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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Clinical review: Considerations for the triage of maternity care during an influenza pandemic one institution’s approach. | Beigi et al. Critical Care 2010 14 225 http ccforum.eom content 14 3 225 CRITICAL CARE REVIEW L_ Clinical review Considerations for the triage of maternity care during an influenza pandemic -one institution s approach Richard H Beigi 1 Jeff Hodges2 Marie Baldisseri2 Dennis English2 and the Magee-Womens Hospital Ethics Committee Abstract The ongoing pandemic of 2009 H1N1 swine-origin influenza A has heightened the world s attention to the reality of influenza pandemics and their unpredictable nature. Currently the 2009 H1N1 influenza strain appears to cause mild clinical disease for the majority of those infected. However the risk of severe disease from this strain or other future strains remains an ongoing concern and is noted in specific patient populations. Pregnant women represent a unique patient population that historically has been disproportionately affected by both seasonal and pandemic influenza outbreaks. Data thus far suggest that the current 2009 H1N1 outbreak is following this same epidemiologic tendency among pregnant women. The increased predilection to worse clinical outcomes among pregnant women has potential to produce an acute demand for critical care resources that may overwhelm supply in facilities providing maternity care. The ability of healthcare systems to optimize maternal-child health outcomes during an influenza pandemic or other biologic disaster may therefore depend on the equitable allocation of these limited resources. Triage algorithms for resource allocation have been delineated in the general medical population. However no current guidance considers the unique aspects of pregnant women and their unborn fetuses. An approach is suggested that may help guide facilities faced with these challenges. Introduction The ongoing 2009 H1N1 influenza pandemic highlights the inherent tendency of the influenza virus to mutate Correspondence rbeigi@mail.magee.edu 1Division of Reproductive Infectious Diseases Department of Obstetrics .
