台灣北部某醫學中心呼吸照護病房COVID-19群聚事件調查及處置經驗：利用RT-PCR檢測和集中安置感染控制進行嚴密監測

Close surveillance of SARS-CoV-2 using RT-PCR and cohort infection control successfully contain outbreak of COVID-19 in a respiratory care ward: an experience of a medical center

2021年5月北部某醫學中心呼吸照護病房發生包含病人及醫療相關工作人員的新型冠狀病毒感染（COVID-19）群聚事件，亦是台灣首次呼吸照護病房發生COVID-19的群聚事件。自5月23日至6月15日，確診病例12人（病人1名、7名陪病者、4名照服員）。臨床表現除了發燒及上呼吸道感染症狀外，33%（4/12）為無症狀確診者，增加控制疫情擴散的困難度。藉由即時鑑別出指標個案、全面篩檢與嚴密監測、及早的集中安置照護（Cohorting care）與隔離措施、落實手部衛生和個人防護裝備配戴與相關教育訓練、加強環境清消，使疫情於不關閉病房的情況下獲得控制。希望藉由此事件的經驗，作為長照機構或相關醫療單位日後因應COVID-19群聚事件發生時之參考。

A COVID-19 outbreak occurred in the respiratory care ward of a medical center in Taiwan in May 2021. This was also the first COVID-19 outbreak to have occurred in a respiratory care ward in Taiwan. The outbreak included 12 cases (one patient, seven caregivers, and four nurse assistants) between May 23rd and June 15th, 2021. Although the clinical manifestations included fever and upper respiratory symptoms, a certain proportion of the infections were asymptomatic (4/12, 33%). Therefore, it is difficult to prevent the progression of an epidemic. The outbreak was controlled without closing the ward using the following measures: immediate index case identification, widespread screening and close surveillance, early cohorting care and quarantining, hand hygiene, the use of personal protective equipment (PPE), related education and training, and environmental disinfection. This COVID-19 outbreak experience provides valuable information for long-term care and healthcare institutions.