North York General Hospital, Toronto, Ontario, Canada.
North York General Hospital, Toronto, Ontario, Canada.
J Am Med Dir Assoc. 2021 Feb;22(2):253-255.e1. doi: 10.1016/j.jamda.2020.11.033. Epub 2021 Jan 3.
Long-term care facilities (LTCFs), retirement homes (RHs), and other congregate care settings in Canada and worldwide have experienced significant COVID-19 outbreaks. As a health system response, our acute care hospital in Toronto, Ontario, Canada, developed and mobilized an onsite Infection Prevention and Control (IPAC) SWAT team (IPAC-SWAT) to regional settings on outbreak and implemented a strategy of support through education, training, and engagement. Between April 28, 2020, and June 30, 2020, IPAC-SWAT assessed 7 LTCFs and 10 RHs for IPAC preparedness and actively managed 10 of 13 COVID-19 outbreaks (LTCF n=5; RH n=5). IPAC-SWAT strategies were multi-interventional and intended to mitigate further viral transmission or prevent outbreaks. Dedicated training of local "IPAC champions" was facilitated at 7 sites (LTCF = 5; RH = 2) using a "train-the-trainer" approach to promote local knowledge, autonomy, and site-led audits and feedback.
在加拿大和全球范围内，长期护理机构（LTCF）、退休之家（RH）和其他集中护理机构都经历了重大的 COVID-19 疫情爆发。作为卫生系统的应对措施，我们在安大略省多伦多市的急性护理医院组建了一个现场感染预防和控制（IPAC）特警队（IPAC-SWAT），并将其部署到疫情地区，并通过教育、培训和参与实施了一项支持战略。在 2020 年 4 月 28 日至 6 月 30 日期间，IPAC-SWAT 对 7 个 LTCF 和 10 个 RH 进行了 IPAC 准备情况评估，并积极管理了 13 个 COVID-19 疫情中的 10 个（LTCF n=5；RH n=5）。IPAC-SWAT 的策略是多干预性的，旨在减轻病毒进一步传播或防止疫情爆发。通过“培训师培训”的方法，在 7 个地点（LTCF=5；RH=2）为当地的“IPAC 拥护者”提供了专门的培训，以促进当地的知识、自主性以及以现场为主导的审计和反馈。
