Knowledge and attitudes of healthcare workers in Chinese intensive care units regarding 2009 H1N1 influenza pandemic

A survey conducted in 21 intensive care units in 17 provinces in China.Out of 733 questionnaires distributed, 695 were completed. Three hundred and fifty-six respondents (51.2%) reported their experience of caring for H1N1 patients. Despite the fact that 88.5% of all respondents ultimately finished an H1N1 training program, only 41.9% admitted that they had the knowledge of 2009 H1N1 influenza. A total of 572 respondents (82.3%) expressed willingness to care for H1N1 patients. Independent variables associated with increasing likelihood to care for patients in the logistic regression analysis were physicians or nurses rather than other professionals (odds ratio 4.056 and 3.235, p = 0.002 and 0.007, respectively), knowledge training prior to patient care (odds ratio 1.531, p = 0.044), and the confidence to know how to protect themselves and their patients (odds ratio 2.109, p = 0.001).Critical care clinicians reported poor knowledge of H1N1 influenza, even though most finished a relevant knowledge training program. Implementation of appropriate education program might improve compliance to infection control measures, and willingness to work in a pandemic.The novel 2009 influenza A (H1N1) attacked almost all countries since March 2009, which resulted in a severe global healthcare problem leading to the declaration of the first phase 6 global influenza pandemic by the World Health Organization on June 11, 2009.Although the clinical manifestation remains mild to moderate for the initial 3 to 6 days [1-3], about 25% of patients experience rapid deterioration, leading to intensive care unit (ICU) admission within 1 day after hospitalization [1]. Based on a model simulating the potential impact of H1N1 influenza pandemic in the United States, Presanis and colleagues found that an autumn-winter pandemic wave of H1N1 with comparable severity per case could lead to approximately 40,000 - 140,000 ICU admissions (13 - 46 per 100,000 population) [4]. Moreover, Zilberberg et al es