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Guidance for the Prevention of the COVID-19 Epidemic in Long-Term Care
Facilities: A Short-Term Prospective Study
#MMPMID33009529
Rolland Y
; Lacoste MH
; de Mauleon A
; Ghisolfi A
; De Souto Barreto P
; Blain H
; Villars H
J Nutr Health Aging
2020[]; 24
(8
): 812-816
PMID33009529
show ga
BACKGROUND: Guidance aiming at limiting the entry and spread of the COVID-19 have
been widely communicated to Long-term Care Facilities (LTCFs). However, no
clinical research has investigated their relevance. OBJECTIVE: Our objective was
to compare the guidance applied for the prevention of the COVID-19 epidemic
between the LTCFs having been contaminated by COVID-19 and LTCFs having not been
contaminated. METHODS: A questionnaire was sent and systematically accompanied by
phone call to the 132 LTCFs of Haute-Garonne (Occitania region, South-West of
France). The questionnaire focused on the preventive measures implemented before
March 23, 2020 (first LTCFs contaminated in this area). The questionnaire focused
on physician support, implementation of usual guidance (eg, masks,
hydro-alcoholic solute used), training on hygiene, containment in residents'
rooms and other distancing measures, use of temporary workers,
compartmentalization within zones of residents and staff and a self-assessment
analogic scale on the quality of the application of the preventive measures. We
compared implementation of the guidance between the LTCFs with at least one case
of COVID-19 among residents and/or health care professionals and LTCFs without
COVID-19 case (between March 23rd and May 6th). RESULTS: 124 LTCFs participated
(93.9%). 30 LTCFs (24.19%) were contaminated with COVID-19. Large heterogeneity
of the application of the guidance was observed. Public LTCFs (OR= 0.39
(0.20-0.73), LTCFs which organized staff compartmentalization within zones (OR=
0.19 (0.07-0.48)), and LTCF with a staff who self-assessed a higher quality
implementation of the preventive measures (OR= 0.65 (0.43-0.98)) were
significantly more likely to avoid contamination by the COVID-19 outbreak.
CONCLUSION: Our study supports the relevance of guidance to prevent the entry of
COVID-19, in particular the staff compartmentalization within zones, as well as
the perception of the staff regarding the quality of implementation of those
measures in LTCFs.
|Betacoronavirus
[MESH]
|COVID-19
[MESH]
|Coronavirus Infections/*prevention & control
[MESH]
free
free
free
