Infection Prevention & Control Information for Health Professionals

Long-Term Care and Retirement Homes

• COVID-19 Information for Long-Term Care and Retirement Homes

Respiratory Outbreaks

To report a suspected or confirmed outbreak, call your Toronto Public Health Liaison. After hours (weekdays and weekends, after 5 p.m.) call 3-1-1 or 416-392-CITY (2489).

• MOHLTC: A Guide to the Control of Respiratory Infection Outbreaks in Long-Term Care Homes

The purpose of the Ministry of Health and Long-Term Care (MOHLTC) Control of Respiratory Infection Outbreaks in Long-Term Care Homes guide is to provide long-term care homes (LTCHs), acute care facilities (ACFs), retirement homes, chronic care and rehabilitation facilities with detailed information on measures to detect, report, manage, and further reduce morbidity and mortality associated with respiratory outbreaks.

Outbreak Forms

• Initial Respiratory Outbreak Notification Form
• Respiratory Outbreak – Non-COVID Line List and Epicurve**
• COVID-19 LRCT Line List & Epicurve**
• Full Resident and Staff Identification List**
• Respiratory Hospitalizations and Deaths Line List Form
• Outbreak Transfer Notification
• Respiratory Outbreak Management Team Meeting Checklist

**While we aim to provide fully accessible content, there is no text alternative available for some of the content on this site. If you require alternate formats or need assistance understanding our maps, drawings, or any other content, please contact us at LRCT@toronto.ca

Specimen Collection

• How to Collect a Nasopharyngeal Swab
• Respiratory Outbreak Test Requisition Form Sample

Signage

• Respiratory Outbreak Notification Sign
• Additional Precautions Signage and Lanyard Cards
• Cover Your Cough Posters (multilanguage)
• Hand Washing Posters (multiple languages)
• Hand Sanitizing Posters (multiple languages)

Additional Resources

• Pre-Outbreak Season Planning Form
• Repatriation Algorithm
• What Visitors Need to Know
• Public Health Ontario Laboratory Services – Kit and Test Ordering Instructions
• Universal Influenza Immunization Program (UIIP)  – Ordering Influenza Vaccine
• Summary of the NACI Seasonal Influenza Vaccine Statement
• Routine Practices and Additional Precautions in All Health Care Settings, Provincial Infectious Diseases Advisory Committee (PHO)
• Ontario Respiratory Pathogen Bulletin 

Enteric Outbreaks

To report a suspected or confirmed outbreak, call your Toronto Public Health Liaison. After hours (after 5 p.m., weekends and holidays) call 3-1-1 or 416-392-CITY (2489).

• A Guide to the Control of Gastroenteritis Outbreaks in Long-Term Care Homes

The purpose of this guide is to provide long-term care homes (LTCHs) and other institutions such as acute care facilities (ACFs), retirement homes, and chronic care and rehabilitation facilities with detailed information on measures necessary to detect, report, manage, and further reduce morbidity and mortality associated with enteric outbreaks.

Outbreak forms

• Initial Enteric Outbreak Notification Form
• Enteric Outbreak Line List** 
• Enteric Hospitalizations and Deaths Line List Form 
• Outbreak Transfer Notification
• Enteric Outbreak Management Team Meeting Checklist

**While we aim to provide fully accessible content, there is no text alternative available for some of the content on this site. If you require alternate formats or need assistance understanding our maps, drawings, or any other content, please contact us at LRCT@toronto.ca

Specimen Collection

• How to Collect a Stool Specimen
• Enteric Outbreak Test Requisition Form Sample

Signage

• Enteric Outbreak Notification Sign 
• Additional Precautions Signage and Lanyard Cards
• Hand Washing Posters (multiple languages)
• Hand Sanitizing Posters (multiple languages)

Additional Resources

• Pre-Outbreak Season Planning Form
• Repatriation Algorithm
• Norovirus fact sheet
• What Visitors Need to Know

C-difficile

• Testing, Surveillance and management of Clostridium difficile in All Health Care Settings (Provincial Infectious Diseases Advisory Committee (PIDAC))
• Clostridium Difficile Infection – Infection Prevention and Control Guidance for Management in Long-term care Facilities
• Clostridium Difficile Infection – Infection Prevention and Control Guidance for Management in Acute Care Settings
• Stool Consistency Chart with Acceptance Criteria for Clostridioides difficile Testing (Public Health Ontario (PHO))

Acute Care and Complex Continuing Care Facilities

• COVID-19 Information for Hospitals

Respiratory

• MOHLTC: A Guide to the Control of Respiratory Infection Outbreaks in Long-Term Care Homes
• Initial Respiratory Outbreak Form 
• Outbreak Notification Sign 
• Instructions for Collecting a Nasopharyngeal Swab 
• Respiratory Outbreak Summary and Epi-Curve 
• Community Care Access Centre (CCAC) Outbreak Notification Form 
• Respiratory Outbreak Transfer Notification Form
• Respiratory Outbreak Management Team Meeting Checklist
• Respiratory Outbreak Test Requisition Form Sample

Enteric

• A Guide to the Control of Gastroenteritis Outbreaks in Long-Term Care Homes
• Public Health Laboratory – Outbreak Notification Report Form
• Enteric Outbreak Line List
• Outbreak Notification Sign
• Initial Enteric Outbreak Notification Form
• Enteric Outbreak Transfer Notification Form
• Enteric Outbreak Management Team Meeting Checklist
• Enteric Outbreak Test Requisition Form Sample

C-difficile

• Testing, Surveillance and management of Clostridium difficile in All Health Care Settings (Provincial Infectious Diseases Advisory Committee (PIDAC))
• Clostridium Difficile Outbreak Line List
• Clostridium Difficile Outbreak Epi Curve
• Clostridium Difficile Outbreak Fact Sheet
• Clostridium Difficile Outbreak Checklist

Resources

Enteric

• Norovirus Fact Sheet for Your Patients
• Enteric Disease Surveillance Protocol for Ontario Hospitals, OHA/OMA/MOHLTC
• Specimen Collection Guide, PHO
• Association for Professional in Infection Control and Epidemiology
• Diseases and Organisms in Healthcare Settings, CDC
• Centers for Disease Control and Prevention
• Community and Hospital Infection Control Association – Canada (CHICA)

Respiratory

• Community and Hospital Infection Control Association – Canada (CHICA)
• Routine Practices and Additional Precautions in All Health Care Settings, Provincial Infectious Diseases Advisory Committee, PHO
• Association for Professionals in Infection Control and Epidemiology
• A Guide to the Control of Respiratory Infection Outbreaks in Long-Term Care Homes, MOHLTC
• Influenza Surveillance Protocol for Ontario Hospitals, OHA/OMA/MOHLTC
• Specimen Collection Guide, PHO
• PHAC influenza information
• Centers of Disease Control and Prevention

Influenza information

• Influenza Information for Health Professionals

Respiratory educational material

• Influenza and the Flu Shot: Facts for Health Care Workers 2019-2020 PowerPoint

Other Infection Control Resources

• Cover Your Cough Posters (multilanguage)
• Hand Washing Posters (multiple languages)
• Hand Sanitizing Posters (multiple languages)
• Public Health Information for Toronto Bathhouses
• Best Practice Documents, PIDAC
• Best Practice Manuals for all Health Care Settings, PIDAC
• Infection Control in the Physician’s Office, CPSO
• Community and Hospital Infection Control Association of Canada
• Regional Infection Control Networks
• Guidance: Infection Prevention and Control Measures for Healthcare Workers