Gamage B, Pugh S, Litt M, Bryce E
Provincial Infection Control Network, Provincial Health Services Authority, British Columbia.
Can J Infect Control. 2009 Winter;24(4):213-8.
To determine the gaps in infection prevention and control (IPAC) resources and the disparities between rural and urban areas, the Provincial Infection Control Network surveyed the current resources in British Columbia (BC).
Acute care facilities (ACF) in six health authorities (HA) were surveyed for IPAC staff; distribution of work; infection prevention and control professional (ICP) to bed ratios; and teaching activities. HAs were designated as either urban or rural.
Responses represented 54 (68%) of the ACF in BC. Rural HAs showed a significantly higher number of inexperienced ICPs (68% vs. 17%; p < 0.001). Only 22 (60%) of eligible ICPs were Certification Board of Infection Control certified. Five out of six HAs (83%) reported having an IPAC physician. Acute care ICP to bed ratios ranged from one per 67 to one per 175 and combined acute and long-term care ICP to bed ratios ranged from one per 270 beds to one per 525 beds. The number of ICPs who reported working overtime on a consistent basis ranged from 20 to 100%.
ACFs surveyed did not meet the recommended standards for staffing and IPAC resources in order to function as an effective program. Surveys of infection control resources are valuable tools to identify needs and assist in acquiring the resources to fill the identified gaps within a health authority.
为确定感染预防与控制（IPAC）资源方面的差距以及城乡之间的差异，省级感染控制网络对不列颠哥伦比亚省（BC）的现有资源进行了调查。
对六个卫生当局（HA）的急性护理机构（ACF）进行了调查，内容包括IPAC工作人员情况、工作分配、感染预防与控制专业人员（ICP）与床位的比例以及教学活动。HA被划分为城市或农村地区。
回复涵盖了BC省54家（68%）的ACF。农村卫生当局中无经验的ICP数量显著更多（68%对17%；p<0.001）。只有22名（60%）符合条件的ICP获得了感染控制认证委员会的认证。六个卫生当局中有五个（83%）报告有一名IPAC医生。急性护理中ICP与床位的比例从每67张床配备1名到每175张床配备1名不等，急性和长期护理合并的ICP与床位的比例从每270张床配备1名到每525张床配备1名不等。报告经常加班的ICP数量比例从20%到100%不等。
接受调查的ACF未达到有效开展项目所需的人员配备和IPAC资源推荐标准。感染控制资源调查是确定需求以及协助获取资源以填补卫生当局内已确定差距的宝贵工具。
