Management of patients infected with airborne-spread diseases: an algorithm for infection control professionals.
BACKGROUND
Many US hospitals lack the capacity to house safely a surge of potentially infectious patients, increasing the risk of secondary transmission. Respiratory protection and negative-pressure rooms are needed to prevent transmission of airborne-spread diseases, but US hospitals lack available and/or properly functioning negative-pressure rooms. Creating new rooms or retrofitting existing facilities is time-consuming and expensive.


METHODS
Safe methods of managing patients with airborne-spread diseases and establishing temporary negative-pressure and/or protective environments were determined by a literature review. Relevant data were analyzed and synthesized to generate a response algorithm.


RESULTS
Ideal patient management and placement guidelines, including instructions for choosing respiratory protection and creating temporary negative-pressure or other protective environments, were delineated. Findings were summarized in a treatment algorithm.


CONCLUSIONS
The threat of bioterrorism and emerging infections increases health care's need for negative-pressure and/or protective environments. The algorithm outlines appropriate response steps to decrease transmission risk until an ideal protective environment can be utilized. Using this algorithm will prepare infection control professionals to respond more effectively during a surge of potentially infectious patients following a bioterrorism attack or emerging infectious disease outbreak.
Rebmann
Terri
T
School of Nursing and the Institute for Biosecurity, Saint Louis University School of Public Health, 3545 Lafayette Ste. 300, St Louis, MO 63104, USA. rebmann.terri@slu.edu
D000391:Air Microbiology; D000397:Air Pollution; D000465:Algorithms; D023482:Bioterrorism / Q000517:prevention & control*; D021821:Communicable Diseases, Emerging / Q000517:prevention & control*; D006761:Hospitals; D006801:Humans; D017053:Infection Control / Q000379:methods* / Q000592:standards*; D010356:Patient Isolation; D014691:Ventilation