Infection Control in Field Hospitals after a Natural Disaster: Lessons Learned after the 2010 Earthquake in Haiti

Lichtenberger, Paola; Miskin, Ian; Dickinson, Gordon M.; Schwaber, Mitchell J.; Ankol, Omer E.; Zervos, Marcus J.; Campo, Rafael; Doblecki-Lewis, Susanne; Dery, Mark Alain; Munoz-Price, L. Silvia

doi:10.1086/656203

Cited by 53 publications

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“…Thus, given the concern for the likelihood of tetanus, pediatric trauma patients were vaccinated regardless of their immunization status. A similar approach was practiced in previous post disaster situations [4] as well as by the UMHH during the current disaster response [9] although eventually it was decided by the UMHH to administer vaccines to all their (and not only trauma) patients. Tetanus toxoid vaccines were readily available (though not abundant) in our facility and weighting up the minimal probability of side effects against the high risk for tetanus in non-immunized patients it became clear that patients who had suffered any type of deep wound should be vaccinated.…”

Section: Discussionmentioning

confidence: 98%

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Haiti earthquake 2010: a field hospital pediatric perspective

et al. 2011

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On January 12 2010, a 7.0-magnitude earthquake struck Haiti. The region had suffered an estimated 316,000 fatalities with approximately 300,000 injured and more than 1 million people who lost their houses. Following the quake, the Israeli Defense Force Medical Corps dispatched a field hospital unit to the capital city, Port au Prince. The hospital had a pediatric division which included pediatric emergency department, pediatric ward and neonatal unit. We elaborate on the various aspects of pediatric treatment that was provided by our hospital. A total of 363 pediatric patients (younger than 18 years) were admitted to our facility during its 10 days of operation. Out of this total, 272 pediatric patients were treated by the pediatric division, 79 (29%) were hospitalized and 57 (21%) required surgery. The pediatric team included seven pediatricians, one pediatric surgeon and six registered nurses. An electronic record and a hard copy file were created for each patient. Fifty-seven percent of the children presented with direct earthquake related injuries. Twelve patients required resuscitation and stabilization and three patients had died. The majority of injuries were orthopedic while infectious diseases accounted for most of the general pediatric diagnoses. In conclusion, operating a field hospital for a population affected by natural disaster is a complex mission. However, pediatric care has its own unique, challenging characteristics.

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confidence: 98%

“…Unlike in other facilities [9], only one relative per patient was allowed inside the facility. Both visitors and patients were required to wear identification stickers at all time.…”

Section: Discussionmentioning

confidence: 99%

Haiti earthquake 2010: a field hospital pediatric perspective

et al. 2011

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“…While nurses' training in Israel and elsewhere now widely includes preparation for providing critical care during crises, little is known about the long‐term impact on the nurses who provide such care during wartime. In particular, very few studies have examined personal levels of preparedness and safety or professional dilemmas, with their implications for nurses' mental and physical health 30–36 …”

Section: Introductionmentioning

confidence: 99%

Learning from critical care nurses' wartime experiences and their long‐term impacts

Segev

2022

Nursing in Critical Care

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Background The history of critical care nursing is intertwined with that of battlefield nursing, where for almost 200 years, nurses worked to save injured soldiers' lives, risking their own physical and emotional injuries. Today, with nurses increasingly deployed to provide critical care during natural, man‐made and public health crises that can resemble battlefield situations, there is much to learn from battlefield nurses. Aim This qualitative study aims to explore the lessons of the experiences of civilian nurses deployed to Israeli battlefields in three wars between 1967 and 1982. Methods Qualitative, semi‐structured, in‐depth interviews were conducted with twenty‐two former military nurses who were deployed in three wars between 1967 and 1982. We analysed interview transcripts using a content analysis approach. COREQ, a 32‐item checklist, guided method selection, data analysis and the findings' presentation. Findings Data analysis revealed three main themes, with ten related subthemes: Field Service Challenges, Coping with Challenges, and Nurses' Need for Recognition. Conclusion The findings identify mental, emotional, and organizational issues resulting from nurses' wartime experiences, revealing numerous opportunities for better preparing and supporting critical care nurses before, during, and after crises. Relevance to Clinical Practice Critical care nursing during crises, such as wartime, is unique but increasingly common. The memories and ongoing impact of those experiences offer invaluable information for nursing and health policy stakeholders planning for future deployments during wartime or other disasters such as the COVID‐19 pandemic and the Russo‐Ukrainian war.

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“…Acinetobacter baumannii isolates T23, H1, and W35 were obtained, respectively, from wound specimens (n ϭ 2) and a rectal swab specimen (n ϭ 1) from three victims of the earthquake that struck southern Haiti in January 2010 (8). Isolates H1 and W35 had been recovered in Haiti at the field hospital, whereas isolate T23 was obtained in Miami, FL, within 24 h of admission at the Jackson Hospital.…”

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Genetic Features of CTX-M-15-Producing Acinetobacter baumannii from Haiti

Potron

Munoz-Price

Nordmann

et al. 2011

Antimicrob Agents Chemother

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Acinetobacter baumannii isolates T23, W35, and H1 were isolated from three patients who had been injured in the Haiti earthquake in January 2010. Those isolates, corresponding to two distinct clones, were identified as extended-spectrum ␤-lactamase (ESBL) producers and found to be bla CTX-M-15 -positive. That ESBL gene was associated with ISEcp1, involved in its acquisition by a one-ended transposition mechanism. In all isolates, the ISEcp1-bla CTX-M-15 compound transposon was apparently chromosomally located.

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Infection Control in Field Hospitals after a Natural Disaster: Lessons Learned after the 2010 Earthquake in Haiti

Cited by 53 publications

References 4 publications

Haiti earthquake 2010: a field hospital pediatric perspective

Haiti earthquake 2010: a field hospital pediatric perspective

Learning from critical care nurses' wartime experiences and their long‐term impacts

Genetic Features of CTX-M-15-Producing Acinetobacter baumannii from Haiti

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