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Title: Personal protective equipment and antiviral drug use during hospitalization for suspected avian or pandemic influenza.
Austin Authors: Swaminathan, Ashwin;Martin, Rhea D;Gamon, Sandi;Aboltins, Craig A;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 R ;Maclean, Andrew V;O'Reilly, Mary;Peters, S Erica;Stuart, Rhonda L;Moran, Rodney;Grayson, M Lindsay 
Affiliation: Austin Health, Heidelberg, Victoria, Australia
Issue Date: 1-Oct-2007
Publication information: Emerging Infectious Diseases; 13(10): 1541-7
Abstract: 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.
Gov't Doc #: 18258004
DOI: 10.3201/eid1310.070033
Type: Journal Article
Subjects: Antiviral Agents.therapeutic use
Guideline Adherence
Infection Control.methods.standards
Infectious Disease Transmission, Patient-to-Professional.prevention & control
Influenza A Virus, H5N1 Subtype
Influenza, Human.drug therapy.prevention & control
Patient Simulation
Personnel, Hospital
Prospective Studies
Protective Clothing.utilization
Quality Assurance, Health Care
Appears in Collections:Journal articles

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