Guidance for the Prevention of the COVID-19 Epidemic in Long-Term Care Facilities: A Short-Term Prospective Study

Rolland, Yves; Lacoste, Marie; Mauléon, Adélaïde De; Ghisolfi, A.; Barreto, Philipe de Souto; Blain, Hubert; Villars, H.

doi:10.1007/s12603-020-1440-2

Cited by 33 publications

(63 citation statements)

References 9 publications

(8 reference statements)

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“…In some countries, COVID-19 geriatric support platforms have been set up in local hospitals, often in conjunction with public health, with a hotline for LTCFs [ 38 ]. These support platforms have been shown to be helpful for LTCFs in organizing IPC measures, especially repeated facility-wide RT-PCR testing and reporting of test results.…”

Section: Second Interim Eugms Guidance To Prepare European Long-term mentioning

confidence: 99%

“…There should be a specific staff and a clear delineation of risk zones [ 41 ]. Organized staff into teams who work exclusively within COVID-19 and non-COVID-19 zones is strongly recommended [ 38 , 42 ]. Because working exclusively with COVID-19 residents is physically and emotionally exhausting, thought should be given as to how to rotate staff teams, allowing appropriate periods of leave (at least 7 days), between working in COVID-19 units and returning to the mainstream.…”

Section: Second Interim Eugms Guidance To Prepare European Long-term mentioning

confidence: 99%

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August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19

et al. 2020

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Purpose The European Geriatric Medicine Society (EuGMS) is launching a second interim guidance whose aim is to prevent the entrance and spread of COVID-19 into long-term care facilities (LTCFs). Methods The EuGMS gathered experts to propose a guide of measures to prevent COVID-19 outbreaks in LTCFs. It is based on the specific features of SARS-CoV-2 transmission in LTCFs, residents’ needs, and on experiences conducted in the field. Results Asymptomatic COVID-19 residents and staff members contribute substantially to the dissemination of COVID-19 infection in LTCFs. An infection prevention and control focal point should be set up in every LTCF for (1) supervising infection prevention and control measures aimed at keeping COVID-19 out of LTCFs, (2) RT-PCR testing of residents, staff members, and visitors with COVID-19 symptoms, even atypical, and (3) isolating subjects either infected or in contact with infected subjects. When a first LCTF resident or staff member is infected, a facility-wide RT-PCR test–retest strategy should be implemented for detecting all SARS-CoV-2 carriers. Testing should continue until no new COVID-19 cases are identified. The isolation of residents should be limited as much as possible and associated with measures aiming at limiting its negative effects on their mental and somatic health status. Conclusions An early recognition of symptoms compatible with COVID-19 may help to diagnose COVID-19 residents and staff more promptly. Subsequently, an earlier testing for SARS-CoV-2 symptomatic and asymptomatic LTCF staff and residents will enable the implementation of appropriate infection prevention and control. The negative effects of social isolation in residents should be limited as much as possible.

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Section: Second Interim Eugms Guidance To Prepare European Long-term mentioning

confidence: 99%

Section: Second Interim Eugms Guidance To Prepare European Long-term mentioning

confidence: 99%

August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19

et al. 2020

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“… 56 , 57 Staff compartmentalization in patients and health care–professional areas also need to be implemented in nursing homes to cut off potential infection sources. 58 Current workforce practices can be further improved in several aspects, such as insistence on not attending work while unwell and paid sick leave when in quarantine, including casual or temporary staff members, and completion of staff registration in all facilities at which they work. 56 …”

Section: Discussionmentioning

confidence: 99%

Global Population Aging, National Development Level, and Vulnerability to the Pandemic

Yuan

Zhao

et al. 2021

RMHP

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Purpose This study examined the roles of population aging and national development level in affecting different phases of novel coronavirus disease development with a view to advancing preparedness and corresponding policy. Methods Regression analysis was conducted using multisource data from the World Bank and Johns Hopkins COVID-19 Dashboard. Results Population aging is positively associated with confirmed cases of day-10, day-20, and day-30. The positive association between population aging and death does not emerge until day-20. Countries with a higher proportion of older males face higher risks of death.. Countries with a higher proportion of males aged 70–74 years are at the highest risk of confirmed cases. National development level is not associated with confirmed cases, but developing countries face significantly higher risks of death of day-10 and day-20. Conclusion Prevention and control policies for older adults and underdeveloped areas and sex differences need to be studied.

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“…Likelihood of infection and outbreaks was reduced in LTCFs which cohorted staff with either infected or uninfected residents, in common with a recent survey of 132 LTCFs in South West France. 24 Facilities that provided staff sickness pay and did not employ agency staff had fewer cases of infection. Infections in staff were also more likely in LTCFs in which staff regularly worked across multiple settings, which is consistent with an English study which found three-fold higher odds of infection in staff who worked across multiple locations compared to those who worked at one site.…”

Section: Discussionmentioning

confidence: 99%

Risk factors associated with SARS-CoV-2 infection and outbreaks in Long Term Care Facilities in England: a national survey

Shallcross

Burke

Stat

et al. 2020

Preprint

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Background: Outbreaks of SARS-CoV-2 have occurred worldwide in Long Term Care Facilities (LTCFs), but the reasons why some facilities are particularly vulnerable to infection are poorly understood. We aimed to identify risk factors for SARS-CoV-2 infection and outbreaks in LTCFs. Methods: Cross-sectional survey of all LTCFs providing dementia care or care to adults >65 years in England with linkage to SARS-CoV-2 test results. Exposures included: LTCF characteristics, staffing factors, and use of disease control measures. Main outcomes included risk factors for infection and outbreaks, estimated using multivariable logistic regression, and survey and test-based weighted estimates of SARS-CoV-2 prevalence. Findings: 5126/9081 (56%) LTCFs participated in the survey, with 160,033 residents and 248,594 staff. The weighted period prevalence of infection in residents and staff respectively was 10.5% (95% CI: 9.9-11.1%) and 3.8% (95%: 3.4-4.2%) and 2724 LTCFs (53.1%) had at least one case of infection. Odds of infection and/or outbreaks were reduced in LTCFs that paid sickness pay, cohorted staff, did not employ agency staff and had higher staff to resident ratios. Higher odds of infection and outbreaks were identified in facilities with more admissions, lower cleaning frequency, poor compliance with isolation and for profit status. Interpretation: Half of LTCFs had no cases suggesting they remain vulnerable to outbreaks. Reducing transmission from staff requires adequate sick pay, minimal use of temporary staff, improved staffing ratios and staff cohorting. Transmission from residents is associated with the number of admissions to the facility and poor compliance with isolation. Funding: UK Government Department of Health & Social Care

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Guidance for the Prevention of the COVID-19 Epidemic in Long-Term Care Facilities: A Short-Term Prospective Study

Cited by 33 publications

References 9 publications

August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19

August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19

Global Population Aging, National Development Level, and Vulnerability to the Pandemic

Risk factors associated with SARS-CoV-2 infection and outbreaks in Long Term Care Facilities in England: a national survey

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