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Med Mal Infect. 2018 Mar;48(2):95-102. doi: 10.1016/j.medmal.2017.10.002. Epub 2017 Nov 21.

The French Infectious Diseases Society's readiness and response to epidemic or biological risk-the current situation following the Middle East respiratory syndrome coronavirus and Ebola virus disease alerts.

Author information

1
Unité de coordination opérationnelle du risque épidémique et biologique, AP-HP, 75001 Paris, France; Service des maladies infectieuses et tropicales, hôpital Necker-Enfants malades, 75015 Paris, France; Samu 75, hôpital Necker-Enfants malades, 75015 Paris, France. Electronic address: helene.coignard-biehler@chu-lyon.fr.
2
CMETE, 10, rue du Colonel-Driant, 75001 Paris, France; Hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé cedex, France.
3
Unité de coordination opérationnelle du risque épidémique et biologique, AP-HP, 75001 Paris, France; Service des maladies infectieuses et tropicales, hôpital Pontchaillou, 35000 Rennes, France.
4
Inserm CIC 14-24, faculté de médecine Hyacinthe-Bastaraud, université des Antilles, centre hospitalier universitaire, 97110 Pointe-à-Pitre, Guadeloupe.
5
Santé publique France, 94410 Saint-Maurice, France.
6
Unité d'hygiène interhospitalière, service des maladies infectieuses et laboratoire des agents infectieux et hygiène, CHU de Saint-Etienne, 42270 Saint-Priest-en-Jarez, France.
7
Service des maladies infectieuses et tropicales, CHU de Poitiers, 86021 Poitiers, France.
8
Service des maladies infectieuses et tropicales, CHRU de Nancy, 54000 Nancy, France.
9
Service des maladies infectieuses et tropicales, hôpital Nord, 13000 Marseille, France.
10
Unité de coordination opérationnelle du risque épidémique et biologique, AP-HP, 75001 Paris, France; UMR 1137, Inserm, université Paris Diderot, 75018 Paris, France.

Abstract

CONTEXT:

In 2012, the French Infectious Diseases Society (French acronym SPILF) initiated the "Coordination of epidemic and biological risk" (SPILF-COREB - Emergences [SCE]) group to support the readiness and response of healthcare workers (HCWs) to new alerts.

OBJECTIVE:

To present the SCE group, its functioning, and the main support it provided for frontline HCWs.

METHODS:

A multidisciplinary group of heads of infectious disease departments from reference hospitals was created to build a network of clinical expertise for care, training, and research in the field of epidemic and biological risk (EBR). The network developed a set of standardized operational procedures (SOPs) to guide interventions to manage EBR-suspect patients.

RESULTS:

A working group created the SOP aimed at frontline HCWs taking care of patients. Priority was given to the development of a generic procedure, which was then adapted according to the current alert. Five key steps were identified and hierarchized: detecting, protecting, caring for, alerting, and referring the EBR patient. The interaction between clinicians and those responsible for the protection of the community was crucial. The SOPs validated by the SPILF and its affiliates were disseminated to a wide range of key stakeholders through various media including workshops and the SPILF's website.

CONCLUSION:

SPILF can easily adapt and timely mobilize the EBR expertise in case of an alert. The present work suggests that sharing and discussing this experience, initiated at the European level, can generate a new collective expertise and needs to be further developed and strengthened.

KEYWORDS:

Clinical network; Emerging infectious diseases; Epidemic and biological risk; Maladies infectieuses émergentes; Procédures opérationnelles standardisées; Risque épidémique et biologique; Réseau clinique; Standardized operating procedures

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