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Facility- and ward-level factors associated with SARS-CoV-2 outbreaks among residents in long-term care facilities: A retrospective cohort study 期刊论文

编号：

D1C7FD9239DDBEC38A7BCBF960BBD970
作者：

Houben, Famke^[1,2] den Heijer, Casper D. J.^[1,2,3] DukersMuijrers, Nicole H. T. M.^[2,4] Daamen, Anna M. J.^[5,6] Groeneveld, Noraly S.^[7,8] Vijgen, Guillaume C. M.^[9] Martens, Mark J. M.^[10,11] Heijnen, Ron W. H.^[11,12] Hoebe, Christian J. P. A.^[1,2,3]
语种：

英文
期刊：

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES ISSN：1201-9712 2023 年 130 卷 (166 - 175) ; MAY
疾病分类：

新型冠状病毒肺炎
关键词：

SARS-CoV-2 COVID-19 Long-term care Nursing homes Disease outbreaks Risk factors
摘要：

Objectives: Long-term care facilities (LTCFs) have been disproportionately impacted by COVID-19. Yet, the reasons why certain LTCFs are affected more by outbreaks are poorly understood. This study aimed to identify the facility-and ward-level factors associated with SARS-CoV-2 outbreaks among LTCF residents. Methods: We conducted a retrospective cohort study of multiple Dutch LTCFs (N = 60; with 298 wards providing care for similar to 5600 residents) from September 2020 to June 2021. A dataset was constructed linking SARS-CoV-2 cases among LTCF residents to facility-and ward-level factors. Multilevel logistic regression analyses examined the associations between these factors and the likelihood of a SARS-CoV-2 outbreak among residents.Results: During periods of the Classic variant, the mechanical recirculation of air was associated with significantly increased odds of a SARS-CoV-2 outbreak. During periods of the Alpha variant, the factors associated with significantly increased odds included large ward size ( >= 21 beds), wards providing psy-chogeriatric care, fewer restrictions on staff movement between wards and facilities, and a greater num-ber of cases among staff ( > 10 cases).Conclusion: Policy and protocols on reducing resident density, staff movement, and mechanical recircu-lation of air in buildings are recommended to enhance outbreak preparedness in LTCFs. The implemen- tation of low-threshold preventive measures among psychogeriatric residents is important because they appear as a particularly vulnerable group.(c) 2023 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY license ( http://creativecommons.org/licenses/by/4.0/ )
推荐引用方式
GB/T 7714：

Houben Famke,den Heijer Casper D. J.,Dukers-Muijrers Nicole H. T. M., et al. Facility- and ward-level factors associated with SARS-CoV-2 outbreaks among residents in long-term care facilities: A retrospective cohort study [J].INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES,2023,130:166-175.
APA：

Houben Famke,den Heijer Casper D. J.,Dukers-Muijrers Nicole H. T. M.,Daamen Anna M. J.,&Hoebe Christian J. P. A..(2023).Facility- and ward-level factors associated with SARS-CoV-2 outbreaks among residents in long-term care facilities: A retrospective cohort study .INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES,130:166-175.
MLA：

Houben Famke, et al. "Facility- and ward-level factors associated with SARS-CoV-2 outbreaks among residents in long-term care facilities: A retrospective cohort study" .INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES 130(2023):166-175.
数据来源自科睿唯安Web of Science核心合集
入库时间：

2023/5/30 16:06:45
更新时间：

2023/5/30 16:06:45

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