an evaluation of hospital respiratory protection programs (RPPs) and practices by the California Department of Public Health during the 2009-2010 influenza season. Methods: Onsite evaluation of 16 hospitals consisted of interviews with managers and health care workers about RPPs and practices, review of written RPPs. and limited observations of personnel using respirators. Data were analyzed using descriptive statistics. Results: All hospitals had implemented policies requiring the minimum use of N95 filtering facepiece respirators when working with patients with H1N1 virus infection; 95.5% of health care workers (n = 199) reported they would wear at least this level of protection when in close contact with a patient with confirmed or suspected H1N1 virus infection. However, evaluation of written RPPs indicated deficiencies in required areas, most commonly in recordkeeping, designation of a program administrator, program evaluation, employee training, and fit testing procedures. Conclusions: Health care workers were aware of respiratory protection required when providing care for patients with confirmed or suspected H1N1 virus infection. Hospitals should improve written RPPs. fully implement written procedures, and conduct periodic program evaluation to ensure effectiveness of respirator use for health care worker protection. Increased accessibility of resources tailored for hospital respirator program administrators may be helpful.</div>
</front>
</TEI>
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<PMC><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic</title>
<author><name sortKey="Beckman, Stella" sort="Beckman, Stella" uniqKey="Beckman S" first="Stella" last="Beckman">Stella Beckman</name>
<affiliation wicri:level="2"><nlm:aff id="aff1">Epidemiology Fellowship Program, Council of State and Territorial Epidemiologists, Atlanta, GA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
<wicri:cityArea>Epidemiology Fellowship Program, Council of State and Territorial Epidemiologists, Atlanta</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="aff2">California Department of Public Health, Occupational Health Branch, Richmond, CA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>California Department of Public Health, Occupational Health Branch, Richmond</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Materna, Barbara" sort="Materna, Barbara" uniqKey="Materna B" first="Barbara" last="Materna">Barbara Materna</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
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<author><name sortKey="Goldmacher, Suzi" sort="Goldmacher, Suzi" uniqKey="Goldmacher S" first="Suzi" last="Goldmacher">Suzi Goldmacher</name>
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<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>California Department of Public Health, Occupational Health Branch, Richmond</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="aff3">Public Health Institute, Oakland, CA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>Public Health Institute, Oakland</wicri:cityArea>
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</author>
<author><name sortKey="Zipprich, Jennifer" sort="Zipprich, Jennifer" uniqKey="Zipprich J" first="Jennifer" last="Zipprich">Jennifer Zipprich</name>
<affiliation wicri:level="2"><nlm:aff id="aff2">California Department of Public Health, Occupational Health Branch, Richmond, CA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>California Department of Public Health, Occupational Health Branch, Richmond</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="aff4">Centers for Disease Control and Prevention, Office of Workforce and Career Development, Epidemic Intelligence Service, Atlanta, GA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
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</author>
<author><name sortKey="D Alessandro, Maryann" sort="D Alessandro, Maryann" uniqKey="D Alessandro M" first="Maryann" last="D'Alessandro">Maryann D'Alessandro</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
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</author>
<author><name sortKey="Novak, Debra" sort="Novak, Debra" uniqKey="Novak D" first="Debra" last="Novak">Debra Novak</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory, Pittsburgh</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Harrison, Robert" sort="Harrison, Robert" uniqKey="Harrison R" first="Robert" last="Harrison">Robert Harrison</name>
<affiliation wicri:level="2"><nlm:aff id="aff2">California Department of Public Health, Occupational Health Branch, Richmond, CA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
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<author><name sortKey="Materna, Barbara" sort="Materna, Barbara" uniqKey="Materna B" first="Barbara" last="Materna">Barbara Materna</name>
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<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>California Department of Public Health, Occupational Health Branch, Richmond</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Goldmacher, Suzi" sort="Goldmacher, Suzi" uniqKey="Goldmacher S" first="Suzi" last="Goldmacher">Suzi Goldmacher</name>
<affiliation wicri:level="2"><nlm:aff id="aff2">California Department of Public Health, Occupational Health Branch, Richmond, CA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>California Department of Public Health, Occupational Health Branch, Richmond</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="aff3">Public Health Institute, Oakland, CA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>Public Health Institute, Oakland</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Zipprich, Jennifer" sort="Zipprich, Jennifer" uniqKey="Zipprich J" first="Jennifer" last="Zipprich">Jennifer Zipprich</name>
<affiliation wicri:level="2"><nlm:aff id="aff2">California Department of Public Health, Occupational Health Branch, Richmond, CA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>California Department of Public Health, Occupational Health Branch, Richmond</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="aff4">Centers for Disease Control and Prevention, Office of Workforce and Career Development, Epidemic Intelligence Service, Atlanta, GA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
<wicri:cityArea>Centers for Disease Control and Prevention, Office of Workforce and Career Development, Epidemic Intelligence Service, Atlanta</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="D Alessandro, Maryann" sort="D Alessandro, Maryann" uniqKey="D Alessandro M" first="Maryann" last="D'Alessandro">Maryann D'Alessandro</name>
<affiliation wicri:level="2"><nlm:aff id="aff5">Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory, Pittsburgh, PA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory, Pittsburgh</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Novak, Debra" sort="Novak, Debra" uniqKey="Novak D" first="Debra" last="Novak">Debra Novak</name>
<affiliation wicri:level="2"><nlm:aff id="aff5">Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory, Pittsburgh, PA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory, Pittsburgh</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Harrison, Robert" sort="Harrison, Robert" uniqKey="Harrison R" first="Robert" last="Harrison">Robert Harrison</name>
<affiliation wicri:level="2"><nlm:aff id="aff2">California Department of Public Health, Occupational Health Branch, Richmond, CA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>California Department of Public Health, Occupational Health Branch, Richmond</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series><title level="j">American Journal of Infection Control</title>
<idno type="ISSN">0196-6553</idno>
<idno type="eISSN">1527-3296</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>California (epidemiology)</term>
<term>Cross Infection (epidemiology)</term>
<term>Cross Infection (prevention & control)</term>
<term>Hospitals</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype (isolation & purification)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Pandemics</term>
<term>Respiratory Protective Devices (statistics & numerical data)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Californie (épidémiologie)</term>
<term>Grippe humaine ()</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains</term>
<term>Hôpitaux</term>
<term>Infection croisée ()</term>
<term>Infection croisée (épidémiologie)</term>
<term>Pandémies</term>
<term>Respirateurs purificateurs d'air ()</term>
<term>Sous-type H1N1 du virus de la grippe A (isolement et purification)</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>California</term>
<term>Cross Infection</term>
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cross Infection</term>
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Respiratory Protective Devices</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Californie</term>
<term>Grippe humaine</term>
<term>Infection croisée</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Hospitals</term>
<term>Humans</term>
<term>Pandemics</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Grippe humaine</term>
<term>Humains</term>
<term>Hôpitaux</term>
<term>Infection croisée</term>
<term>Pandémies</term>
<term>Respirateurs purificateurs d'air</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Emergence of the novel 2009 influenza A H1N1 virus in California led to an evaluation of hospital respiratory protection programs (RPPs) and practices by the California Department of Public Health during the 2009-2010 influenza season.</p>
</sec>
<sec><title>Methods</title>
<p>Onsite evaluation of 16 hospitals consisted of interviews with managers and health care workers about RPPs and practices, review of written RPPs, and limited observations of personnel using respirators. Data were analyzed using descriptive statistics.</p>
</sec>
<sec><title>Results</title>
<p>All hospitals had implemented policies requiring the minimum use of N95 filtering facepiece respirators when working with patients with H1N1 virus infection; 95.5% of health care workers (n = 199) reported they would wear at least this level of protection when in close contact with a patient with confirmed or suspected H1N1 virus infection. However, evaluation of written RPPs indicated deficiencies in required areas, most commonly in recordkeeping, designation of a program administrator, program evaluation, employee training, and fit testing procedures.</p>
</sec>
<sec><title>Conclusions</title>
<p>Health care workers were aware of respiratory protection required when providing care for patients with confirmed or suspected H1N1 virus infection. Hospitals should improve written RPPs, fully implement written procedures, and conduct periodic program evaluation to ensure effectiveness of respirator use for health care worker protection. Increased accessibility of resources tailored for hospital respirator program administrators may be helpful.</p>
</sec>
</div>
</front>
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</div1>
</back>
</TEI>
</PMC>
</double>
</record>

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Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic

Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic

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