Preventing the transmission of COVID-19 and other coronaviruses in older adults aged 60 years and above living in long-term care: a rapid review

Autor: Andrea C. Tricco, Chantal Williams, Sharon E. Straus, Maura R. Grossman, Gordon V. Cormack, Patricia Rios, Ba' Pham, Amruta Radhakrishnan, Matthew P. Muller, Naveeta Ramkissoon
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Clinical guidelines
medicine.medical_specialty
020205 medical informatics
Pneumonia
Viral
MEDLINE
Medicine (miscellaneous)
lcsh:Medicine
02 engineering and technology
Cochrane Library
Severe Acute Respiratory Syndrome
03 medical and health sciences
Betacoronavirus
Long-term care
0302 clinical medicine
Assisted Living Facilities
Pandemic
0202 electrical engineering
electronic engineering
information engineering
medicine
Infection control
Humans
Hand Hygiene
030212 general & internal medicine
Personal protective equipment
Pandemics
Personal Protective Equipment
Aged
Skilled Nursing Facilities
Infection Control
business.industry
SARS-CoV-2
Research
lcsh:R
COVID-19
Middle Aged
Nursing Homes
Knowledge synthesis
Clinical trial
Disinfection
Family medicine
Older adults
Sick leave
Practice Guidelines as Topic
Sick Leave
business
Coronavirus Infections
Zdroj: Systematic Reviews, Vol 9, Iss 1, Pp 1-8 (2020)
Systematic Reviews
ISSN: 2046-4053
DOI: 10.1186/s13643-020-01486-4
Popis: Background The objective of this review was to examine the current guidelines for infection prevention and control (IPAC) of coronavirus disease-19 (COVID-19) or other coronaviruses in adults 60 years or older living in long-term care facilities (LTCF). Methods EMBASE, MEDLINE, Cochrane library, pre-print servers, clinical trial registries, and relevant grey literature sources were searched until July 31, 2020, using database searching and an automated method called Continuous Active Learning® (CAL®). All search results were processed using CAL® to identify the most likely relevant citations that were then screened by a single human reviewer. Full-text screening, data abstraction, and quality appraisal were completed by a single reviewer and verified by a second. Results Nine clinical practice guidelines (CPGs) were included. The most common recommendation in the CPGs was establishing surveillance and monitoring systems followed by mandating the use of PPE; physically distancing or cohorting residents; environmental cleaning and disinfection; promoting hand and respiratory hygiene among residents, staff, and visitors; and providing sick leave compensation for staff. Conclusions Current evidence suggests robust surveillance and monitoring along with support for IPAC initiatives are key to preventing the spread of COVID-19 in LTCF. However, there are significant gaps in the current recommendations especially with regard to the movement of staff between LTCF and their role as possible transmission vectors. Systematic review registration PROSPERO CRD42020181993
Databáze: OpenAIRE
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