There’s a particular irony in people emphasizing the role of hospital preparedness right now. Comments about HPP funding and such are important, yes, but what we really need to address is how hospitals invest in biopreparedness. (1/x)
Primarily, hospital preparedness for infectious diseases is led by infection prevention/epidemiology (we saw this w/Ebola and it took up like 80%+ of our daily activities). The issue though is that these programs are woefully understaff & bioprep is not a major priority (2/x)
IPC efforts are mostly focused on HAIs for a myriad of reasons (mandated reporting, financial penalties, etc.) and that’s often a result of hospital leadership priorities and focus that drives IPC programs (3/x)
In fact, an @OIGatHHS report found that hospital leaders don’t necessarily prioritize costly biopreparedness (for Ebola, etc.) when as there are a lot of other competing issues. Also, 1/3 didn’t know where they fell on the tiered hospital program. (4/x)
Also, this report noted that typically, hospital emergency prep efforts didn’t have the expertise needed (i.e IPC) for something like Ebola. So, as @APIC has found, we have under-staff IPC programs that spending most of their time on HAI surveillance and reporting (5/x)
Which leaves very little time for any infectious disease preparedness unless you’re lucky enough to have a hospital administrator who seriously values that and is willing to spend the $$ (6/x)
SO - it's important to note that while we talk about #2019nC0V prep in hospitals & infection control efforts, we don’t discount the role of infection preventionists…bc we’re the one doing most of it - making sure staff are trained, supplies are good, ... (7/x)
IPs are the ones on call so when a r/o patient comes in, we review @CDCgov PUI guidance and act as a conduit to avoid inundating local public health. We provide guidance to ensure staff and patient safety. (8/x)
We can’t talk about hospital preparedness & infection control w/out discussing the role of IPs and the limitations they get to invest in such efforts due to heavy focus on financially-linked HAIs and reporting. (9/x)
So please, consider how IPC gets “strengthened” in hospitals & that when we talk about building readiness through HCWs, that also includes the IPs who work tirelessly to protect their staff/patients/visitors, but often don’t get the support do to so outside of emergencies. (10/x)
And wash your hands..(Steps down from waving dissertation)

• • •

Missing some Tweet in this thread? You can try to force a refresh

Keep Current with Dr. Saskia Popescu

Dr. Saskia Popescu Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!


Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @SaskiaPopescu

Dec 31, 2021
An ode to travel woes during this COVID season: on an intl work flight with a stop in the UK. My pre-flight PCR has not resulted… and is required for the layover. (1/n)
I am fully vaccinated. The rapid molecular I did yesterday doesn’t count. So I ran to the testing center within the airport for an antigen. As you can imagine, many are in this same situation (result delays, travel restrictions, etc.) - it is La grande shit show. (2/n)
Fully booked with a line for walk-ins that is a minimum of a 1-2 hour wait and then 1 hour wait to get results, which you must receive in person/paper. $250 rapid PCRs are the only option. I give it 30 and realizing my fate, push my flight (like many in line). (3/n)
Read 7 tweets
Aug 18, 2021
Some thoughts on a lot of the news today - first, I’m grateful that we continue to evaluate vaccines throughout the changing nature of this pandemic (and have so many efficacious vaccines). It’s hard to address any of this w/out acknowledge the privilege of it all (1/n)
I entirely agree w/@IDSAInfo about this being a partnership with ensuring global vaccine access/distribution for low and middle-income countries. None of this can be done in a silo. (2/n).
We will need more data to drive vaccine decisions and while the US faces its 4th surge, it’s hard not to feel the pressure to do something. I worry though, the issue stems from earlier scicomm failures (3/n)
Read 5 tweets
Jun 23, 2021
One of the most important pieces of infection prevention is working with bed placement - we try to avoid shared rooms, but in emergent situations/overflow, the focus becomes on avoiding transmission of any infectious diseases (1/n)
For patients w/an ID, we try to pair like w/like - flu w/flu, MRSA w/MRSA, *if necessary*. Same with COVID. The assumption is never “they’re six feet apart, so we can mix it up” - we know patients may pass each other, move around, are in the room unmasked for a while, etc. (2/n)
Despite efforts to screen patients w/out infection for COVID-19 during the pandemic, it was still possible for some one to be incubating during hospitalization (but test neg on admission screening). This is the reality of an imperfect situation during a pandemic (3/n)
Read 6 tweets
Apr 10, 2021
Statements like “we can end the pandemic once X occurs”, present both a false dichotomy and a myopic inaccuracy in how pandemic response and public health functions. It takes a lot to truly get a pandemic under control (1/n).
Vaccines are easily one of the most valuable tools we have. To make this work though, we need equity and that’s a huge issue we’re facing here in the U.S. and abroad. This also requires us to address hesitancy. (Adding - get vaccinated once you’re able to! ) (2/n)
Non-pharmaceutical interventions are also immensely critical - masks, physical distancing, ventilation, hand hygiene, cleaning/disinfection, etc. Risk reduction is additive and well, we need to make sure people have access to all of these tools. (3/n)
Read 6 tweets
Apr 2, 2021
While grabbing coffee today, I couldn’t help but notice a large group of older gentlemen at the coffee counter (outside) w/out masks on. It wasn’t the weird look they gave me when I put mine on as I approached, but rather the stressed look the coffee shop employee had (1/2)
The shop is still requiring them despite AZ’s relaxation of restrictions. Yes we were outside, but after paying/while waiting, they all stayed huddled around the tiny counter & in her workspace. Even when vaccinated, you should still mask up in public.
Even w/more accessibility, people are still struggling to get vaccine appointments. Moreover, let’s not make assumptions about other’s vaccine status or comfort w/ unmasked interactions. Also -tip your service industry folks (legit saw them not..ffs). Rant over. Happy Friday, all
Read 5 tweets
Feb 3, 2021
Single Dose Vaccination in Healthcare Workers Previously Infected with SARS-CoV-2…
“At all time points tested, HCW with prior COVID-19 infection showed statistically significant higher antibody titers of binding and functional antibody compared to HCW without prior COVID-19 infection (p<.0001for each of the time points tested)."
“In times of vaccine shortage, and until correlates of protection are identified, our findings preliminarily suggest the following strategy as more evidence-based: a) a single dose of vaccine for patients already having had laboratory-confirmed COVID-19;.."
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!


0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy


3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!