Colas Anaïs, Baudet Alexandre, Regad Marie, Conrath Elodie, Colombo Muriel, Florentin Arnaud
CHRU-Nancy, F-54505 Vandœuvre-lès-Nancy, France.
Université de Lorraine, Faculté de Médecine, F-54505 Vandœuvre-lès-Nancy, France.
Infect Prev Pract. 2022 Sep;4(3):100234. doi: 10.1016/j.infpip.2022.100234. Epub 2022 Jul 16.
In March 2020, COVID-19 cases occurred in residential care facilities. To assist these facilities, the regional health agency of the administrative district ordered a support mission.
Infection prevention and control mobile teams were formed under the coordination of the infection prevention and control department (IPCD) of a university hospital. Teams went to residential care facilities for the elderly, to facilities for people with disabilities (FPD) and independent living communities (ILC). They visited the facilities and met with the management and the ward staff to assess the situation and to identify any potential support needs.
Over two non-consecutive weeks, 104 residential care facilities were visited (9025 residents). If urgent needs were identified, the IPCD was directly informed by the teams to initiate an extensive assistance operation. Thereby, additional staff and equipment were provided for every facility in need. Although most of them had implemented good management to face the pandemic, four emergency field support operations took place in facilities with uncontrolled outbreaks.
This is the first reported support action for residential care facilities during the pandemic in France. As no major outbreaks were noticed later, this mission was deemed a success and met the residential care facilities' needs for support. Many facilities have expressed the need to cooperate with infection prevention and control specialists in the future, both during outbreaks, also in routine daily practice. This report highlights the need to maintain support for residential care facilities and to implement a permanent collaboration between hospitals and residential care facilities.
2020年3月，新冠病毒疾病（COVID-19）病例在寄宿护理机构中出现。为协助这些机构，行政区的地区卫生机构下达了一项支持任务。
在一家大学医院的感染预防与控制部门（IPCD）的协调下组建了感染预防与控制流动小组。小组前往老年寄宿护理机构、残疾人设施（FPD）和独立生活社区（ILC）。他们走访这些机构，与管理层和病房工作人员会面，以评估情况并确定任何潜在的支持需求。
在连续两周的时间里，走访了104家寄宿护理机构（9025名居民）。如果发现有紧急需求，小组会直接通知IPCD启动大规模援助行动。由此，为每家有需要的机构提供了额外的工作人员和设备。尽管大多数机构已经实施了良好的管理措施来应对疫情，但在疫情爆发失控的机构中仍进行了四次紧急现场支持行动。
这是法国疫情期间首次报道的针对寄宿护理机构的支持行动。由于后来没有发现重大疫情爆发，这项任务被认为是成功的，满足了寄宿护理机构的支持需求。许多机构表示，未来在疫情期间以及日常常规实践中都需要与感染预防与控制专家合作。本报告强调了有必要继续支持寄宿护理机构，并在医院和寄宿护理机构之间建立长期合作关系。
