Infectious disease

Strategy for Vaccination Against COVID-19: Postponement of the Second Dose in a Context of Shortage

The number of cases, hospitalizations, and deaths due to COVID-19 have been increasing in Quebec since August 2020. In addition to the suffering of those infected and their friends and family, caring for patients and their contacts creates a significant burden for healthcare workers, who are frequently infected, threatening the integrity of our healthcare system. The way the pandemic develops in the coming months will depend on the population’s compliance with the recommendations to…

Experts opinion

Training Ambassadors in the Prevention and Surveillance of Lyme Disease in Québec

The Institut national de santé publique du Québec (INSPQ) conducted a training project with the Nature Conservancy of Canada (NCC) from January to December 2019 in the regions where Lyme disease (LD) is a growing public health issue. The objective was to train Lyme disease prevention ambassadors through a cascade training approach (training trainers).

Evaluation report

Operating Room with a Suspected or Confirmed COVID-19 Case: Interim Recommendations

Note that the information herein is based on the scientific evidence available on the date of this statement. Several questions on operating room setup for suspected and confirmed cases of COVID-19 have come from these facilities. Below are the measures to implement.

Interim document

COVID-19: Interim Recommendations Concerning the Use of Expired N95 Masks

This document is out dated and has thus been removed.

Interim document

Quality of Water Used in Medical Device Reprocessing

This professional practice guide is a basic reference on the quality of water used for reusable medical devices reprocessing (MDR) and flexible endoscopic devices reprocessing (EDR). It aims to support activity management, to standardize practices and to improve the quality of MDR. It is intended for all persons working in health care institutions who are directly or indirectly responsible for quality assurance in MDR, including managers, MDR institution respondents, MDR staff, and persons…

Professional practice guidelines

Revision of the Programme d’immunisation contre l’influenza au Québec

The last report issued by the Comité sur l’immunisation du Québec (CIQ) concerning the Programme d’immunisation contre l’influenza du Québec (PIIQ) [Québec’s Influenza Immunization program] was published in 2007. An update became necessary, given the many scientific advances that have occurred in this field.

The primary objective of the PIIQ must be to reduce influenza-associated hospitalizations and deaths.

To attain this objective, the CIQ recommends maintaining a…

Scientific advisory

Identification guide for ticks found in Québec

The Identification guide for ticks found in Québec was developed for physicians, veterinarians and other health professionals to inform them about the main types of ticks found in Québec and to help them identify specimens brought to them by their patients.

There are about 900 tick species worldwide. Ticks are Acari that parasitize most vertebrates, including humans, by feeding on their blood.

In Québec, 12 tick species have been identified so…

Professional practice guidelines

Measures to Prevent and Control Transmission of Multidrug-Resistant Gram-Negative Bacilli (Excluding Carbapenemase-Producing Enterobacteriaceae) in Acute Care Settings in Québec

Gram-negative bacilli (GNB) are bacteria frequently encountered in clinical settings, both as normal flora and as pathogens in a variety of infections.

The use of antibiotics has led to the emergence of various resistance mechanisms and some of these bacteria are now resistant to several classes of antibiotics.

This document was created to help healthcare-associated infection prevention and control (IPC) teams identify major multidrug-resistant. Gram-negative bacilli (MDR-…

Professional practice guidelines

Prevention and control measures for Clostridium difficile in residential and long-term care facilities

Since August 2004, Clostridium difficile associated diarrhea (CDAD) has undergone ongoing surveillance in all Quebec hospitals with more than 1,000 admissions annually. The surveillance has monitored the evolution of CDAD levels in health care facilities and confirmed their decrease. From an average of 9.1 cases/10,000 patient days in 2005-2006, the average rate has dropped to 4.6 cases/10,000 patient days in 2016-2017 (SPIN, 2017). Clostridium difficile (C. difficile…
Professional practice guidelines

Prevention and control measures for Candida auris in health care facilities

Candida auris is an emerging microorganism that belongs to the yeast category. Increasingly, it is being found as a pathogen causing nosocomial fungal infections. First identified in Japan in 2009 in a sample from a patient’s auditory canal (Satoh et al., 2009; ECDC, 2016; Rock, 2017), it has since been identified in up to 17 countries, spread across at least 5 continents: Asia, Europe, Africa and the Americas (CDC, 2017a; Schwartz and Hammond, 2017). C. auris…
Professional practice guidelines