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Korean J healthc assoc Infect Control Prev 2010; 15(2): 78-86

Published online December 31, 2010 https://doi.org/10.14192/kjicp.2010.15.2.78

Copyright © Korean Society for Healthcare-associated infection Control and Prevention

Infection Control Preparedness for Influenza A Pandemic (H1N1) 2009 in Healthcare Settings

Do Yeon Lim1, Jae Sim Jeong2, Jin Hee Park1, and Jun Hee Woo3

Infection Control Office, Chonbuk National University Hospital1, Jeonju, Department of Clinical Nursing, University of Ulsan2, Ulsan, Departments of Infection Control and Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine3, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: This study aimed to assess the status of infection control during influenza A pandemic (H1N1) 2009.
Methods: A questionnaire survey was conducted in November 2009 at the 100 hospitals designated by the Korea Centers for Disease Control and Prevention (KCDC) as influenza A pandemic (H1N1) 2009-treatment institutions.
Results: In 32.3% of the hospitals, the ventilation system of the influenza A pandemic (H1N1) 2009 isolation ward was separated from the hospital's ventilation system. With regard to wearing personal protective equipment while caring for patients with H1N1 infection, during usual patient contact, masks were always worn by all medical staff at all the hospitals; however, medical staff at 38.7% and 51.6% of the hospitals did not wear gloves and gowns, respectively. During aerosol-generating procedures, some medical staff wore surgical masks, whereas medical staff at 10% and 23.3% of the hospitals did not wear gowns and protective goggles, respectively. In all, 64.5% of the hospitals responded that the contents of the guidelines established by the KCDC were insufficient for reference purposes in actual practice.
Conclusion: Some of influenza A pandemic (H1N1) 2009-treatment institutions are believed to be inadequate in facilities, infection control during patient treatment, and administrative measures among their efforts to prevent transmission in hospital. In preparation against the outbreak of similar diseases in the future, the government needs to establish guidelines highly applicable by medical staff, to secure exclusive spaces and personnel for treating infectious disease patients, and to develop personal protective gear support and management systems.

Keywords: Influenza A pandemic (H1N1) 2009, Personal protective equipments, Infection control, Isolation

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