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COVID-19 containment management strategies in a nursing home
Barretto Filho, Antonio Carlos Pereira; Salotto, Danute Bareisys; Schoueri, João Francisco Lindenberg; Tsutsui, Jeane Mike; Granato, Celso Francisco Hernandes; Yamaguchi, Marianna Barbosa; Carvalho, Riciane de; Zacarias, Nadir; Marcelino, Antônio Sérgio Zafred; Rabelo, Rogerio; Jacob Filho, Wilson.
  • Barretto Filho, Antonio Carlos Pereira; Universidade de São Paulo. Hospital das Clínicas. Faculdade de Medicina. São Paulo. BR
  • Salotto, Danute Bareisys; Universidade de São Paulo. Hospital das Clínicas. Faculdade de Medicina. São Paulo. BR
  • Schoueri, João Francisco Lindenberg; Universidade de São Paulo. Hospital das Clínicas. Faculdade de Medicina. São Paulo. BR
  • Tsutsui, Jeane Mike; Fleury Medicina e Saúde. São Paulo. BR
  • Granato, Celso Francisco Hernandes; Fleury Medicina e Saúde. São Paulo. BR
  • Yamaguchi, Marianna Barbosa; Casa Ondina Lobo. São Paulo. BR
  • Carvalho, Riciane de; Casa Ondina Lobo. São Paulo. BR
  • Zacarias, Nadir; Rotary Clube de São Paulo. São Paulo. BR
  • Marcelino, Antônio Sérgio Zafred; Rotary Clube de São Paulo. São Paulo. BR
  • Rabelo, Rogerio; Casa Ondina Lobo. São Paulo. BR
  • Jacob Filho, Wilson; Universidade de São Paulo. Hospital das Clínicas. Faculdade de Medicina. São Paulo. BR
Einstein (Säo Paulo) ; 20: eAO6175, 2022. graf
Article in English | LILACS | ID: biblio-1364792
ABSTRACT
ABSTRACT

Objective:

To describe the first COVID-19 pandemic at Casa Ondina Lobo, a philanthropic nursing home in São Paulo city, and the containment measures against the pandemic that proved to be effective.

Methods:

Several preventive measures were taken before and during the pandemic, with emphasis on universal testing by reverse transcription polymerase chain reaction for COVID-19. All residents and employees were tested twice in a D9 period.

Results:

Among the 62 residents and 55 employees, in both testing, eight residents and nine employees tested positive for COVID-19. Of 22% of employees and 75% of residents evolved asymptomatic, emphasizing the importance of universal testing for the detection and isolation of these cases. A quarter of residents evolved without any symptoms, however, with COVID-19 signs, reinforcing the importance of monitoring vital signs. The second testing did not detect any new cases among residents, demonstrating the effectiveness of the containment measures, however, it found four new cases among employees. This emphasized their role in COVID-19 outbreaks in nursing homes. Only one patient died, a 12.5% lethality among those known to be infected and a 1.6% mortality in the total population of residents were seen.

Conclusion:

The adoption of appropriate containment measures enabled to contain an COVID-19 pandemic in studied nursing home. Universal reverse transcription polymerase chain reaction testing for COVID-19 has proved to be particularly important and effective.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: COVID-19 Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Einstein (Säo Paulo) Journal subject: Medicine Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Casa Ondina Lobo/BR / Fleury Medicina e Saúde/BR / Rotary Clube de São Paulo/BR / Universidade de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: COVID-19 Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Einstein (Säo Paulo) Journal subject: Medicine Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Casa Ondina Lobo/BR / Fleury Medicina e Saúde/BR / Rotary Clube de São Paulo/BR / Universidade de São Paulo/BR