老人福利機構（長期照顧機構及安養機構）之感染管制與查核準備建議

Introduction to the Accreditation and Practice of Infection Control Measures in Long-term Care Institutions for the Elderly for Year 2017

長期照護機構，例如老人福利機構，感染管制查核作業，執行之主要目的為預防機構內感染，並及早發現機構內發生感染個案及群聚事件，同時使工作人員能即時妥適處理及採取必要感染管制措施，保障住民長期照護的安全，並提供同仁安全的工作環境。機構住民多數年齡大、常伴隨多種慢性疾病、有較嚴重的活動功能障礙或有高比例的侵入性管路置放，再加上機構內住民的團體活動以及和急性醫療院所之間的轉院頻繁，導致各種傳染性的疾病很容易在機構內感染和擴散，因此認知與落實長期照護機構的相關感染管制措施，包括手部衛生、隔離防護、環境清潔消毒、主動篩檢、感染監測及教育訓練等措施是重要的議題；因此政府近年來積極推動及執行長期照護機構的輔導、督導考核及評鑑以保障住民安全，本篇期望藉由老人福利機構等長照機構的感染管制措施介紹，提供長照機構負責人及臨床工作人員參研，以協助提升照護機構的感染管制品質。

The main purpose of evaluation and audit of the practice of infection control measures in long-term care facilities (LTCFs) is to prevent the transmission of infection and to identify infected cases and cluster incidents within the organization as early as possible. In addition, the working staff can perform the required actions for infection control properly, and thereafter, protect the safety of the residents and caregiver colleagues, thereby achieving a secure institutional environment. Most of LTCF residents are elderly, who have chronic diseases. Some of them have severe impairment in their functional activities, and most of them are invasively intubated. Together with the fact that the residents are transferred to institutions and acute care hospitals frequently, various infectious diseases are easily transmitted and spread within the LTCFs. To execute LTCF infection prevention-related policies and procedures, including hand hygiene, isolation, and environmental cleaning and disinfection, active surveillance and education are of great importance. At present, counseling, supervision, and evaluation of LTCFs emphasize the implementation of infection control measures critically. Administrators, clinical staff, and care workers of LTCFs are expected to continue efforts to enhance the quality of infection control in their institutions by assessment of the implemented infection control measures for the elderly LTCFs, which is provided by this introduction to accreditation and practice.