Personal Protective Equipment and Antiviral Drug Use during Hospitalization for Suspected Avian or Pandemic Influenza1

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Swaminathan, Ashwin ; Martin, Rhea ; Gamon, Sandi ; Aboltins, Craig ; Athan, Eugene ; Braitberg, George ; Catton, Michael G. ; Cooley, Louise ; Dwyer, Dominic E. ; Edmonds, Deidre ; Eisen, Damon P. ; Hosking, Kelly ; Hughes, Andrew J. ; Johnson, Paul D. ; Maclean, Andrew V ; O’Reilly, Mary ; Peters, S. Erica ; Stuart, Rhonda L. ; Moran, Rodney ; Grayson, M. Lindsay
• Description:
  For pandemic influenza planning, realistic estimates of personal protective equipment (PPE) and antiviral medication required for hospital healthcare workers (HCWs) are vital. In this simulation study, a patient with suspected avian or pandemic influenza (API) sought treatment at 9 Australian hospital emergency departments where patient-staff interactions during the first 6 hours of hospitalization were observed. Based on World Health Organization definitions and guidelines, the mean number of "close contacts" of the API patient was 12.3 (range 6-17; 85% HCWs); mean "exposures" were 19.3 (range 15-26). Overall, 20-25 PPE sets were required per patient, with variable HCW compliance for wearing these items (93% N95 masks, 77% gowns, 83% gloves, and 73% eye protection). Up to 41% of HCW close contacts would have qualified for postexposure antiviral prophylaxis. These data indicate that many current national stockpiles of PPE and antiviral medication are likely inadequate for a pandemic.
• Subjects:
  Antiviral Agents Guideline Adherence Humans Infection Control Infectious Disease Transmission, Patient-To-Professional Influenza, Human Influenza A Virus, H5N1 Subtype Patient Simulation Personnel, Hospital Prospective Studies Protective Clothing Quality Assurance, Health Care

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• Source:
  Emerg Infect Dis. 13(10):1541-1547.
• Document Type:
  Journal Article
• Place as Subject:
  Australia
• Volume:
  13
• Issue:
  10
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:d20795670e837f4b8b1464ab68f8619126b88360691350e92d9b85676a212e96
• Download URL:
  https://stacks.cdc.gov/view/cdc/16674/cdc_16674_DS1.pdf
• File Type:
  [PDF - 294.37 KB ]