25301Moffitt Cancer Center, Tampa, FL, USA.
Cancer Control. 2021 Jan-Dec;28:10732748211017166. doi: 10.1177/10732748211017166.
On March 11, 2020, the World Health Organization (WHO) declared Coronavirus Disease (COVID-19) a pandemic. Hospitals around the world began to implement infection prevention and control (IPC) measures to stop further spread and prevent infections within their facilities. Healthcare organizations were challenged to develop response plans, procure personal protective equipment (PPE) that was in limited supply while continuing to provide quality, safe care.
As a comprehensive cancer center with immunocompromised patients, our efforts began immediately. Preventative measures were established and, as of September 2020, over 14,000 patients have been tested within the facility. From March 2020 through September 2020, only one case of hospital acquired (HA) COVID-19 was identified among our patients. Two cases of suspected community acquired (SCA) cases were also identified. Following the Centers for Disease Control (CDC) guidance, IPC measures were implemented within the facility as information science about the virus developed. This article addresses the IPC measures taken, such as enhancing isolation precautions, implementing screening protocols, disinfecting and reusing N95 respirators, by the center throughout the pandemic as well as the challenges that arouse with a new and emerging infectious disease.
The infection control measures implemented at our comprehensive cancer center during the COVID-19 pandemic allowed our center to continue to provide world class cancer care with minimal COVID-19 infection transmission among patients and team members.
2020 年 3 月 11 日,世界卫生组织(WHO)宣布冠状病毒病(COVID-19)为大流行。世界各地的医院开始实施感染预防和控制(IPC)措施,以阻止进一步传播并防止设施内感染。医疗机构面临着制定应对计划、采购有限供应的个人防护设备(PPE)的挑战,同时还要继续提供高质量、安全的护理。
作为一家拥有免疫功能低下患者的综合性癌症中心,我们的努力立即开始。我们制定了预防措施,截至 2020 年 9 月,已有超过 14000 名患者在该设施内接受了检测。自 2020 年 3 月至 2020 年 9 月,我们的患者中仅发现一例医院获得性(HA)COVID-19 病例。还发现了两例疑似社区获得性(SCA)病例。根据疾病控制与预防中心(CDC)的指导,随着有关该病毒的信息科学的发展,我们在该设施内实施了 IPC 措施。本文介绍了该中心在整个大流行期间采取的 IPC 措施,例如加强隔离预防措施、实施筛查方案、对 N95 呼吸器进行消毒和再利用,以及新出现的传染病所带来的挑战。
在 COVID-19 大流行期间,我们的综合性癌症中心实施的感染控制措施使我们的中心能够继续提供世界级的癌症护理,同时最大限度地减少患者和团队成员之间 COVID-19 的感染传播。