COVID ‐19 Infection Prevention and Control Adherence in Long‐Term Care Facilities, Atlanta, Georgia
| Autor: | Sarita Shah, Carson T Telford, Cyndra Bystrom, Teresa Fox, Anjum Mandani, Meshell McCloud, Sherry Wiggins-Benn, David P. Holland |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Georgia Coronavirus disease 2019 (COVID-19) media_common.quotation_subject 030204 cardiovascular system & hematology Residential Facilities 03 medical and health sciences 0302 clinical medicine Hygiene Environmental health Homes for the Aged Humans Medicine Vulnerable population Infection control 030212 general & internal medicine Aged media_common Infection Control SARS-CoV-2 business.industry Social distance Infection prevalence COVID-19 Long-Term Care Long-term care Lower prevalence Female Guideline Adherence Geriatrics and Gerontology business |
| Zdroj: | Journal of the American Geriatrics Society |
| ISSN: | 1532-5415 0002-8614 |
| Popis: | BACKGROUND/OBJECTIVE: Recommendations for infection prevention and control (IPC) of COVID-19 in long-term care settings were developed based on limited understanding of COVID-19 and should be evaluated to determine their efficacy in reducing transmission among high-risk populations. DESIGN AND SETTING: Site visits to 24 long-term care facilities (LTCFs) in Fulton County, Georgia, were conducted between June and July 2020 to assess adherence to current guidelines, provide real-time feedback on potential weaknesses, and identify specific indicators whose implementation or lack thereof was associated with higher or lower prevalence of COVID-19. PARTICIPANTS: Twenty-four LTCFs were visited, representing 2,580 LTCF residents, among whom 1,004 (39%) were infected with COVID-19. MEASUREMENTS: Overall IPC adherence in LTCFs was analyzed for 33 key indicators across five categories: Hand Hygiene, Disinfection, Social Distancing, PPE, and Symptom Screening. Facilities were divided into Higher- and Lower-prevalence groups based on cumulative COVID-19 infection prevalence to determine differences in IPC implementation. RESULTS: IPC implementation was lowest in the Disinfection category (32%) and highest in the Symptom Screening category (74%). Significant differences in IPC implementation between the Higher- and Lower-prevalence groups were observed in the Social Distancing category (Higher-prevalence group 54% vs Lower-prevalence group 74%, P < .01) and the PPE category (Higher-prevalence group 41% vs Lower-prevalence group 72%, P < .01). CONCLUSION: LTCFs with lower COVID-19 prevalence among residents had significantly greater implementation of IPC recommendations compared to those with higher COVID-19 prevalence, suggesting the utility in adhering to current guidelines to reduce transmission in this vulnerable population. |
| Databáze: | OpenAIRE |
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