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| 題 名 | 臺中地區住宿型衛生福利機構COVID-19群聚事件分析與建議=Analysis and Suggestions for COVID-19 Cluster Events in Long-Term Care Facilities in Taichung City |
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| 作 者 | 張雅雯; 何佳佳; 王瑞興; | 書刊名 | 長照感染預防控制雜誌 |
| 卷 期 | 2:1 2023.06[民112.06] |
| 頁 次 | 頁1-6 |
| 分類號 | 419.712 |
| 關鍵詞 | 群聚; 長期照顧機構; 住宿型衛生福利機構; 感染管制; COVID-19; Cluster; Long-term care facilities; Infection control; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 臺灣各級醫療院所機構面對嚴重特殊傳染性肺炎 (COVID-19) 疫情,不但要處理大量傳染病 病患,也難以避免自身機構內的病患或住民及工作同仁染疫。本研究針對臺中地區於 2022 年 6 月至 8 月期間,24 家住宿型衛生福利機構群聚事件,分析歸納後發現有 4 家 (16.67%) 機構之 確診個案僅採取原床位就地隔離,未能有效隔離,有 10 家 (41.67%) 機構集中照護區域的照護 動線交錯,人員常常穿越不同隔離區域。機構工作人員與住民有不等程度未能落實洗手與個人 防護裝備,甚至有 12 家 (50%) 機構持續舉辦團體活動或是共同飲食。其中 7 家 (29.17%) 機構 針對至醫院返診個案或洗腎透析個案未集中管理,有 3 家 (12.5%) 機構的醫療工作人員並未執 行分區分流照護,此外,容易忽略員工下班的私人時間,也應該分流減少接觸,11 家 (45.83%) 機構的外籍照服員,共用宿舍內沒有任何的區隔。 本研究建議確切落實感染管制措施指引,平時即應該分區管理住民活動及用餐。針對確診 者與密切接觸者則規劃房室集中照護,並且在動線規劃上避免交錯,以減少傳播風險。除了加 強機構管理人員知能以外,應聘請專家學者檢視機構自身之應變整備作戰計畫與動線規劃,而 主管機關應該主動關心並且定期稽查機構執行狀況,以降低 COVID-19 群聚感染事件風險。 |
| 英文摘要 | For Coronavirus disease (COVID-19), medical institutions in Taiwan not only have to deal with a large number of infectious disease patients, but it is also difficult to prevent patients, residents and staff in their own institutions from being infected. This study analyzed the cluster events in 24 Long-Term Care Facilities in Taichung City from June to August 2022. The confirmed patients in 4 (16.67%) institutions were only isolated in the original bed ineffectively. In 10 (41.67%) institutions, the care flow in the isolation care areas crossed, and the staff often passed through different isolation areas. Staff and residents of institutions didn’t always implement hand washing and personal protective equipment, and 12 institutions (50%) continued to do group activities or eat together. Among them, 7 (29.17%) institutions did not manage the patients returning from the hospital or dialysis. There are 3 (12.5%) institutions where the medical staff did not carry out split care operation. In addition, it is easy to ignore that they should also reduce contact in personal time after work. The foreign care staff of 11 (45.83%) institutions did not have any separate in the shared dormitory. Our study recommends that the guidelines for infection control measures be strictly implemented, and residents’ activities and meals should be managed in different areas in usual. The confirmed patients and close contacts have to be arranged in separately isolation area, and cross of care flow should be avoided to reduce the risk of transmission. In addition to strengthening the knowledge and ability of the organization’s management personnel, experts should be hired to review the organization’s own contingency plan and care flow. The competent authority should take care and inspect the organization’s implementation status regularly to reduce the risk of COVID-19 cluster infection events. |
本系統中英文摘要資訊取自各篇刊載內容。