Epidemiology and prevention of coronavirus infection in long-term care facilities

Cover Page

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The authors have analyzed the main trends in the spread of coronavirus infection among elderly and senile people living in long-term care institutions, both in the Russian Federation and abroad. Possible anti-epidemic measures aimed at preventing the spread of coronavirus infection among the least socially protected segments of the population, including those living in residential care facilities were considered. Using the example of one of the stationary social service institutions in St. Petersburg, the article presents an effective model of reducing the existing risks of the formation of an epidemiological focus among elderly residents during the pandemic.

According to WHO data from April 23, 2020, up to half of the deaths from coronavirus in Europe occur in nursing homes. Boarding Home for the Disabled and Elderly No. 1 (BHDE No. 1) is one of the largest general care institutions in the metropolis. The contingent of BHDE No. 1 is made up of persons with pronounced or significantly pronounced limitations of the ability to self-service and movement, the average age of which is about 69 years. More than 90% of the residents have disability groups I and II and comorbid pathology of the cardiovascular, respiratory and other systems. Palliative care (nursing care) is needed for about 30% of social service recipients. In order to prevent the spread of SARS-CoV-2 in BHDE No. 1, not only “standard” quarantine measures were taken, but also “alternative” management decisions. As a result, within the period of 8 months in 2020, no cases of coronavirus infection among residents were registered in BHDE No. 1. Management decisions on the organization of the provision of social and medical services to the residents of BHDE No. 1 have shown their high efficiency and can be used in case of repeated deterioration of the epidemiological situation.

Full Text

Restricted Access

About the authors

Mikhail A. Sevastianov

Saint Petersburg Postgraduate Institute of Medical Experts

Author for correspondence.
Email: mike.seva1972@gmail.com
ORCID iD: 0000-0002-3441-6712
SPIN-code: 6468-4136
Scopus Author ID: 6507176305

кандидат медицинских наук, доцент кафедры организации здравоохранения. медико-социальной экспертизы и реабилитации

Russian Federation, Saint Petersburg

Igor A. Bozhkov

North-Western State Medical University named after I.I. Mechnikov

Email: kuratorksm@szgmu.ru
ORCID iD: 0000-0001-5586-9633
SPIN-code: 7240-8346

профессор кафедры семейной медицины

Russian Federation, Saint Petersburg

Vladimir S. Luchkevich

North-Western State Medical University named after I.I. Mechnikov

Email: kuratorksm@szgmu.ru
ORCID iD: 0000-0001-5586-9633
SPIN-code: 7240-8346

профессор кафедры общественного здоровья, экономики и управления здравоохранением

Russian Federation, Saint Petersburg

Oksana V. Khorkova

Saint Petersburg Postgraduate Institute of Medical Experts

Email: oks_1405@inbox.ru
ORCID iD: 0000-0002-0993-8340
SPIN-code: 6499-6694

доцент кафедры организации здравоохранения медико-социальной экспертизы и реабилитации

Russian Federation, Saint Petersburg

Oksana N. Vladimirova

Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht

Email: reabin@center-albreht.ru
ORCID iD: 0000-0001-6692-2882
SPIN-code: 6405-4757

