Going viral: Adapting to pediatric surge during the H1N1 pandemic

Sarita Chung, Daniel Fagbuyi, Marie M. Lozon, Tiffani Johnson, Alan L. Nager, Mark X. Cicero, Deanna Dahl-Grove, Brian E. Costello, Steven E. Krug

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

OBJECTIVES: The objective of this study was to assess hospital and emergency department (ED) pediatric surge strategies utilized during the 2009 H1N1 influenza pandemic as well as compliance with national guidelines. METHODS: Electronic survey was sent to a convenience sample of emergency physicians and nurses from US EDs with a pediatric volume of more than 10,000 annually. Survey questions assessed the participant's hospital baseline pandemic and surge preparedness, as well as strategies for ED surge and compliance with Centers for Disease Control and Prevention (CDC) guidelines for health care personal protection, patient testing, and treatment. RESULTS: The response rate was 54% (53/99). Preexisting pandemic influenza plans were absent in 44% of hospitals; however, 91% developed an influenza plan as a result of the pandemic. Twenty-four percent reported having a preexisting ED pandemic staffing model, and 36% had a preexisting alternate care site plan. Creation and/or modifications of existing plans for ED pandemic staffing (82%) and alternate care site plan (68%) were reported. Seventy-nine percent of institutions initially followed CDC guidelines for personal protection (use of N95 masks), of which 82% later revised their practices. Complete compliance with CDC guidelines was 60% for patient testing and 68% for patient treatment. CONCLUSIONS: Before the H1N1 pandemic, greater than 40% of the hospitals in our study did not have an influenza pandemic preparedness plan. Many had to modify their existing plans during the surge. Not all institutions fully complied with CDC guidelines. Data from this multicenter survey should assist clinical leaders to create more robust surge plans for children.

Original languageEnglish (US)
Pages (from-to)1159-1165
Number of pages7
JournalPediatric emergency care
Volume29
Issue number11
DOIs
StatePublished - Nov 1 2013
Externally publishedYes

Fingerprint

Pandemics
Pediatrics
Centers for Disease Control and Prevention (U.S.)
Human Influenza
Guidelines
Hospital Emergency Service
Hospital Departments
Masks
Emergencies
Nurses
Delivery of Health Care
Physicians
Therapeutics
Surveys and Questionnaires

Keywords

  • antiviral agents/supply and distribution
  • children
  • disaster planning/organization and administration
  • disease outbreaks
  • emergency service
  • H1N1 subtype
  • hospital/organization and administration/statistics and numerical data
  • humans
  • influenza A virus
  • personnel staffing and scheduling/organization and administration
  • systems integration
  • triage/ organization and administration

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

Chung, S., Fagbuyi, D., Lozon, M. M., Johnson, T., Nager, A. L., Cicero, M. X., ... Krug, S. E. (2013). Going viral: Adapting to pediatric surge during the H1N1 pandemic. Pediatric emergency care, 29(11), 1159-1165. https://doi.org/10.1097/PEC.0b013e3182a9e613

Going viral : Adapting to pediatric surge during the H1N1 pandemic. / Chung, Sarita; Fagbuyi, Daniel; Lozon, Marie M.; Johnson, Tiffani; Nager, Alan L.; Cicero, Mark X.; Dahl-Grove, Deanna; Costello, Brian E.; Krug, Steven E.

In: Pediatric emergency care, Vol. 29, No. 11, 01.11.2013, p. 1159-1165.

Research output: Contribution to journalArticle

Chung, S, Fagbuyi, D, Lozon, MM, Johnson, T, Nager, AL, Cicero, MX, Dahl-Grove, D, Costello, BE & Krug, SE 2013, 'Going viral: Adapting to pediatric surge during the H1N1 pandemic', Pediatric emergency care, vol. 29, no. 11, pp. 1159-1165. https://doi.org/10.1097/PEC.0b013e3182a9e613
Chung, Sarita ; Fagbuyi, Daniel ; Lozon, Marie M. ; Johnson, Tiffani ; Nager, Alan L. ; Cicero, Mark X. ; Dahl-Grove, Deanna ; Costello, Brian E. ; Krug, Steven E. / Going viral : Adapting to pediatric surge during the H1N1 pandemic. In: Pediatric emergency care. 2013 ; Vol. 29, No. 11. pp. 1159-1165.
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