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

Identifieur interne : 000175 ( PascalFrancis/Corpus ); précédent : 000174; suivant : 000176

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

Auteurs : Stella Beckman ; Barbara Materna ; Suzi Goldmacher ; Jennifer Zipprich ; Maryann D'Alessandro ; Debra Novak ; Robert Harrison

Source :

RBID : Pascal:14-0008698

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0196-6553
A03   1    @0 Am. j. infect. control
A05       @2 41
A06       @2 11
A08 01  1  ENG  @1 Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic
A11 01  1    @1 BECKMAN (Stella)
A11 02  1    @1 MATERNA (Barbara)
A11 03  1    @1 GOLDMACHER (Suzi)
A11 04  1    @1 ZIPPRICH (Jennifer)
A11 05  1    @1 D'ALESSANDRO (Maryann)
A11 06  1    @1 NOVAK (Debra)
A11 07  1    @1 HARRISON (Robert)
A14 01      @1 Epidemiology Fellowship Program, Council of State and Territorial Epidemiologists @2 Atlanta, GA @3 USA @Z 1 aut.
A14 02      @1 California Department of Public Health, Occupational Health Branch @2 Richmond, CA @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 7 aut.
A14 03      @1 Public Health Institute @2 Oakland, CA @3 USA @Z 3 aut.
A14 04      @1 Centers for Disease Control and Prevention, Office of Workforce and Career Development, Epidemic Intelligence Service @2 Atlanta, GA @3 USA @Z 4 aut.
A14 05      @1 Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory @2 Pittsburgh, PA @3 USA @Z 5 aut. @Z 6 aut.
A20       @1 1024-1031
A21       @1 2013
A23 01      @0 ENG
A43 01      @1 INIST @2 19097 @5 354000507506040160
A44       @0 0000 @1 © 2014 INIST-CNRS. All rights reserved.
A45       @0 21 ref.
A47 01  1    @0 14-0008698
A60       @1 P
A61       @0 A
A64 01  1    @0 American journal of infection control
A66 01      @0 USA
C01 01    ENG  @0 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.
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C03 02  X  FRE  @0 Protection @5 08
C03 02  X  ENG  @0 Protection @5 08
C03 02  X  SPA  @0 Protección @5 08
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C03 03  X  ENG  @0 California @2 NG @5 09
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C03 07  X  ENG  @0 Check @5 30
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C07 01  X  SPA  @0 Estados Unidos @2 NG
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C07 02  X  ENG  @0 North America @2 NG
C07 02  X  SPA  @0 America del norte @2 NG
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C07 03  X  ENG  @0 America @2 NG
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Format Inist (serveur)

NO : PASCAL 14-0008698 INIST
ET : Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic
AU : BECKMAN (Stella); MATERNA (Barbara); GOLDMACHER (Suzi); ZIPPRICH (Jennifer); D'ALESSANDRO (Maryann); NOVAK (Debra); HARRISON (Robert)
AF : Epidemiology Fellowship Program, Council of State and Territorial Epidemiologists/Atlanta, GA/Etats-Unis (1 aut.); California Department of Public Health, Occupational Health Branch/Richmond, CA/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 7 aut.); Public Health Institute/Oakland, CA/Etats-Unis (3 aut.); Centers for Disease Control and Prevention, Office of Workforce and Career Development, Epidemic Intelligence Service/Atlanta, GA/Etats-Unis (4 aut.); Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory/Pittsburgh, PA/Etats-Unis (5 aut., 6 aut.)
DT : Publication en série; Niveau analytique
SO : American journal of infection control; ISSN 0196-6553; Etats-Unis; Da. 2013; Vol. 41; No. 11; Pp. 1024-1031; Bibl. 21 ref.
LA : Anglais
EA : 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.
CC : 002B05A02; 002B05C02C
FD : Voie respiratoire; Protection; Californie; Hôpital; Aérosol; Infection; Contrôle; Pandémie; Grippe H1N1
FG : Etats-Unis; Amérique du Nord; Amérique; Pathologie de l'appareil respiratoire; Virose; Prévention
ED : Respiratory tract; Protection; California; Hospital; Aerosols; Infection; Check; H1N1 influenza
EG : United States; North America; America; Respiratory disease; Viral disease; Prevention
SD : Vía respiratoria; Protección; California; Hospital; Aerosol; Infección; Control; Gripe H1N1
LO : INIST-19097.354000507506040160
ID : 14-0008698

