北部某區域醫院嚴重特殊傳染性肺炎群聚事件調查與應變處置經驗分享

Effective Control of a COVID-19 Outbreak in a Teaching Hospital: A Single-Center Experience

2021年初臺灣北部發生一起COVID-19群聚事件，透過疫情調查、擴大篩檢並匡列、以及病人及員工隔離安置等感染管制措施，使得此一群聚事件於30日內得以結束。最終共發現21名COVID-19感染者，包括6位醫護人員、2位病人、12位家屬及1位外籍看護員染病。經疫調發現照護病人過程中，病毒可能於醫療照護過程中汙染皮膚、及藉由環媒傳播而感染，防範重點包括：1.當照護病人時懷疑自身遭受污染時應立即離開並沐浴；2.教育專責病房工作人員提高警覺，出現症狀應即早就醫並通報主管；3.透過管理策略，改善工作流程降低散播風險；4.當群聚事件發生時，定期地擴大篩檢有助於及早發現個案以控制病毒散播；5. SARS-CoV-2可能藉由環境傳播。因此加強人員教育、落實環境清潔及手部衛生仍是防止病毒傳播之重要基石。透過系統性地改變照護流程及落實感染管制措施，將能提供更好的醫療照護品質。

In early 2021, a hospital cluster of COVID-19 cases occurred in northern Taiwan. Through infection control measures such as epidemiological investigation, expanded screening, and isolation of patients and employees, this cluster event ended within 30 days, which allowed staff to return to work. A total of 21 people with COVID-19 were found, including six hospital staff, two patients, 12 family members, and one foreign caregiver, and death was identified in one employee's family member. Early detection and management of hospital clusters can reduce the threat to hospitals and communities. Healthcare quality can be improved by systematically changing and strengthening infection control procedures and practices.