An analysis of the current status of hospital emergency preparedness for infectious disease outbreaks in Beijing, China.
BACKGROUND
In the event of a large-scale infectious disease outbreak, hospitals will play a critical role. The objective of our study is to understand the current status of hospitals preparedness for infectious disease outbreaks in Beijing and to provide basic information for infectious disease prevention and control in hospitals.


METHODS
One hundred fifty-two secondary and tertiary care hospitals in Beijing were surveyed by a standardized questionnaire. Data related to hospital demographic information and their emergency plans, laboratory diagnosis capacity, medical treatment procedures for infectious diseases, stockpiles of drugs and personal protective equipment, and staff training were collected.


RESULTS
Responses were received from 134 (88.2%) of the 152 hospitals surveyed. Overall, hospitals reported that the number of physicians and nurses in infectious disease accounted for only 1.8% of the total physicians and 2.5% of the total nurses, and surgery beds accounted for 8.5% of all the fixed beds. Approximately 93.3% of the hospitals surveyed reported that they had an emergency plan, and none of those reported that their laboratories were able to isolate and identify all 8 kinds of common pathogens of infectious diseases: 22.4% of the hospitals had medical treatment procedures for all these infectious diseases, 23.1% had stored specific drugs for treatment, 2.2% had all personal protective equipment, and 30.6% reported that their health care staff had been trained in hospital emergency preparedness for infectious diseases. In general, emergency preparedness for infectious diseases in tertiary care hospitals was better than that in secondary care hospitals; the preparedness at general hospitals was better than that at specialized hospitals; and that at teaching hospitals was better than that at nonteaching hospitals.


CONCLUSIONS
Emergency preparedness for infectious disease at hospitals in Beijing was in an early stage of development during this survey. Comprehensive measures should be developed and implemented to enhance their capacity for infectious disease emergency.
Hui
Zhang
Z
Department of Epidemiology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing, China.
Jian-Shi
Huang
H
Xiong
He
H
Peng
Lv
L
Da-Long
Qiu
Q
D002681:China / Q000453:epidemiology; D003140:Communicable Disease Control / Q000458:organization & administration*; D003141:Communicable Diseases / Q000175:diagnosis; D003625:Data Collection; D004189:Disaster Planning / Q000458:organization & administration*; D004196:Disease Outbreaks / Q000517:prevention & control*; D006739:Hospital Administration; D006742:Hospital Bed Capacity; D006752:Hospital Planning / Q000458:organization & administration*; D006761:Hospitals; D006801:Humans; D017053:Infection Control / Q000379:methods*; D008828:Microbiological Techniques / Q000379:methods; D011482:Protective Devices; D013192:Staff Development; D000078329:Workforce