Provincial Infection Control Network of British Columbia, Vancouver, Canada.
Am J Infect Control. 2012 Mar;40(2):150-4. doi: 10.1016/j.ajic.2011.03.026. Epub 2011 Jul 29.
Infection prevention and control (IPC) is a critical, although often neglected, part of long-term care (LTC) management. Little is known about what IPC resources are available for LTC and how that impacts patient care and safety.
One hundred eighty-eight LTC facilities were randomly selected out of all British Columbia facilities and surveyed using a validated survey tool. The tool was used to collect data regarding IPC resources grouped within 6 indices: (1) leadership, (2) infection control professionals (ICP) coverage, (3) policies and procedures, (4) support through partnerships, (5) surveillance, and (6) control activities. All components measured have been identified as key for an effective IPC program. Survey responses were used to calculate scores for IPC programs as a whole and for each of the 6 indices.
Of 188 randomly selected facilities, 86 institutions participated. Facilities were compared by region, funding source, and ICP coverage. Overall, LTC facilities lacked IPC leadership, especially physician support. Having no dedicated ICP was associated with poorer scores on all indices. Only 41% of practicing ICPs had more than 2 years experience, and only 14% were professionally certified. Twenty-two percent of ICPs had additional roles within the institution, and 44% had additional roles outside of the institution. Thirty-five percent of institutions had no IPC dedicated budget.
LTC institutions-with bed numbers exceeding those in acute care-represent an important aspect of health services. These data show that many LTC facilities lack the necessary resources to provide quality infection control programs.
感染预防与控制（IPC）是长期护理（LTC）管理中一个至关重要但往往被忽视的环节。目前，我们对于 LTC 现有的 IPC 资源以及这些资源对患者护理和安全的影响知之甚少。
从不列颠哥伦比亚省的所有设施中随机抽取 188 家 LTC 机构，并使用经过验证的调查工具对其进行调查。该工具用于收集与 IPC 资源相关的数据，这些资源分为 6 个指标进行分组：（1）领导力；（2）感染控制专业人员（ICP）的覆盖范围；（3）政策和程序；（4）通过伙伴关系提供的支持；（5）监测；（6）控制活动。所有衡量的指标都被认为是有效 IPC 计划的关键。调查回复用于计算 IPC 计划的整体得分和 6 个指标中的每个指标的得分。
在随机抽取的 188 家设施中，有 86 家机构参与了调查。按地区、资金来源和 ICP 覆盖范围对设施进行了比较。总体而言，LTC 设施缺乏 IPC 领导力，特别是缺乏医生的支持。没有专门的 ICP 与所有指标的得分较差相关。只有 41%的执业 ICP 拥有超过 2 年的经验，只有 14%的 ICP 具有专业认证。22%的 ICP 在机构内有其他角色，44%的 ICP 在机构外有其他角色。35%的机构没有专门的 IPC 预算。
床位数超过急性护理的 LTC 机构代表了卫生服务的一个重要方面。这些数据表明，许多 LTC 设施缺乏提供高质量感染控制计划所需的资源。
