Die SARS-CoV-2-Pandemie in Altenpflegeheimen: Erkenntnisse und
                    Analysen in Frankfurt am Main von März 2020 bis September
                    2021

Heudorf, U.; Gottschalk, René; Müller, Mária; Steul, Katrin

doi:10.1055/a-1745-8780

Cited by 3 publications

(4 citation statements)

References 65 publications

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“…Public health, especially communicable disease control, balances risk and bene t, so outbreak management must consider quality of life, freedom and in the context of circulating infections. (12,13) Failure to recognise the utmost importance of resident social interaction can have a detrimental impact on elderly mental health, particularly if visitors are limited during outbreaks. (47) Consultation to identify those most at risk of social isolation and physical decline (48), COVID-19 safe methods to facilitate physical activity and implementing 'lifestyle' staff to engage with residents using appropriate precautions has been a novel and e cacious strategy to support wellbeing.…”

Section: Discussionmentioning

confidence: 99%

“…This was higher during the second and third waves, with 20 and 22 COVID-19 outbreaks during each period respectively. Outbreak duration (median, IQR) was highest during the rst wave (21,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) compared to the second (23.5, 15-32) and third waves (19.5, 13-29), with an overall range from 7 to 48 days. In contrast, attack rate (median, IQR) was higher during the third wave at (21.34%, 5.69-31.47%) compared to the second (16.89%, 8.25-31.39%) and rst wave (10.34%, 5.58-21.78%).…”

Section: Descriptive Statisticsmentioning

confidence: 99%

“…(5,(8)(9)(10) COVID-19 outbreaks pose a signi cant burden aged care facility. Collateral consequences for residents include reduced visitation, group activities, physical decline and implications on mental health (11)(12)(13), while aged care workers are dealt an increased workload in the context of prepandemic staff shortages across the aged care sector (14)(15). COVID-19 and in uenza-like illness outbreaks also impact the healthcare system, as large numbers of elderly infections beget an increase in hospitalisations in the context of an already strained health service.…”

Section: Introductionmentioning

confidence: 99%

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Why are some outbreaks worse than others? COVID-19 outbreak management strategies from a PHU perspective

Hodge

Oversby

McClure

et al. 2022

Preprint

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Background: From a Public Health Unit (PHU) perspective, this review aimed to examine factors associated with adverse outbreak outcomes, to identify evidence based focal strategies of managing COVID-19 outbreaks in aged care settings. Methods: A retrospective review of PHU documentation identified 55 COVID-19 outbreaks in aged care facilities in Wide Bay during 2022. Results: Thematic analysis using the framework approach identified several themes and subthemes associated with COVID-19 outbreaks in aged care. These were analysed for statistical significance against outbreak outcomes including duration, attack rate and case fatality rate. There was a significant relationship between memory support unit (MSU) involvement and adverse outbreak outcomes. Attack rate was significantly affected by communication efficiency, case detection and staff cohorting. Staff shortages were also significantly associated with adverse outcomes regarding attack rate and duration. Conclusions: This emphasises the importance of frequent communication between PHUs and RACFs during an active outbreak, as well as the need for prompt case detection, to minimise viral transmission, staff shortages and cohorting are also crucial factors to be addressed during outbreak management. Implications for Public Health: This review adds to the evidence basis of COVID-19 outbreak management strategies to improve PHU advice to RACFs during future periods of viral transmission, to ultimately reduce the associated burden of disease.

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Section: Discussionmentioning

confidence: 99%

Section: Descriptive Statisticsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Why are some outbreaks worse than others? COVID-19 outbreak management strategies from a PHU perspective

Hodge

Oversby

McClure

et al. 2022

Preprint

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“…Reihentests können helfen, die Dunkelziffer zu reduzieren. In einer Analyse in Hessen konnten stark steigende Infektionszahlen bei Kindern auf das verpflichtende Testgeschehen zurückgeführt werden 16 . Unklar ist jedoch, um welchen Faktor die Dunkelziffer in der entsprechenden Bevölkerungsgruppe durch solche Screening-Maßnahmen reduziert werden kann.…”

Section: Introductionunclassified

Reihentestungen an Schulen können die Dunkelziffer von COVID-19 Infektionen unter Schülern signifikant senken

