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10.1111/jgs.17001

http://scihub22266oqcxt.onion/10.1111/jgs.17001
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33370463!ä!33370463

suck abstract from ncbi


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pmid33370463      J+Am+Geriatr+Soc 2021 ; 69 (3): 581-586
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  • COVID-19 Infection Prevention and Control Adherence in Long-Term Care Facilities, Atlanta, Georgia #MMPMID33370463
  • Telford CT; Bystrom C; Fox T; Holland DP; Wiggins-Benn S; Mandani A; McCloud M; Shah S
  • J Am Geriatr Soc 2021[Mar]; 69 (3): 581-586 PMID33370463show ga
  • 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.
  • |Aged[MESH]
  • |COVID-19/*prevention & control[MESH]
  • |Female[MESH]
  • |Georgia[MESH]
  • |Guideline Adherence/*statistics & numerical data[MESH]
  • |Homes for the Aged/standards/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Infection Control/*standards[MESH]
  • |Long-Term Care/*standards[MESH]
  • |Male[MESH]
  • |Residential Facilities/standards/*statistics & numerical data[MESH]


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