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Survey about responsiveness of third-level hospitals to a medical disaster: after the pandemic influenza in Mexico

tetano

Editor, Senior Moderator
Gac Med Mex. 2012 May-Jun;148(3):227-35.
[Survey about responsiveness of third-level hospitals to a medical disaster: after the pandemic influenza in Mexico].
[Article in Spanish]
Serna-Ojeda JC, Casta??n-Gonz?lez JA, Mac?as AE, Mansilla-Olivares A, Dom?nguez-Cherit G, Polanco-Gonz?lez C.
Source

Subdirecci?n de Medicina Cr?tica, Instituto Nacional de Ciencias M?dicas y Nutrici?n Salvador Zubir?n, M?xico, D.F. guidom@prodigy.net.mx.
Abstract

Background: The recent pandemic influenza AH1N1 virus made it clear that planning for medical disaster response is critical. Objective: To know the responsiveness of a sample of highly specialized hospitals in Mexico to a medical disaster, with the previous pandemic influenza AH1N1 as reference. Methods: A survey was conducted among the Medical Directors of a sample of highly specialized hospitals, covering: previous experience with the pandemic influenza, space considerations, material resources, staff, logistics, and current general perspectives. Descriptive statistics were used for analysis. Results: A 95% response was obtained from the institutions (19 hospitals). Of these, 47.4% considered that the medical institution was not ready to respond to pandemic influenza. The median surge capacity for the Intensive Care Unit beds was 30% (range 0 to 32 beds). The least reserve in medication was found in the antivirals (26.3%). Only 47.4% considered having enough intensive care nurses and 57.9% enough respiratory technicians; 42.1% would not have an easy access to resources in an emergency. Conclusions: Prevention is key in responsiveness to medical disasters, and therefore the basic steps for planning strategies must be considered.

PMID:
22820355
[PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/22820355
 
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