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Infectious Disease Physician Assessment of Hospital Preparedness for Ebola Virus Disease
Journal article   Open access   Peer reviewed

Infectious Disease Physician Assessment of Hospital Preparedness for Ebola Virus Disease

Philip M. Polgreen, Scott Santibanez, Lisa M. Koonin, Mark E. Rupp, Susan E. Beekmann and Carlos del Rio
Open forum infectious diseases, Vol.2(3), pp.ofv087-ofv087
06/18/2015
DOI: 10.1093/ofid/ofv087
PMCID: PMC4499670
PMID: 26180836
url
https://doi.org/10.1093/ofid/ofv087View
Published (Version of record) Open Access

Abstract

Background.  The first case of Ebola diagnosed in the United States and subsequent cases among 2 healthcare workers caring for that patient highlighted the importance of hospital preparedness in caring for Ebola patients. Methods.  From October 21, 2014 to November 11, 2014, infectious disease physicians who are part of the Emerging Infections Network (EIN) were surveyed about current Ebola preparedness at their institutions. Results.  Of 1566 EIN physician members, 869 (55.5%) responded to this survey. Almost all institutions represented in this survey showed a substantial degree of preparation for the management of patients with suspected and confirmed Ebola virus disease. Despite concerns regarding shortages of personal protective equipment, approximately two thirds of all respondents reported that their facilities had sufficient and ready availability of hoods, full body coveralls, and fluid-resistant or impermeable aprons. The majority of respondents indicated preference for transfer of Ebola patients to specialized treatment centers rather than caring for them locally. In general, we found that larger hospitals and teaching hospitals reported higher levels of preparedness. Conclusions.  Prior to the Centers for Disease Control and Prevention's plan for a tiered approach that identified specific roles for frontline, assessment, and designated treatment facilities, our query of infectious disease physicians suggested that healthcare facilities across the United States were making preparations for screening, diagnosis, and treatment of Ebola patients. Nevertheless, respondents from some hospitals indicated that they were relatively unprepared.
Ebola healthcare facilities Major preparedness

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