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Though a growing sense of public apathy threatens to reduce H1N1 influenza A to the Rodney Dangerfield of pandemics, those who have experienced or witnessed a severe case of infection will not soon forget this erstwhile "swine flu."
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Infection preventionists recently received some legal advice, and it wasn't quite as bleak as the old admonition to put everything you own under your spouse's name.
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The Occupational Safety and Health Administration's compliance directive to protect health care workers from H1N1 pandemic influenza A includes a series of questions inspectors may ask when on a health care site visit. Know the answers to these and you're OSHA ready in terms of H1N1:
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You might receive a citation from the Occupational Safety and Health Administration (OSHA) if you fail to assess respiratory hazards related to H1N1 pandemic influenza A, don't use various methods to reduce employee exposure or fail to consider respirators other than N95s when there is a shortage.
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The American College of Surgeons (ACS) most recent recommendations on infection prevention and safety in the operating room are summarized as follows:
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Most respondents in this survey of medical students, residents, and staff physicians reported coming to work when they had a respiratory tract infection, with staff physicians most likely to do so.
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> In this study of initial serum sodium values in more than 150,000 adults admitted to ICUs, both hyponatremia (Na < 130 mmol/L) and hypernatremia (Na > 150 mmol/L) were associated with substantially increased ICU and hospital mortality.
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A single-center, retrospective, observational study found that stress ulcer prophylaxis is used in a majority of ICU patients, despite absence of risk factors for stress ulcers.
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It has been known for decades that influenza viruses have a propensity to affect muscle. Muscle aches from mild to severe occur regularly with the acute attack of the virus.