Open Access Research article

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

Xiaochun Ma1, Zhenyang He2, Yushan Wang3, Li Jiang4, Yuan Xu5, Chuanyun Qian6, Rongqing Sun7, Erzhen Chen8, Zhenjie Hu9, Lihua Zhou10, Fachun Zhou11, Tiehe Qin12, Xiangyuan Cao13, Youzhong An14, Renhua Sun15, Xijing Zhang16, Jiandong Lin17, Yuhang Ai18, Dawei Wu19, Bin Du20* and the China Critical Care Clinical Trial Group (CCCCTG)

Author Affiliations

1 The First Affiliated Hospital of China Medical University, Shenyang, PR China

2 Hainan Provincial People's Hospital, Haikou, PR China

3 The Second Hospital of Jilin University, Changchun, PR China

4 Fuxing Hospital, Capital Medical University, Beijing, PR China

5 Beijing Tongren Hospital, Capital Medical University, Beijing, PR China

6 The First Affiliated Hospital of Kunming Medical College, Kunming, PR China

7 The First Affiliated Hospital of Zhengzhou University, Zhengzhou, PR China

8 Ruijin Hospital, Shanghai Jiaotong University, Shanghai, PR China

9 Hebei Medical University Fourth Hospital, Shijiazhuang, PR China

10 The Affiliated Hospital of Inner Mongolia Medical College, Huhhot, PR China

11 The First Affiliated Hospital, Chongqing Medical University, Chongqing, PR China

12 Guangdong General Hospital, Guangzhou, PR China

13 Affiliated Hospital of Ningxia Medical University, Yinchuan, PR China

14 Peking University People's Hospital, Beijing, PR China

15 Zhejiang Provincial People's Hospital, Hangzhou, PR China

16 Xijing Hospital, Xi'an, PR China

17 The First Affiliated Hospital of Fujian Medical University, Fuzhou, PR China

18 Xiangya Hospital, Central South University, Changsha, PR China

19 Qilu Hospital of Shandong University, Jinan, PR China

20 Peking Union Medical College Hospital, Beijing, PR China

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BMC Infectious Diseases 2011, 11:24  doi:10.1186/1471-2334-11-24

Published: 25 January 2011



To describe the knowledge and attitudes of critical care clinicians during the 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.