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KMID : 0648619960010010015
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Korean Journal of Nosocomial Infection Control
1996 Volume.1 No. 1 p.15 ~ p.19
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A CANADIAN EXPERIENCE OF INFECTION CONTROL
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Lindsay E. Nicolle
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Abstract
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Infection control in Canada has been expanding in prominence and activity since the
early 1980's. It was at that time that infectious disease physicians with special interest
and training in infection control began to assume positions as directions in infection
control at tertiary care centres. Prior to that, infection control tended to be a minor
activity incoporated into the functions of the microbiology laboratory. Currently, most
tertiary care centres across Canada have a physician, usually trained in infectious
diseases, who directs infection control. In smaller community hospitals infection control
programs are primarily managed by infection control practitioners who report, variably,
to nursing, microbiology, or quality assurance.
The Health Sciences Centre (HSC) in Winnipeg, where I have been director of
infection control for the past 9 years, is an 850 bed institution. It provides both adult
and pediatric care and is the major tertiary care and teaching centre for the Province of
Manitoba. Specially tertiary care programs include renal transplantation, a leukemia and
bone marrow transplant ward with HEPA filtration, provincial trauma and cardiovascular
surgery services, the provincial burn unit and surgical, medical, neonatal and pediatric
intensive care units. This institution, in common with all Canadian institutions, and
consistent with the government agenda to move provision of medical services outside
the institution has been restructuring and downsizing over the last several years while
ambulatory programs have been expanding. Five years ago the HSC had 1,150 inpatient
beds.
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