Preparedness and response of assisted living facilities toward COVID-19 infection control in Houston, Texas, USA.

Autor:	Oladimeji AM; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Afe AJ; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Olumuyiwa T; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Offiong C; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Turibekov B; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Aikulola O; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Persse C; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Deadmon J; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Hansen K; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Barron C; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Vijayan V; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Mora W; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Farris J; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Dean K; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Johnson T; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Gonzalez J; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Mansaray R; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA., Short K; Bureau of Epidemiology, Division of Disease Prevention and Control Houston Health Department, Houston, TX, USA.
Jazyk:	angličtina
Zdroj:	Journal of infection prevention [J Infect Prev] 2023 Sep; Vol. 24 (5), pp. 199-205. Date of Electronic Publication: 2023 Feb 23.
DOI:	10.1177/17571774231159390
Abstrakt:	Background: Long-term care facilities (LTCFs) including assisted living facilities (ALFs) are hubs for high transmission and poor prognosis of COVID-19 among the residents who are more susceptible due to old age and comorbidities. Aim: Houston Health Department conducted assessments of ALFs within the City of Houston to determine preparedness and existing preventive measures at the facilities. Methods: Onsite assessments were conducted at ALFs using a modified CDC Infection Control Assessment and Response (ICAR) Tool. Data was obtained on IPC measures, training, testing, vaccination etc. Data was analyzed, frequencies generated, and bivariate associations determined. Results: A total of 118 facilities were assessed and categorized into small scale 46 (39%), medium scale 47 (40%), and large scale 25 (21%). The facilities had 2431 residents and 2290 staff. Thirty-one (26%) facilities reported an outbreak in 2020, while 14 (12%) had an ongoing outbreak. Twenty-three (97%) large-scale and 12 (26%) small-scale facilities had COVID-19 testing program. Vaccination coverage among residents ranged from 99% in large-scale to 40% in small-scale facilities but was smaller among staff at 748 (45%) in large scale, 71 (36%) in small scale, and 193 (45%) in medium scale. While 24 (96%) large-scale and 34 (77%) of small-scale facilities conducted staff training staff on IPC practices, 22 (92%) of large-scale and 19 (56%) of small-scale facility staff demonstrated capacity ( p = 0.01), respectively. Visitor screening was done at 100% of large-scale and 80% of small-scale and the medium-scale ALFs. Discussion: Assisted living facilities within the city of Houston are at various levels of preparedness and interventions with respect to COVID-19 response. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2023.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu