Pandemic Preparation and Response in Long-Term Care Hospitals: Lessons from COVID-19 Outbreaks and Preparedness for Future Infectious Diseases.

IF 3.2 Q3 GERIATRICS & GERONTOLOGY
Jin Ju Park, Kiju Kim, Hyuk Ga, Heekyung Chun, Pyung Suk Ki, Seung Gyu Ji, Joong-Sik Eom, Tark Kim, Jacob Lee
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引用次数: 0

Abstract

Background: This study aimed to analyze the coronavirus disease-19 (COVID-19) response in long-term care hospitals (LTCHs) and establish a preparedness and management framework for addressing novel infectious diseases.

Methods: A national survey was conducted in Korea between June 19 and June 30, 2023. Using an anonymous online questionnaire, the survey gathered information on the general characteristics of participating hospitals, preparedness for infectious diseases in LTCHs prior to the COVID-19 pandemic, preparedness for in-house outbreaks during the COVID-19 pandemic, experiences of in-house COVID-19 outbreaks, and a section related to vaccines and treatments.

Results: Of the 1,425 domestic LTCHs, 201 (14.1%) completed the survey. Of the 201, before the COVID-19 pandemic, 24.9% of LTCHs had a disaster preparedness team and 27.9% had conducted training for infectious disease disaster preparedness. During the COVID-19 pandemic, 99.0% of the institutions established response teams for preparedness against COVID-19, and 89.1% of the 201 institutions experienced in-house outbreaks. Most institutions had experienced shortages of materials (78.8%), staff (96.1%), and caregivers (88.3%). The COVID-19 treatments prescribed at the LTCFs were: nirmatrelvir/ritonavir (86.6%), molnupiravir (36.8%), and remdesivir (22.4%). Independent vaccination was administered in 99% of the institutions.

Conclusions: Despite the establishment of response systems, most LTCHs experienced in-house outbreaks during the COVID-19 pandemic. These institutions commonly faced challenges such as staffing shortages and supply constraints. To ensure better preparedness for future outbreaks, infection control systems should be regularly evaluated and maintained through ongoing training, even during non-outbreak periods.

长期护理医院的大流行准备和应对:COVID-19疫情的教训和对未来传染病的防范。
背景:本研究旨在分析长期护理医院(LTCHs)的冠状病毒病-19 (COVID-19)应对情况,建立应对新型传染病的准备和管理框架。方法:于2023年6月19日至6月30日在韩国进行全国性调查。该调查采用匿名在线问卷,收集了参与医院的一般特征、COVID-19大流行前LTCHs对传染病的准备情况、COVID-19大流行期间LTCHs内部疫情的准备情况、内部COVID-19爆发的经验以及与疫苗和治疗相关的部分信息。结果:1425家国内ltch中,201家(14.1%)完成了调查。2011年,在COVID-19大流行之前,24.9%的ltch拥有备灾小组,27.9%的ltch开展了传染病备灾培训。在2019冠状病毒病大流行期间,99.0%的机构建立了应对小组,201所机构中有89.1%经历了内部疫情。大多数机构经历了物资短缺(78.8%)、人员短缺(96.1%)和护理人员短缺(88.3%)。ltcf规定的COVID-19治疗方法为:尼马特利韦/利托那韦(86.6%)、莫努匹拉韦(36.8%)和瑞德西韦(22.4%)。99%的机构进行了独立的疫苗接种。结论:尽管建立了应对体系,但在COVID-19大流行期间,大多数LTCHs都发生了内部疫情。这些机构通常面临人员短缺和供应限制等挑战。为确保更好地防范未来的疫情,即使在非疫情期间,也应通过持续的培训对感染控制系统进行定期评估和维护。
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来源期刊
Annals of Geriatric Medicine and Research
Annals of Geriatric Medicine and Research GERIATRICS & GERONTOLOGY-
CiteScore
4.90
自引率
11.10%
发文量
35
审稿时长
4 weeks
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