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

Autor: Gaëtan Gavazzi, Hubert Blain, Antonio Cherubini, Mirko Petrovic, Stéphanie Miot, Jean Bousquet, Desmond O'Neill, Jos M. G. A. Schols, Olivier Guérin, Yves Rolland, Athanase Benetos, Finbarr C. Martin, Adam L. Gordon
Přispěvatelé: Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Euromov (EuroMov), Université de Montpellier (UM), Epidémiologie et analyses en santé publique : risques, maladies chroniques et handicaps (LEASP), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM), Maastricht University [Maastricht], Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Trinity College Dublin, Tallaght Hospital, King‘s College London, Centre Hospitalier Universitaire de Nice (CHU Nice), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications Grenoble - UMR 5525 (TIMC-IMAG), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP ), Université Grenoble Alpes (UGA), Groupe de Recherche et d'Etude du Processus Inflammatoire (GREPI), Université Grenoble Alpes (UGA)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS), CHU Grenoble, Charité - UniversitätsMedizin = Charité - University Hospital [Berlin], Humboldt-Universität zu Berlin, Berlin Institute of Health (BIH), Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon (MACVIA-LR), Université Montpellier 1 (UM1)-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Universitaire de Nîmes (CHU Nîmes)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS)-European Innovation Partnership on Active and Healthy Ageing Reference Site (EIP on AHA), Commission Européenne-Commission Européenne-Organisation Mondiale de la Santé / World Health Organization Office (OMS / WHO), Universiteit Gent = Ghent University [Belgium] (UGENT), University of Nottingham, UK (UON), Défaillance Cardiovasculaire Aiguë et Chronique (DCAC), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Service de Gériatrie [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Health Services Research, RS: CAPHRI - R1 - Ageing and Long-Term Care, VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Palliative care
rRT-PCR
MESH: Geriatrics
MESH: Long-Term Care
Long-term care facility
0302 clinical medicine
MESH: Practice Guidelines as Topic
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Interim
MESH: Reverse Transcriptase Polymerase Chain Reaction
Pandemic
Medicine and Health Sciences
Infection control
MESH: COVID-19
MESH: Skilled Nursing Facilities
030212 general & internal medicine
Social isolation
Letter to the Editor
Geriatrics
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases
facility
Reverse Transcriptase Polymerase Chain Reaction
[SDV.MHEP.GEG]Life Sciences [q-bio]/Human health and pathology/Geriatry and gerontology
Palliative Care
3. Good health
Long-term care 
Europe
Long-term care facility
Practice Guidelines as Topic
Guidance
MESH: Palliative Care
Long-term care 
Medical emergency
medicine.symptom
RESIDENTS
MESH: Social Isolation
medicine.medical_specialty
MESH: Pandemics
Isolation (health care)
SKILLED NURSING FACILITY
Special Article
03 medical and health sciences
medicine
Humans
MESH: SARS-CoV-2
OLDER-ADULTS
Pandemics
Skilled Nursing Facilities
MESH: Humans
business.industry
SARS-CoV-2
Loneliness
COVID-19
medicine.disease
Long-Term Care
Long-term care
Communicable Disease Control
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
MESH: Europe
business
030217 neurology & neurosurgery
Zdroj: EUROPEAN GERIATRIC MEDICINE
European Geriatric Medicine
European Geriatric Medicine, Elsevier, 2020, 11 (6), pp.899-913. ⟨10.1007/s41999-020-00405-z⟩
European Geriatric Medicine, 11(6), 899-913. Springer, Cham
ISSN: 1878-7649
1878-7657
Popis: Key summary points Aim To guide LTCFs in preventing the entrance and spread of SARS-CoV-2. Findings The guidance is based upon the literature available on August 17, 2020. It lists (1) measures that can be implemented to keep COVID-19 out of LTCFs, and (2) COVID-19 symptoms that require RT-PCR testing in residents, staff members and visitors. It also (3) indicates the strategy to be used when a first LCTF resident or staff member is infected, and (4) proposes measures to limit adverse effects of the quarantine of residents tested positive for COVID-19. Message The EuGMS guidance enables LTCFs to adapt and suitably implement infection prevention and control measures, considering that the priorities are (1) early detection of symptomatic and asymptomatic COVID-19 residents, staff members and visitors who contribute to the entrance and dissemination of COVID-19 infection in LTCFs and (2) to limit the negative effects of isolation in infected residents.
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.
Databáze: OpenAIRE
Externí odkaz: