Preparing intensive care for the next pandemic influenza
Identifieur interne : 002015 ( Ncbi/Merge ); précédent : 002014; suivant : 002016Preparing intensive care for the next pandemic influenza
Auteurs : Taylor Kain ; Robert FowlerSource :
- Critical Care [ 1364-8535 ] ; 2019.
Descripteurs français
- KwdFr :
- Flambées de maladies (), Grippe humaine (), Grippe humaine (physiopathologie), Humains, Pandémies (), Protection civile (), Protection civile (tendances), Soins de réanimation (), Soins de réanimation (tendances), Sous-type H5N1 du virus de la grippe A (pathogénicité), Sous-type H7N9 du virus de la grippe A (pathogénicité), Triage (), Triage (tendances).
- MESH :
- pathogénicité : Sous-type H5N1 du virus de la grippe A, Sous-type H7N9 du virus de la grippe A.
- physiopathologie : Grippe humaine.
- tendances : Protection civile, Soins de réanimation, Triage.
- Flambées de maladies, Grippe humaine, Humains, Pandémies, Protection civile, Soins de réanimation, Triage.
English descriptors
- KwdEn :
- Civil Defense (methods), Civil Defense (trends), Critical Care (methods), Critical Care (trends), Disease Outbreaks (prevention & control), Humans, Influenza A Virus, H5N1 Subtype (pathogenicity), Influenza A Virus, H7N9 Subtype (pathogenicity), Influenza, Human (physiopathology), Influenza, Human (prevention & control), Pandemics (prevention & control), Triage (methods), Triage (trends).
- MESH :
- methods : Civil Defense, Critical Care, Triage.
- pathogenicity : Influenza A Virus, H5N1 Subtype, Influenza A Virus, H7N9 Subtype.
- physiopathology : Influenza, Human.
- prevention & control : Disease Outbreaks, Influenza, Human, Pandemics.
- trends : Civil Defense, Critical Care, Triage.
- Humans.
Abstract
Few viruses have shaped the course of human history more than influenza viruses. A century since the 1918–1919 Spanish influenza pandemic—the largest and deadliest influenza pandemic in recorded history—we have learned much about pandemic influenza and the origins of antigenic drift among influenza A viruses. Despite this knowledge, we remain largely underprepared for when the next major pandemic occurs.
While emergency departments are likely to care for the first cases of pandemic influenza, intensive care units (ICUs) will certainly see the sickest and will likely have the most complex issues regarding resource allocation. Intensivists must therefore be prepared for the next pandemic influenza virus. Preparation requires multiple steps, including careful surveillance for new pandemics, a scalable response system to respond to surge capacity, vaccine production mechanisms, coordinated communication strategies, and stream-lined research plans for timely initiation during a pandemic. Conservative models of a large-scale influenza pandemic predict more than 170% utilization of ICU-level resources. When faced with pandemic influenza, ICUs must have a strategy for resource allocation as strain increases on the system.
There are several current threats, including avian influenza A(H5N1) and A(H7N9) viruses. As humans continue to live in closer proximity to each other, travel more extensively, and interact with greater numbers of birds and livestock, the risk of emergence of the next pandemic influenza virus mounts. Now is the time to prepare and coordinate local, national, and global efforts.
Url:
DOI: 10.1186/s13054-019-2616-1
PubMed: 31665057
PubMed Central: 6819413
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Links to Exploration step
PMC:6819413Le document en format XML
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<term>Disease Outbreaks (prevention & control)</term>
<term>Humans</term>
<term>Influenza A Virus, H5N1 Subtype (pathogenicity)</term>
<term>Influenza A Virus, H7N9 Subtype (pathogenicity)</term>
<term>Influenza, Human (physiopathology)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Pandemics (prevention & control)</term>
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<term>Pandémies ()</term>
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<term>Soins de réanimation (tendances)</term>
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<term>Sous-type H7N9 du virus de la grippe A (pathogénicité)</term>
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<front><div type="abstract" xml:lang="en"><p id="Par1">Few viruses have shaped the course of human history more than influenza viruses. A century since the 1918–1919 Spanish influenza pandemic—the largest and deadliest influenza pandemic in recorded history—we have learned much about pandemic influenza and the origins of antigenic drift among influenza A viruses. Despite this knowledge, we remain largely underprepared for when the next major pandemic occurs.</p>
<p id="Par2">While emergency departments are likely to care for the first cases of pandemic influenza, intensive care units (ICUs) will certainly see the sickest and will likely have the most complex issues regarding resource allocation. Intensivists must therefore be prepared for the next pandemic influenza virus. Preparation requires multiple steps, including careful surveillance for new pandemics, a scalable response system to respond to surge capacity, vaccine production mechanisms, coordinated communication strategies, and stream-lined research plans for timely initiation during a pandemic. Conservative models of a large-scale influenza pandemic predict more than 170% utilization of ICU-level resources. When faced with pandemic influenza, ICUs must have a strategy for resource allocation as strain increases on the system.</p>
<p id="Par3">There are several current threats, including avian influenza A(H5N1) and A(H7N9) viruses. As humans continue to live in closer proximity to each other, travel more extensively, and interact with greater numbers of birds and livestock, the risk of emergence of the next pandemic influenza virus mounts. Now is the time to prepare and coordinate local, national, and global efforts.</p>
</div>
</front>
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<double pmid="31665057"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Preparing intensive care for the next pandemic influenza</title>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Preparing intensive care for the next pandemic influenza</title>
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<institution>Department of Critical Care,</institution>
<institution>University of Toronto,</institution>
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Toronto, ON Canada</nlm:aff>
<wicri:noCountry code="subfield">ON Canada</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Fowler, Robert" sort="Fowler, Robert" uniqKey="Fowler R" first="Robert" last="Fowler">Robert Fowler</name>
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Toronto, ON Canada</nlm:aff>
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<series><title level="j">Critical Care</title>
<idno type="ISSN">1364-8535</idno>
<idno type="eISSN">1466-609X</idno>
<imprint><date when="2019">2019</date>
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<front><div type="abstract" xml:lang="en"><p id="Par1">Few viruses have shaped the course of human history more than influenza viruses. A century since the 1918–1919 Spanish influenza pandemic—the largest and deadliest influenza pandemic in recorded history—we have learned much about pandemic influenza and the origins of antigenic drift among influenza A viruses. Despite this knowledge, we remain largely underprepared for when the next major pandemic occurs.</p>
<p id="Par2">While emergency departments are likely to care for the first cases of pandemic influenza, intensive care units (ICUs) will certainly see the sickest and will likely have the most complex issues regarding resource allocation. Intensivists must therefore be prepared for the next pandemic influenza virus. Preparation requires multiple steps, including careful surveillance for new pandemics, a scalable response system to respond to surge capacity, vaccine production mechanisms, coordinated communication strategies, and stream-lined research plans for timely initiation during a pandemic. Conservative models of a large-scale influenza pandemic predict more than 170% utilization of ICU-level resources. When faced with pandemic influenza, ICUs must have a strategy for resource allocation as strain increases on the system.</p>
<p id="Par3">There are several current threats, including avian influenza A(H5N1) and A(H7N9) viruses. As humans continue to live in closer proximity to each other, travel more extensively, and interact with greater numbers of birds and livestock, the risk of emergence of the next pandemic influenza virus mounts. Now is the time to prepare and coordinate local, national, and global efforts.</p>
</div>
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<term>Disease Outbreaks (prevention & control)</term>
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<term>Soins de réanimation ()</term>
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<front><div type="abstract" xml:lang="en">Few viruses have shaped the course of human history more than influenza viruses. A century since the 1918-1919 Spanish influenza pandemic-the largest and deadliest influenza pandemic in recorded history-we have learned much about pandemic influenza and the origins of antigenic drift among influenza A viruses. Despite this knowledge, we remain largely underprepared for when the next major pandemic occurs.While emergency departments are likely to care for the first cases of pandemic influenza, intensive care units (ICUs) will certainly see the sickest and will likely have the most complex issues regarding resource allocation. Intensivists must therefore be prepared for the next pandemic influenza virus. Preparation requires multiple steps, including careful surveillance for new pandemics, a scalable response system to respond to surge capacity, vaccine production mechanisms, coordinated communication strategies, and stream-lined research plans for timely initiation during a pandemic. Conservative models of a large-scale influenza pandemic predict more than 170% utilization of ICU-level resources. When faced with pandemic influenza, ICUs must have a strategy for resource allocation as strain increases on the system.There are several current threats, including avian influenza A(H5N1) and A(H7N9) viruses. As humans continue to live in closer proximity to each other, travel more extensively, and interact with greater numbers of birds and livestock, the risk of emergence of the next pandemic influenza virus mounts. Now is the time to prepare and coordinate local, national, and global efforts.</div>
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