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Pascal:14-0008698

Le document en format XML

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<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>
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<s1>Epidemiology Fellowship Program, Council of State and Territorial Epidemiologists</s1>
<s2>Atlanta, GA</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>California Department of Public Health, Occupational Health Branch</s1>
<s2>Richmond, CA</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Public Health Institute</s1>
<s2>Oakland, CA</s2>
<s3>USA</s3>
<sZ>3 aut.</sZ>
</fA14>
<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>
</fA14>
<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>
</fA14>
<fA20>
<s1>1024-1031</s1>
</fA20>
<fA21>
<s1>2013</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>19097</s2>
<s5>354000507506040160</s5>
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<s0>0000</s0>
<s1>© 2014 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>21 ref.</s0>
</fA45>
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<s0>14-0008698</s0>
</fA47>
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<s1>P</s1>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>American journal of infection control</s0>
</fA64>
<fA66 i1="01">
<s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B05A02</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B05C02C</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Voie respiratoire</s0>
<s5>07</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Respiratory tract</s0>
<s5>07</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Vía respiratoria</s0>
<s5>07</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Protection</s0>
<s5>08</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Protection</s0>
<s5>08</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Protección</s0>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Californie</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>California</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>California</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Hôpital</s0>
<s5>13</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Hospital</s0>
<s5>13</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Hospital</s0>
<s5>13</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Aérosol</s0>
<s5>14</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Aerosols</s0>
<s5>14</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Aerosol</s0>
<s5>14</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Infection</s0>
<s5>15</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Infection</s0>
<s5>15</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Infección</s0>
<s5>15</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Contrôle</s0>
<s5>30</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Check</s0>
<s5>30</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Control</s0>
<s5>30</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Pandémie</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Grippe H1N1</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>H1N1 influenza</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Gripe H1N1</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Etats-Unis</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>United States</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Estados Unidos</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Amérique du Nord</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>North America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>America del norte</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Amérique</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Pathologie de l'appareil respiratoire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Respiratory disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Aparato respiratorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Virose</s0>
<s5>38</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Viral disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Virosis</s0>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Prévention</s0>
<s5>39</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Prevention</s0>
<s5>39</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Prevención</s0>
<s5>39</s5>
</fC07>
<fN21>
<s1>006</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
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</standard>
<server>
<NO>PASCAL 14-0008698 INIST</NO>
<ET>Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic</ET>
<AU>BECKMAN (Stella); MATERNA (Barbara); GOLDMACHER (Suzi); ZIPPRICH (Jennifer); D'ALESSANDRO (Maryann); NOVAK (Debra); HARRISON (Robert)</AU>
<AF>Epidemiology Fellowship Program, Council of State and Territorial Epidemiologists/Atlanta, GA/Etats-Unis (1 aut.); California Department of Public Health, Occupational Health Branch/Richmond, CA/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 7 aut.); Public Health Institute/Oakland, CA/Etats-Unis (3 aut.); Centers for Disease Control and Prevention, Office of Workforce and Career Development, Epidemic Intelligence Service/Atlanta, GA/Etats-Unis (4 aut.); Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory/Pittsburgh, PA/Etats-Unis (5 aut., 6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>American journal of infection control; ISSN 0196-6553; Etats-Unis; Da. 2013; Vol. 41; No. 11; Pp. 1024-1031; Bibl. 21 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B05A02; 002B05C02C</CC>
<FD>Voie respiratoire; Protection; Californie; Hôpital; Aérosol; Infection; Contrôle; Pandémie; Grippe H1N1</FD>
<FG>Etats-Unis; Amérique du Nord; Amérique; Pathologie de l'appareil respiratoire; Virose; Prévention</FG>
<ED>Respiratory tract; Protection; California; Hospital; Aerosols; Infection; Check; H1N1 influenza</ED>
<EG>United States; North America; America; Respiratory disease; Viral disease; Prevention</EG>
<SD>Vía respiratoria; Protección; California; Hospital; Aerosol; Infección; Control; Gripe H1N1</SD>
<LO>INIST-19097.354000507506040160</LO>
<ID>14-0008698</ID>
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</inist>
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