2022

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Zusammenfassung Ziel der Studie Die Arbeit untersucht den Effekt der Maßnahme verpflichtender Covid-19 Tests für den Präsenzunterricht an Schulen. In Bayern gilt diese Testpflicht seit Ende der Osterferien 2021. Für die erste Woche nach den Osterferien ergibt sich ein natürliches Experiment, das uns erlaubt den Effekt der Testpflicht an Schule auf die Meldeinzidenz zu quantifizieren. Methoden Wir vergleichen die Änderungen der 7-Tage-Meldeinzidenz von Neuinfektionen pro 100 000 Einwohner zwischen Kreisen mit und ohne Präsenzunterricht. Für Landkreise und kreisfreie Städte, deren Meldeinziden zum Stichtag unter 100 lag, konnte in Kalenderwoche 15 Präsenzunterricht in geteilten Klassen bei Testpflicht stattfinden. Dazu haben sich Schulkinder in den Klassen mit Antigen-Schnelltest getestet. Daten zu den Testergebnissen der Schnelltests an den Schulen liegen uns nicht vor. Bei positivem Testergebnis im Antigen-Schnelltest wurde der Verdachtsfall mit einem PCR-Test überprüft. Positive PCR-Testergebnisse liegen auf Kreisebene in den betrachteten Altersgruppen als Meldeinzidenzen vor. In den Kalenderwochen 13 und 14 fand in Bayern wegen der Osterferien kein Schulunterricht an Schulen statt. Berücksichtigt man eine Latenzzeit von etwa 3–4 Tagen und einen Meldeverzug von 1–2 Tagen, so kann ein stärkerer Anstieg der Meldeinzidenzen in Kreisen mit Präsenzunterricht bei Testpflicht nicht (bzw. nur vernachlässigbar) auf Infektionen an Schulen zurückgeführt werden, sondern spiegelt eine Reduktion der Dunkelziffer durch die Testpflicht wider. Ergebnisse Die Meldeinzidenz erhöht sich in Kreisen mit Präsenzunterricht und Testpflicht an Schulen um den Faktor 6,6 bei 5–11 Jährigen bzw. 1,7 bei 12–20 Jährigen. Dieser Anstieg geht einher mit einer Reduktion der Dunkelziffer und ist signifikant im Vergleich zu Kreisen mit Distanzunterricht. Aufgrund der gegebenen Situation eines natürlichen Experiments ist diese Steigerung der Meldeinzidenz in der Altersgruppe der Schulkinder der Maßnahme den Reihentests an Schulen mit Präsenzunterricht zuzuschreiben. Für denselben Zeitraum zeigen sich keinerlei Unterschiede in den Meldeinzidenzen für andere Altersgruppen.Schlussfolgerung Präsenzunterricht mit Testpflicht ändert die Rolle der Schulen in der Pandemie. Die Analysen zeigen, dass die Öffnung der Schulen mit einem verpflichtenden Testkonzept aus epidemiologischer Sicht von Vorteil ist, da damit die Dunkelziffer von COVID-19 Infektionen unter den Schülerinnen und Schülern drastisch gesenkt werden kann.

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Why are some outbreaks worse than others? COVID-19 outbreak management strategies from a PHU perspective

2023

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Background From a Public Health Unit (PHU) perspective, this review aimed to examine factors associated with adverse outbreak outcomes, to identify evidence based focal strategies of managing COVID-19 outbreaks in aged care settings. Methods A retrospective review of PHU documentation examined all 55 COVID-19 outbreaks in Wide Bay RACFs across the first 3 COVID-19 waves in Queensland, through thematic and statistical analysis. . Results Thematic analysis using the framework approach identified 5 themes associated with outcomes of COVID-19 outbreaks in RACFs. These were analysed for statistical significance against outbreak outcomes including duration, attack rate and case fatality rate. There was a significant relationship between memory support unit (MSU) involvement and adverse outbreak outcomes. Attack rate was significantly associated with communication frequency, symptom monitoring and case detection approach, staff shortages and cohorting. Staff shortages were also significantly associated with a prolonged outbreak duration. There was no statistically significant relationship between outbreak outcomes and resource availability or infection control strategy. . Conclusions This emphasises the importance of frequent communication between PHUs and RACFs during active outbreaks, as well as the need for regular symptom monitoring and prompt case detection, to minimise viral transmission. Staff shortages and cohorting are also crucial factors to be addressed during outbreak management. Implications for Public Health This review adds to the evidence basis of COVID-19 outbreak management strategies to improve PHU advice to RACFs, to mitigate viral transmission and ultimately reduce the burden of disease associated with COVID-19 and other communicable diseases.

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Die SARS-CoV-2-Pandemie in Altenpflegeheimen: Erkenntnisse und Analysen in Frankfurt am Main von März 2020 bis September 2021

Cited by 3 publications

References 65 publications

Why are some outbreaks worse than others? COVID-19 outbreak management strategies from a PHU perspective

Why are some outbreaks worse than others? COVID-19 outbreak management strategies from a PHU perspective

Reihentestungen an Schulen können die Dunkelziffer von COVID-19 Infektionen unter Schülern signifikant senken

Why are some outbreaks worse than others? COVID-19 outbreak management strategies from a PHU perspective

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