Kim Tark
Division of Infectious Diseases, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
The Policy Committee for Emerging Infectious Diseases Committee of the Korean Society of Infectious Diseases (KSID), Seoul, Korea.
Infect Chemother. 2020 Jun;52(2):133-141. doi: 10.3947/ic.2020.52.2.133. Epub 2020 May 12.
Clusters of coronavirus disease 2019 (COVID-19) in long-term care facilities (LTCFs) have been widely reported in Korea and around the world. COVID-19 has a high mortality rate, and older patients and those with underlying diseases are at particularly high risk of being infected. Outbreaks in LTCFs, where many high-risk patients reside, result in the occupation of beds meant for severely ill patients and even death in many patients. Long-term care hospitals (LTCH) are major LTCFs in Korea. Therefore, it is very important to protect patients in LTCHs from COVID-19. The reality is that preparedness for COVID-19 in LTCHs is inadequate, and there are barriers to improvements in preparedness. Through institutional improvement and policy support, the government should help healthcare personnel and LTCHs improve installation and raise the level of knowledge of infection prevention and control. With these improvement, prevention, surveillance, and screening for COVID-19 should be done and a response system to the COVID-19 outbreak should be established. There are many challenges that must be overcome to meet the goals proposed in this article. This may be possible only with a spirit of solidarity and cooperation of government, public and private healthcare facilities.
韩国及全球范围内均广泛报道了长期护理机构(LTCF)中出现的2019冠状病毒病(COVID-19)聚集性病例。COVID-19死亡率很高,老年患者及患有基础疾病的患者尤其容易感染。许多高危患者居住的长期护理机构发生疫情,导致重症患者床位被占用,甚至许多患者死亡。长期护理医院(LTCH)是韩国主要的长期护理机构。因此,保护长期护理医院的患者免受COVID-19感染非常重要。现实情况是,长期护理医院对COVID-19的防范不足,且在改进防范措施方面存在障碍。政府应通过制度完善和政策支持,帮助医护人员和长期护理医院改进设施并提高感染预防与控制知识水平。通过这些改进措施,应开展COVID-19的预防、监测和筛查工作,并建立应对COVID-19疫情的响应系统。要实现本文提出的目标,必须克服许多挑战。只有政府、公立和私立医疗设施秉持团结与合作精神,才有可能做到。