Skip to main content
Erschienen in: Intensive Care Medicine 1/2010

01.04.2010

Chapter 6. Protection of patients and staff during a pandemic

verfasst von: Bruce L. Taylor, Hugh E. Montgomery, Andrew Rhodes, Charles L. Sprung

Erschienen in: Intensive Care Medicine | Sonderheft 1/2010

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on protection of patients and staff.

Methods

Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including protection of patients and staff.

Results

Key recommendations include: (1) prepare infection control and occupational health policies for clinical risks relating to potential disease transmission; (2) decrease clinical risks and provide adequate facilities through advanced planning to maximise capacity by increasing essential equipment, drugs, supplies and encouraging staff availability; (3) create robust systems to maintain staff confidence and safety by minimising non-clinical risks and maintaining or escalating essential services; (4) prepare formal reassurance plans for legal protection; (5) provide assistance to staff working outside their normal domains.

Conclusions

Judicious planning and adoption of protocols for protection of patients and staff are necessary to optimise outcomes during a pandemic.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Devereaux A, Christian MD, Dichter JR, Geiling JA, Rubinson L (2008) Summary of suggestions from the Task Force for Mass Critical Care summit, January 26–27, 2007. Chest 133:1S–7SCrossRefPubMed Devereaux A, Christian MD, Dichter JR, Geiling JA, Rubinson L (2008) Summary of suggestions from the Task Force for Mass Critical Care summit, January 26–27, 2007. Chest 133:1S–7SCrossRefPubMed
2.
Zurück zum Zitat Peng PWH, Wong DT, Bevan D, Gardam M (2003) Infection control and anesthesia: lessons learned from the Toronto SARS outbreak. Can J Anesth 50(10):989–997CrossRefPubMed Peng PWH, Wong DT, Bevan D, Gardam M (2003) Infection control and anesthesia: lessons learned from the Toronto SARS outbreak. Can J Anesth 50(10):989–997CrossRefPubMed
3.
Zurück zum Zitat Hsu C, Chen T, Chang M, Chang Y (2006) Confidence in controlling a SARS outbreak: experiences of public health nurses in managing home quarantine measures in Taiwan. Am J Infect Control 34(4):176–181CrossRefPubMed Hsu C, Chen T, Chang M, Chang Y (2006) Confidence in controlling a SARS outbreak: experiences of public health nurses in managing home quarantine measures in Taiwan. Am J Infect Control 34(4):176–181CrossRefPubMed
4.
7.
Zurück zum Zitat Domınguez-Cherit G, Lapinsky SE, Macias AE et al (2009) Critically ill patients with 2009 influenza A(H1N1) in Mexico. JAMA 302(17):1880–1887 Domınguez-Cherit G, Lapinsky SE, Macias AE et al (2009) Critically ill patients with 2009 influenza A(H1N1) in Mexico. JAMA 302(17):1880–1887
8.
Zurück zum Zitat Kumar A, Zarychanski R, Pinto R et al (2009) Canadian Critical Care Trials Group H1N1 Collaborative. Critically ill patients with 2009 influenza A(H1N1) infection in Canada. JAMA 302(17):1872–1879 Kumar A, Zarychanski R, Pinto R et al (2009) Canadian Critical Care Trials Group H1N1 Collaborative. Critically ill patients with 2009 influenza A(H1N1) infection in Canada. JAMA 302(17):1872–1879
9.
Zurück zum Zitat Jefferson T, Del Mar C, Dooley L et al (2009) Physical interventions to interrupt or reduce the spread of respiratory viruses: systematic review. BMJ 339:b3675CrossRefPubMed Jefferson T, Del Mar C, Dooley L et al (2009) Physical interventions to interrupt or reduce the spread of respiratory viruses: systematic review. BMJ 339:b3675CrossRefPubMed
10.
Zurück zum Zitat Gomersall CD, Joynt GM, Ho OM, Ip M, Yap F, Derrick JL, Leung P (2006) Transmission of SARS to healthcare workers. The experience of a Hong Kong ICU. Intensive Care Med 32:564–569CrossRefPubMed Gomersall CD, Joynt GM, Ho OM, Ip M, Yap F, Derrick JL, Leung P (2006) Transmission of SARS to healthcare workers. The experience of a Hong Kong ICU. Intensive Care Med 32:564–569CrossRefPubMed
11.
Zurück zum Zitat Loeb M, Dafoe N, Mahony J et al (2009) Surgical mask vs N95 respirator for preventing influenza among health care workers: a randomized trial. JAMA. Published online 1 Oct 2009. doi:10.1001/jama.2009.1466 Loeb M, Dafoe N, Mahony J et al (2009) Surgical mask vs N95 respirator for preventing influenza among health care workers: a randomized trial. JAMA. Published online 1 Oct 2009. doi:10.​1001/​jama.​2009.​1466
12.
Zurück zum Zitat Yap FH, Gomersall CD, Fung KS et al (2004) Increase in methicillin-resistant Staphylococcus aureus acquisition rate and change in pathogen pattern associated with an outbreak of severe acute respiratory syndrome. Clin Infect Dis 39:511–516CrossRefPubMed Yap FH, Gomersall CD, Fung KS et al (2004) Increase in methicillin-resistant Staphylococcus aureus acquisition rate and change in pathogen pattern associated with an outbreak of severe acute respiratory syndrome. Clin Infect Dis 39:511–516CrossRefPubMed
13.
Zurück zum Zitat Tang JW, Li Y, Eames I, Chan PKS, Ridgway GL (2006) Factors involved in the aerosol transmission of infection and control of ventilation in healthcare premises. J Hosp Infect 64:100–114CrossRefPubMed Tang JW, Li Y, Eames I, Chan PKS, Ridgway GL (2006) Factors involved in the aerosol transmission of infection and control of ventilation in healthcare premises. J Hosp Infect 64:100–114CrossRefPubMed
15.
Zurück zum Zitat Qureshi K, Gershon RR, Sherman MF et al (2005) Health care workers’ ability and willingness to report to duty during catastrophic disasters. J Urban Health 82(3):378–388PubMed Qureshi K, Gershon RR, Sherman MF et al (2005) Health care workers’ ability and willingness to report to duty during catastrophic disasters. J Urban Health 82(3):378–388PubMed
18.
Zurück zum Zitat Institute of Medicine (2009) Guidance for establishing crisis standards of care for use in disaster situations: a letter report. The National Academies Press, Washington, DC Institute of Medicine (2009) Guidance for establishing crisis standards of care for use in disaster situations: a letter report. The National Academies Press, Washington, DC
Metadaten
Titel
Chapter 6. Protection of patients and staff during a pandemic
verfasst von
Bruce L. Taylor
Hugh E. Montgomery
Andrew Rhodes
Charles L. Sprung
Publikationsdatum
01.04.2010
Verlag
Springer-Verlag
Erschienen in
Intensive Care Medicine / Ausgabe Sonderheft 1/2010
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-010-1764-1

Weitere Artikel der Sonderheft 1/2010

Intensive Care Medicine 1/2010 Zur Ausgabe

OriginalPaper

Chapter 4. Manpower

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.