Roadblocks to Infection Prevention Efforts in Health Care: SARS-CoV-2/COVID-19 Response. (30th August 2020)

• Record Type: Journal Article
• Authors: Popescu, Saskia
• Is Part Of: Disaster medicine and public health preparedness. Volume 14:Number 4(2020)
• Page Start: 538
• Page End: 540
• Publication Date: 2020-08-30
• Subjects: biopreparedness, -- health care, -- hospital preparedness, -- infection prevention, -- pandemic; Disaster medicine -- Periodicals; Emergency management -- Planning -- Periodicals; Public health -- Periodicals; 363.34
• DOI: 10.1017/dmp.2020.55
• Languages: English
• ISSNs: 1935-7893

Abstract

ABSTRACT: The outbreak of a novel coronavirus, SARS-CoV-2, is challenging international public health and health care efforts. As hospitals work to acquire enough personal protective equipment and brace for potential cases, the role of infection prevention efforts and programs has become increasingly important. Lessons from the 2003 SARS-CoV outbreak in Toronto and 2015 MERS-CoV outbreak in South Korea have unveiled the critical role that hospitals play in outbreaks, especially of novel coronaviruses. Their ability to amplify the spread of disease can rapidly fuel transmission of the disease, and often those failures in infection prevention and general hospital practices contribute to such events. While efforts to enhance infection prevention measures and hospital readiness are underway in the United States, it is important to understand why these programs were not able to maintain continued, sustainable levels of readiness. History has shown that infection prevention programs are primarily responsible for preparing hospitals and responding to biological events but face understaffing and focused efforts defined by administrators. The current US health care system, though, is built upon a series of priorities that often view biopreparedness as a costly endeavor. Awareness of these competing priorities and the challenges that infection prevention programs face when working to maintain biopreparedness is critical in adequately addressing this critical infrastructure in the face of an international outbreak.