директор Института реабилитации и абилитации инвалидов

Russian Federation, Saint Petersburg

References

  1. Методические рекомендации МР 3.1.0170-20 «Эпидемиология и профилактика COVID-19», утв. Роспотребнадзором 30.04.2020 [дата обращения: 1.09.2020]. Доступ по ссылке: https://www.rospotrebnadzor.ru/documents/details.php?ELEMENT_ID=14471. [Metodicheskiye rekomendatsii MR 3.1.0170-20 “Epidemiologiya i profilaktika COVID-19”, utv. Rospotrebnadzorom 30.04.2020 [cited 1 September 2020]. Avaible from: https://www.rospotrebnadzor.ru/documents/details.php?ELEMENT_ID=14471. (In Russ.)]
  2. Cdc.gov [Internet]. Guidance for Direct Service Providers. What should direct service providers for people with disabilities know about COVID-19? [cited 2020 August 29]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/direct-service-providers.html.
  3. Kim L, Garg S, O’Halloran A, et al. Interim analysis of risk factors for severe outcomes among a cohort of hospitalized adults identified through the US Coronavirus Disease 2019 (COVID-19) — Associated Hospitalization Surveillance Network (COVID-NET). MedRxiv. 2020:2020.05.18.20103390. https://doi.org/ 10.1101/2020.05.18.20103390.
  4. Worldometers.info [Internet]. Age, sex, existing conditions of COVID-19 cases and deaths [cited 10 August 2002]. Available from: https://www.worldometers.info/coronavirus/coronavirus-age-sex-demographics.
  5. World Health Organization [Internet]. Infection prevention and control guidance for long-term care facilities in the context of COVID-19: interim guidance, 21 March 2020 (No. WHO/2019nCoV/IPC_long_term_care/2020.1) [cited 29 August 2020]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus.
  6. Гулалиева М. [Интернет]. Половина жертв коронавируса в Европе проживали в центрах по уходу [дата обращения: 15.08.2020]. Доступно по: https://www.pnp.ru/in-world/polovina-zhertv-koronavirusa-v-evrope-prozhivali-v-centrakh-po-ukhodu-zayavili-v-voz.html. [Gulaliyeva M. [Internet] Polovina zhertv koronavirusa v Yevrope prozhivali v tsentrakh po ukhodu [cited 15 August 2020]. Available from: https://www.pnp.ru/in-world/polovina-zhertv-koronavirusa-v-evrope-prozhivali-v-centrakh-po-ukhodu-zayavili-v-voz.html. (In Russ)].
  7. Gouvernement. [Internet]. COVID-19. Conférence de presse, 20 avril 2020, par le Directeur général de la santé. Gouvernement [cited 29 August 2020]. Available from: https://www.youtube.com/watch?v=w8EGxW4cljo.
  8. Centres for disease control and prevention. [Internet]. Preparing for COVID-19 in Nursing Homes [cited 15 August 2020]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html.
  9. Коробов М.В., Хорькова О.В. Особенности инвалидности граждан пенсионного возраста Санкт-Петербурга // Медико-социальная экспертиза и реабилитация. – 2015. – Т. 18. – № 4. – С. 12–17. [Korobov MV, Khorkova OV. Osobennosti invalidnosti grazhdan pensionnogo vozrasta Sankt-Peterburga. Medico-social expertise and rehabilitation. 2015;18(4):12-17. (In Russ.)]
  10. Кедрова О.В. Организация и проведение противоэпидемических мероприятий по предупреждению распространения новой коронавирусной инфекции в Тюменской области: опыт организации обсерватора [дата обращения: 15.08.2020]. Доступно по: https://covid19-preprints.microbe.ru/article/22. [Kedrova OV. Organizatsiya i provedeniye pro-tivoepidemicheskikh me-ropriyatiy po preduprezhdeniyu rasprostraneniya novoy koronavirusnoy infektsii v Tyumenskoy oblasti: opyt organizatsii observatora [cited 15 August 2020]. Available from: https://covid19-preprints.microbe.ru/article/22. (In Russ.)]. https://doi.org/10.21055/preprints-3111718.
  11. Felsenstein S, Herbert JA, McNamara PS, Hedrich CM. COVID-19: Immunology and treatment options. Clin. Immunol. 2020;215:108448. https://doi.org/10.1016/j.clim. 2020.108448.
  12. Бонч-Осмоловская К. Минздрав: более 14 тысяч российских медиков заразились коронавирусом на работе // Новая газета. 7 июля 2020. [Bonch-Osmolovskaya K. Minzdrav: boleye 14 tysyach rossiyskikh medikov zarazilis’ koronavirusom na rabote. Novaya gazeta. 07.07.2020 (In Russ.)]
  13. Попова А.Ю., Ежлова Е.Б., Мельникова А.А. и др. [Интернет]. Популяционный иммунитет к вирусу SARS-CoV-2 среди населения Санкт-Петербурга в активную фазу эпидемии COVID-19. [Дата обращения: 15 августа 2020]. Доступно по: https://covid19-preprints.microbe.ru/files/62. [Popova AYu, Yezhlova YeB, Mel’nikova AA, et al. [Internet]. Populyatsionnyy immunitet k virusu SARS-CoV-2 sredi naseleniya Sankt-Peterburga v aktivnuyu fazu epidemii COVID-19 [cited 15 August 2020]. Available from: https://covid19-preprints.microbe.ru/files/62. (In Russ.)]

Supplementary files

There are no supplementary files to display.

Statistics

Views

Abstract: 53

PDF (Russian): 2

Dimensions

Article Metrics

Metrics Loading ...

PlumX

Refbacks

  • There are currently no refbacks.

Copyright (c) 2021 Sevastianov M.A., Bozhkov I.A., Luchkevich V.S., Khorkova O.V., Vladimirova O.N.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies