Terri Rebmann

Terri Rebmann
Saint Louis University | SLU · Department of Epidemiology & Biostatistics

PhD, RN, CIC, FAPIC

About

119
Publications
20,305
Reads
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2,163
Citations
Introduction
Additional affiliations
June 2015 - present
Saint Louis University
Position
  • Professor
January 2014 - present
Saint Louis University
Position
  • Managing Director
July 2010 - July 2015
Saint Louis University
Position
  • Professor (Associate)

Publications

Publications (119)
Article
Full-text available
Most U.S. public health agencies rely upon closed points of dispensing (PODs) to aid in medical countermeasure (MCM) distribution. However, few studies have focused on how to assess closed POD preparedness and none have examined best practices for managing sites once they have been recruited. This study involved qualitative interviews with U.S. dis...
Article
Objective: To identify physical and verbal descriptors that have the highest concordance between parents/guardians and a research team member to improve reunification during a disaster when a child arrives at the emergency department separated from their family. Methods: Parent and child pairs were recruited between February 2020 and March 2020....
Article
What is already known about this topic? During January-May 2021, Saint Louis University implemented a modified quarantine protocol that considered mask use when determining which close contacts required quarantine among an almost entirely unvaccinated student population. What is added by the report? Compared with only masked exposure, close contact...
Article
Background SARS CoV-2, the virus that causes COVID-19, was identified and quickly developed into a pandemic in spring, 2020. This event posed immense difficulties for healthcare nationally, with rural areas experiencing different challenges than other regions. Methods The Association of Professionals in Infection Control & Epidemiology conducted f...
Article
Introduction A novel human Coronavirus (SARS CoV-2) was identified in January, 2020 and developed into a pandemic by March, 2020. This rapid, enormous, and unanticipated event had major implications for healthcare. Infection preventionists (IP) have a critical role in worker and patient safety. IPs’ lessons learned can guide future pandemic respons...
Article
Closed points of dispensing (PODs) are an essential component of local public health preparedness programs because most local public health agencies lack the infrastructure to distribute medical countermeasures to all community members in a short period of time through open PODs alone. However, no study has examined closed POD recruitment strategie...
Article
What is already known about this topic? Many kindergarten through grade 12 (K-12) schools have implemented strategies to limit school-associated SARS-CoV-2 transmission. What is added by this report? In 22 participating K-12 schools implementing multiple COVID-19 mitigation strategies, school-based SARS-CoV-2 secondary transmission was detected in...
Article
Objective To assess non-pediatric nurses’ willingness to provide care to pediatric patients during a mass casualty event (MCE). Methods Nurses from 4 non-pediatric hospitals in a major metropolitan Midwestern region were surveyed in the fall of 2018. Participants were asked about their willingness to provide MCE pediatric care. Hierarchical logist...
Article
Background SARS-CoV-2, the virus that causes COVID-19 disease was first discovered in China in December, 2019. The disease quickly spread globally, with the first U.S. case identified in January, 2020; it was declared a pandemic on March 11, 2020. Soon after, anecdotal reports indicated that many US hospitals and healthcare facilities were running...
Article
Background The COVID-19 pandemic resulted in personal protective equipment (PPE) shortages in spring 2020, necessitating crisis protocols. Methods An online survey was administered to all Association for Professionals in Infection Control and Epidemiology members in October, 2020 to assess PPE availability and crisis standards utilized in fall, 20...
Article
Unaccompanied minors and other unidentified individuals may present to hospitals during disasters and require reunification with family. Hospital preparedness for family reunification during disasters has never been assessed. We sent members of the Association of Healthcare Emergency Preparedness Professionals an anonymous online survey in July and...
Article
During radiological disasters, firefighters and emergency medical services personnel are expected to report to work and engage in response activities; however, prior research exploring willingness to respond to radiological disasters among first responders has considered only radiological terrorism scenarios and not nonterrorism radiological scenar...
Article
Emergency planners and first responders often access web-based information resources during disasters; however, these tools require an active Internet connection, which may be unavailable during a disaster. The National Library of Medicine (NLM) provides several free non-web-based disaster response tools. This study assessed intention to use web-ba...
Article
Objectives A large number of healthcare workers (HCWs) were infected by SARS-CoV-2 during the ongoing outbreak of COVID-19 in Wuhan, China. Hospitals are significant epicenters for the human-to-human transmission of the SARS-CoV-2 for HCWs, patients, and visitors. No data has been reported on the details of hospital environmental contamination stat...
Preprint
Full-text available
Importance A large number of healthcare workers (HCWs) were infected by SARS-CoV-2 during the ongoing outbreak of COVID-19 in Wuhan, China. Hospitals are significant epicenters for the human-to-human transmission of the SARS-CoV-2 for HCWs, patients, and visitors. No data has been reported on the details of hospital environmental contamination stat...
Article
Objective Identify determinants of emergency medical service (EMS) personnel’s willingness to work during an influenza pandemic. Background Little is known about the willingness of EMS personnel to work during a future influenza pandemic or the extent to which they are receiving pandemic training. Methods EMS personnel were surveyed in July 2018 –...
Article
The purpose of this study was to evaluate the relationship between violent events targeted against aid workers and the incidence of Ebola virus disease (EVD) during the 2018-19 Democratic Republic of the Congo (DRC) outbreak in the North Kivu and Ituri provinces. Time series models using vector autoregression were constructed using violent event da...
Article
Little is known about first responders' knowledge of radiation exposure and the training they receive regarding radiological events. Firefighters and emergency medical services (EMS) personnel were surveyed in July 2018 to February 2019 regarding their knowledge of radiation exposure and the radiological event training they had received. Knowledge...
Article
Objective To increase knowledge of National Library of Medicine resources by using a train-the-trainer approach. Methods Workshops were held in spring 2016 to increase knowledge of 4 National Library of Medicine tools. Data were collected before the workshop and immediately, 3 months, and 1 year after the workshop. Knowledge questions were scored...
Article
Background After disasters, unaccompanied children may present to an emergency department requiring reunification. An effective reunification system depends on the willingness of guardians to utilize it. Objective Assess guardian willingness to share children’s personal information for reunification purposes after a disaster, perceived concerns an...
Article
An online survey was administered through the American Academy of Pediatrics (AAP) Section of Emergency Medicine Survey Listserv in Fall, 2017. Overall compliance was measured as never using chest X-rays, viral testing, bronchodilators, or systemic steroids. Practice compliance was measured as never using those modalities in a clinical vignette. Ch...
Article
Stockpiles can aid with healthcare surge that occurs after a disaster, and experts recommend that these caches be assessed at least annually to ensure supply integrity. The purpose of this study was to assess a regional stockpile to determine its viability and readiness. An assessment was performed in the summer and fall of 2016 on a regionally fun...
Article
Full-text available
Objectives: Influenza vaccination is the best protection against infection and severe complications of disease, such as hospitalization and death. Therefore, it is important to accurately estimate vaccination coverage and to evaluate the role of race/ethnicity. This study examines racial disparities in influenza vaccination among children using a...
Article
Full-text available
Introduction Little is known about childcare staff’s and parents’ uptake of and attitudes towards pertussis vaccine. Methods Questionnaires were distributed to St. Louis parents and childcare staff in fall, 2014. Parents versus staff and vaccinated versus unvaccinated individuals’ beliefs regarding pertussis vaccine were compared using chi square t...
Article
Background The key to resilience after disasters is the provision of coordinated care and resource distribution to the affected community. Past research indicates that the general public lacks an understanding regarding agencies’ roles and responsibilities during disaster response. Study Objectives This study’s purpose was to explore the general p...
Article
Little is known about closed point-of-dispensing (POD) site preparedness-especially how these entities progress in their preparedness efforts over time. The purpose of this study was to assess the preparedness of a closed POD network. Between 2012 and 2016, 30% to 50% of POD entities in the St. Louis County region were assessed each year, for a tot...
Article
Schools often offer injury prevention (IP) programs, but little is known about the types of programs provided or how school nurses decide which to choose. Nurses in the Missouri School Health Services Staffing Survey Database were sent a survey in spring, 2011, to describe school-based IP efforts being offered. A multivariate linear regression was...
Article
Preparing for mass casualty incidents is essential to maximizing community resilience. Many US-based organizations and regions have developed stockpiles of medications, supplies, and equipment for mass casualty incident preparedness. The Centers for Disease Control and Prevention (CDC) assess and manage federally stockpiled materials, but hospitals...
Article
Emerging infectious diseases impact healthcare providers in the United States and globally. Nurses play a vital role in protecting the health of patients, visitors, and fellow staff members during routine practice and biological disasters, such as bioterrorism, pandemics, or outbreaks of emerging infectious diseases. One vital nursing practice is p...
Article
Surveys were distributed to parents and childcare agency staff to determine seasonal influenza vaccine uptake. Multivariate logistic regressions identified vaccination determinants. Overall, 351 parents and staff participated (response rate, 32%). One-half (168 [48%]) received vaccine. Vaccination predictors included healthcare provider or employer...
Article
Hospitals are perceived as stable sources of support and assistance for the community during disasters. Expectations may outstrip hospital plans or ability to provide for the public. The purpose of this project was to explore racial disparities found in prior research and general perceptions related to the public's expectations of hospitals during...
Article
BACKGROUNDA 2011 nationwide school pandemic preparedness study found schools to be deficient. We examined the impact of a school nurse educational intervention aimed at improving K-12 school biological event preparedness. METHODS Missouri Association of School Nurses (MASN) members were e-mailed a survey link in fall 2013 (ie, preintervention), lin...
Article
Objectives: Study objectives were to assess parents' and childcare agency staff's uptake of and attitudes/beliefs related to hepatitis A vaccine. Study design: Cross-sectional survey. Methods: Questionnaires were administered to parents and staff in 23 St. Louis childcare agencies between September and December 2014. Categorical data were comp...
Article
Background: Vaccine-preventable diseases pose a significant risk to children in childcare. However, few regulations exist regarding childcare staff vaccination. This study aimed to assess support for a childcare agency staff mandatory vaccination policy. Methods: Surveys were distributed to staff and parents at 23 St Louis, Mo, childcare agencies d...
Article
Background: Little is known about childcare agency staff vaccination requirements, parents' perceptions of these requirements, or vaccine uptake in these populations. Methods: A questionnaire was administered to St Louis parents and childcare agency staff in fall of 2014. The χ(2) tests compared staff's versus parents' uptake of hepatitis A, per...
Article
Working while ill (presenteeism) with symptoms of influenza-like illness can contribute to outbreaks, but little is known about school nurse presenteeism. Missouri Association of School Nurses members (N= 396) were sent a survey in 2013/2014. A chi square test was conducted to compare having a school culture that encourages presenteeism versus actu...
Article
In the early 1990s, St. Louis County had multiple foodservice worker-related hepatitis A outbreaks uncontrolled by standard outbreak interventions. Restaurant interest groups and the general public applied political pressure to local public health officials for more stringent interventions, including a mandatory vaccination policy. Local health dep...
Article
Background: Vaccine-preventable diseases pose a significant risk to children in childcare. However, few regulations exist regarding childcare staff vaccination. This study aimed to assess support for a childcare agency staff mandatory vaccination policy. Methods: Surveys were distributed to staff and parents at 23 St Louis, Mo, childcare agencie...
Article
Full-text available
Background School participation in collecting and reporting syndromic surveillance (SS) data to public health officials and school nurses’ attitudes regarding SS have not been assessed. Methods An online survey was sent to Missouri Association of School Nurses members during the 2013/2014 school year to assess whether K-12 schools were collecting...
Article
In the early 1990s, St. Louis County had multiple foodservice worker-related hepatitis A outbreaks uncontrolled by standard outbreak interventions. Restaurant interest groups and the general public applied political pressure to local public health officials for more stringent interventions, including a mandatory vaccination policy. Local health dep...
Article
Objectives: The objectives were to determine the impact of emergency childcare (EC) needs on health care workers' ability and likelihood to work during a pandemic versus an earthquake as well as to determine the anticipated need and expected use of an on-site, hospital-provided EC program. Methods: An online survey was distributed to all employe...
Article
Background: School preparedness for bioevents, such as emerging infectious diseases, bioterrorism, and pandemics, is imperative, but historically has been low. Methods: The Missouri Association of School Nurses members were sent an online survey during the 2013-2014 school year to assess current bioevent readiness. There were 15 and 35 indicator...
Article
Background: Research indicates that licensed health care workers are less willing to work during a pandemic and that the willingness of nonlicensed staff to work has had limited assessment. Objective: We sought to assess and compare the willingness to work in all hospital workers during pandemics and earthquakes. Methods: An online survey was...
Article
Disaster planners' attitudes toward preevent anthrax and smallpox vaccine for first responders and point-of-dispensing (POD) workers have not been examined. An online questionnaire was sent to US Cities Readiness Initiative (CRI) and non-CRI public health disaster planners in 2013. Multivariate logistic regressions were used to assess determinants...
Article
Communities will rely on open points of dispensing (PODs) for mass dispensing of medical countermeasures following a bioterrorism attack or a pandemic. US Cities Readiness Initiative (CRI) open POD preparedness is assessed using the Technical Assistance Review (TAR) but focuses on oral prophylaxis dispensing; mass vaccination readiness is not well...
Article
Points of dispensing (PODs) are deployed for medical countermeasure mass dispensing. However, infection prevention and vaccine administration pre-event training offered and just-in-time (JIT) education planned for POD workers have not been assessed. Disaster planners were sent an online questionnaire in 2013. McNemar tests compared training offered...
Article
The Centers for Disease Control and Prevention recommends using open points of dispensing (PODs) and alternative modalities, such as closed PODs, for mass dispensing of medical countermeasures. However, closed POD existence has not been assessed. In 2013 we sent an online questionnaire to US Cities Readiness Initiative (CRI) and non-CRI public heal...
Article
In 2011, an EF5 tornado hit Joplin, MO, requiring complete evacuation of 1 hospital and a patient surge to another. We sought to assess the resilience of healthcare workers in these hospitals as measured by number reporting to work, willingness to work, personal disaster preparedness, and childcare responsibilities following the disaster. In May 20...
Article
During natural and manmade disasters, the hospital is perceived as a central rallying and care site for the public, for both those with and without emergency medical needs. The expectations of the public may outstrip hospital plans and abilities to provide nonmedical assistance. Our objective was to determine the public expectations of the hospital...
Data
Background: All citizens need to have a personal disaster plan, but past studies indicate poor preparedness. Predictors of preparedness need to be clearly defined so interventions can be developed. Methods: Human resource (HR) professionals were sent an online survey in May-July, 2011 that assessed their personal/family disaster plan for natural di...
Article
Background: All citizens need to have a personal disaster plan, but past studies indicate poor preparedness. Predictors of preparedness need to be clearly defined so interventions can be developed. Methods: Human resource (HR) professionals were sent an online survey in May-July, 2011 that assessed their personal/family disaster plan for natural di...
Article
Background: Long-term use of respiratory protection may be necessary, but compliance may be low, and physiologic effects have not been well evaluated. Methods: Ten nurses participated; physiologic effects, subjective symptoms, and compliance with wearing an N95 alone or with a surgical mask overlay were assessed. Longitudinal analysis based on m...
Article
Objective The public's expectations of hospital services during disasters may not reflect current hospital disaster plans. The objective of this study was to determine the public's expected hospital service utilization during a pandemic, earthquake, and terrorist bombing. Methods A survey was distributed to adult patients or family members at 3 em...
Article
The 2009 H1N1 pandemic disproportionately affected school-aged children, but only school-based outbreak case studies have been conducted. The purposes of this study were to evaluate US academic institutions' experiences during the 2009 H1N1 pandemic in terms of infection prevention interventions implemented and to examine factors associated with sc...
Article
Background: Only limited data are available on businesses' experiences related to the 2009 H1N1 pandemic in terms of interventions implemented, staffing shortages, employees working while ill, and H1N1 vaccination policy. Methods: A questionnaire was administered to human resource professionals during May-July 2011 to assess US businesses' exper...
Article
Background: Only limited data are available on US business continuity activities related to biologic events. Methods: A questionnaire was administered to human resource professionals during May-July 2011 to assess business continuity related to biologic events, incentives businesses are providing to maximize worker surge capacity, and seasonal i...
Data
Objective: The public's expectations of hospital services during disasters may not reflect current hospital disaster plans. The objective of this study was to determine the public's expected hospital service utilization during a pandemic, earthquake, and terrorist bombing. Methods: A survey was distributed to adult patients or family members at 3 e...
Article
School pandemic preparedness is essential, but has not been evaluated. An online survey was sent to school nurses (from state school nurse associations and/or state departments of education) between May and July 2011. Overall school pandemic preparedness scores were calculated by assigning 1 point for each item in the school's pandemic plan; the ma...
Article
The 2009 pandemic H1N1 influenza vaccine had lower uptake compared to seasonal influenza vaccine, and most studies examining uptake of H1N1 vaccine focused on hospital-based healthcare personnel (HCP). Determinants of H1N1 vaccine uptake among HCP in all work settings need to be identified so that interventions can be developed for use in encouragi...
Article
background. Influenza vaccination among nonhospital healthcare workers (HCWs) is imperative, but only limited data are available for factors affecting their compliance. objective. To examine the factors influencing influenza vaccine compliance among hospital and nonhospital HCWs. design and setting. A vaccine compliance questionnaire was administer...
Article
Only limited data are available on emergency medical technicians' (EMT) influenza vaccination compliance. A questionnaire was administered to St. Louis EMTs during March to June 2011 to assess compliance with the 2010/2011 and 2009/2010 seasonal and pandemic H1N1 influenza vaccinations, factors that predicted uptake of 2010/2011 seasonal influenza...
Article
Influenza vaccination among nonhospital healthcare workers (HCWs) is imperative, but only limited data are available for factors affecting their compliance. To examine the factors influencing influenza vaccine compliance among hospital and nonhospital HCWs. Design and Setting. A vaccine compliance questionnaire was administered to HCWs working in m...
Article
Influenza pandemics occur periodically and the subtype of the next pandemic strain cannot be predicted. Vaccination remains a critical intervention during pandemics, but current production technology requires several months to develop sufficient vaccine to meet anticipated worldwide need. Candidate prepandemic vaccines for use in population priming...
Article
Long-term care facilities (LTCFs) are defined as residential institutions that provide care to people who are unable to live independently. Planning for infection prevention in disaster situations is essential for LTCFs because of the increased risk inherent in their patient population. Experiences with past disasters, such as pandemic influenza an...
Article
Home health emergency management plans are essential and must address infection prevention issues. Few home health planning documents exist, and many of those that have been developed do not address infection prevention issues, combine them with non-infection prevention issues, or are disease/event-specific. An all-encompassing home health infectio...
Article
Home health preparedness for disasters is imperative, including the need to identify essential resources to protect home health professionals from exposure during an event. Access to personal protective equipment (PPE) is expected to be limited during a disaster, and PPE distribution and allocation needs to be prearranged to minimize infection tran...
Article
Adequate pandemic preparedness is imperative for home health agencies. A 23-item pandemic preparedness survey was administered to home health agencies in the spring of 2010. The Kruskal-Wallis (KW) test was used to evaluate the relationships between agency size and preparedness indicators. Significant findings were further analyzed by the Mann-Whit...
Article
This article is an executive summary of the Association for Professionals in Infection Control and Epidemiology, Inc, Elimination Guide for methicillin-resistant Staphylococcus aureus, including the 2009 California Supplement. Infection preventionists are encouraged to obtain the original, full-length Association for Professionals in Infection Cont...
Article
This article is an executive summary of the Association for Professionals in Infection Control and Epidemiology's elimination guide for mediastinitis surgical site infections. Infection preventionists are encouraged to obtain the original, full-length elimination guide for more thorough coverage of mediastinitis surgical site infection prevention.
Article
This article is an executive summary of the APIC Elimination Guide for methicillin-resistant Staphylococcus aureus infection in long-term care facilities. Infection preventionists are encouraged to obtain the original, full-length APIC Elimination Guides for more thorough coverage of methicillin-resistant Staphylococcus aureus prevention in long-te...
Article
This article is an executive summary of the Association for Professionals in Infection Control and Epidemiology's Clostridium difficile infection elimination guide. Infection preventionists are encouraged to obtain the original, full-length elimination guide for more thorough coverage of C difficile infection prevention.
Article
This article is an executive summary of the Association for Professionals in Infection Control and Epidemiology's guide to the elimination of multidrug-resistant Acinetobacter baumannii transmission in health care settings. Infection preventionists are encouraged to obtain the original, full-length elimination guide for more thorough coverage.
Article
The APIC began publishing their series of Elimination Guides in 2007. Since then, 9 Elimination Guides have been developed that cover a range of important infection prevention issues, such as the prevention of catheter-related bloodstream infections, ventilator-associated pneumonia, catheter-related urinary tract infections, and mediastinitis surgi...
Article
The H1N1 influenza pandemic provided a real‐world test of hospital disaster plans. Challenges to hospitals included inconsistent use of isolation precautions; changing and conflicting guidelines; lack of available supplies, including N95 respirators and medications; and overwhelming amounts of information that required sifting. Further research is...