Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic
Identifieur interne : 000604 ( Pmc/Checkpoint ); précédent : 000603; suivant : 000605Evaluation 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.
Abstract
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.
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.
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.
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:
DOI: 10.1016/j.ajic.2013.05.006
PubMed: 23932825
PubMed Central: 4615716
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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></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23932825</idno><idno type="pmc">4615716</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4615716</idno><idno type="RBID">PMC:4615716</idno><idno type="doi">10.1016/j.ajic.2013.05.006</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000911</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000911</idno><idno type="wicri:Area/Pmc/Curation">000911</idno><idno type="wicri:explorRef" 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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><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="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></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><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Centers For Disease Control And Prevention Novel Swine Origin Influenza A H1n1 Virus Investigation Team" uniqKey="Centers For Disease Control And Prevention Novel Swine Origin Influenza A H1n1 Virus Investigation Team">Centers for Disease Control and Prevention Novel Swine-Origin Influenza A (H1N1) Virus Investigation Team</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Institute Of Medicine" uniqKey="Institute Of Medicine">Institute of Medicine</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Park, B" uniqKey="Park B">B. Park</name></author><author><name sortKey="Peck, A" uniqKey="Peck A">A. 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Astrakianakis</name></author><author><name sortKey="Bryce, E" uniqKey="Bryce E">E. Bryce</name></author><author><name sortKey="Forgie, S" uniqKey="Forgie S">S. Forgie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Santos, C D" uniqKey="Santos C">C.D. Santos</name></author><author><name sortKey="Bristow, R B" uniqKey="Bristow R">R.B. Bristow</name></author><author><name sortKey="Vorenkamp, J V" uniqKey="Vorenkamp J">J.V. Vorenkamp</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Institute Of Medicine" uniqKey="Institute Of Medicine">Institute of Medicine</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Infect Control</journal-id><journal-id journal-id-type="iso-abbrev">Am J Infect Control</journal-id><journal-title-group><journal-title>American Journal of Infection Control</journal-title></journal-title-group><issn pub-type="ppub">0196-6553</issn><issn pub-type="epub">1527-3296</issn><publisher><publisher-name>Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23932825</article-id><article-id pub-id-type="pmc">4615716</article-id><article-id pub-id-type="publisher-id">S0196-6553(13)00890-0</article-id><article-id pub-id-type="doi">10.1016/j.ajic.2013.05.006</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Evaluation of respiratory protection programs and practices in California hospitals during the 2009-2010 H1N1 influenza pandemic</article-title></title-group><contrib-group><contrib contrib-type="author" id="au1"><name><surname>Beckman</surname><given-names>Stella</given-names></name><degrees>MPH</degrees><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff2" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au2"><name><surname>Materna</surname><given-names>Barbara</given-names></name><degrees>PhD, CIH</degrees><email>barbara.materna@cdph.ca.gov</email><xref rid="aff2" ref-type="aff">b</xref><xref rid="cor1" ref-type="corresp">∗</xref></contrib><contrib contrib-type="author" id="au3"><name><surname>Goldmacher</surname><given-names>Suzi</given-names></name><degrees>RN</degrees><xref rid="aff2" ref-type="aff">b</xref><xref rid="aff3" ref-type="aff">c</xref></contrib><contrib contrib-type="author" id="au4"><name><surname>Zipprich</surname><given-names>Jennifer</given-names></name><degrees>PhD</degrees><xref rid="aff2" ref-type="aff">b</xref><xref rid="aff4" ref-type="aff">d</xref></contrib><contrib contrib-type="author" id="au5"><name><surname>D'Alessandro</surname><given-names>Maryann</given-names></name><degrees>PhD</degrees><xref rid="aff5" ref-type="aff">e</xref></contrib><contrib contrib-type="author" id="au6"><name><surname>Novak</surname><given-names>Debra</given-names></name><degrees>RN, DSN</degrees><xref rid="aff5" ref-type="aff">e</xref></contrib><contrib contrib-type="author" id="au7"><name><surname>Harrison</surname><given-names>Robert</given-names></name><degrees>MD, MPH</degrees><xref rid="aff2" ref-type="aff">b</xref></contrib></contrib-group><aff id="aff1"><label>a</label>Epidemiology Fellowship Program, Council of State and Territorial Epidemiologists, Atlanta, GA</aff><aff id="aff2"><label>b</label>California Department of Public Health, Occupational Health Branch, Richmond, CA</aff><aff id="aff3"><label>c</label>Public Health Institute, Oakland, CA</aff><aff id="aff4"><label>d</label>Centers for Disease Control and Prevention, Office of Workforce and Career Development, Epidemic Intelligence Service, Atlanta, GA</aff><aff id="aff5"><label>e</label>Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory, Pittsburgh, PA</aff><author-notes><corresp id="cor1"><label>∗</label>Address correspondence to Barbara Materna, PhD, CIH, California Department of Public Health, 850 Marina Bay Pkwy, P-3, Richmond, CA 94804. <email>barbara.materna@cdph.ca.gov</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>7</day><month>8</month><year>2013</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>11</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>7</day><month>8</month><year>2013</year></pub-date><volume>41</volume><issue>11</issue><fpage>1024</fpage><lpage>1031</lpage><permissions><copyright-statement>Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.</copyright-statement><copyright-year>2013</copyright-year><copyright-holder>Association for Professionals in Infection Control and Epidemiology, Inc.</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract id="abs0010"><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></abstract><kwd-group id="kwrds0010"><title>Key Words</title><kwd>N95 respirator</kwd><kwd>Aerosol transmissible disease</kwd><kwd>Hospital</kwd><kwd>Health care</kwd><kwd>Preparedness</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Géorgie (États-Unis)</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Beckman, Stella" sort="Beckman, Stella" uniqKey="Beckman S" first="Stella" last="Beckman">Stella Beckman</name></region><name sortKey="Beckman, Stella" sort="Beckman, Stella" uniqKey="Beckman S" first="Stella" last="Beckman">Stella Beckman</name><name sortKey="D Alessandro, Maryann" sort="D Alessandro, Maryann" uniqKey="D Alessandro M" first="Maryann" last="D'Alessandro">Maryann D'Alessandro</name><name sortKey="Goldmacher, Suzi" sort="Goldmacher, Suzi" uniqKey="Goldmacher S" first="Suzi" last="Goldmacher">Suzi Goldmacher</name><name sortKey="Goldmacher, Suzi" sort="Goldmacher, Suzi" uniqKey="Goldmacher S" first="Suzi" last="Goldmacher">Suzi Goldmacher</name><name sortKey="Harrison, Robert" sort="Harrison, Robert" uniqKey="Harrison R" first="Robert" last="Harrison">Robert Harrison</name><name sortKey="Materna, Barbara" sort="Materna, Barbara" uniqKey="Materna B" first="Barbara" last="Materna">Barbara Materna</name><name sortKey="Novak, Debra" sort="Novak, Debra" uniqKey="Novak D" first="Debra" last="Novak">Debra Novak</name><name sortKey="Zipprich, Jennifer" sort="Zipprich, Jennifer" uniqKey="Zipprich J" first="Jennifer" last="Zipprich">Jennifer Zipprich</name><name sortKey="Zipprich, Jennifer" sort="Zipprich, Jennifer" uniqKey="Zipprich J" first="Jennifer" last="Zipprich">Jennifer Zipprich</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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