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Preventing the transmission of COVID-19 and other coronaviruses in older adults aged 60 years and above living in long-term care: a rapid review.
Rios, Patricia; Radhakrishnan, Amruta; Williams, Chantal; Ramkissoon, Naveeta; Pham, Ba'; Cormack, Gordon V; Grossman, Maura R; Muller, Matthew P; Straus, Sharon E; Tricco, Andrea C.
  • Rios P; Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Toronto, Ontario, M5B 1W8, Canada.
  • Radhakrishnan A; Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Toronto, Ontario, M5B 1W8, Canada.
  • Williams C; Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Toronto, Ontario, M5B 1W8, Canada.
  • Ramkissoon N; Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Toronto, Ontario, M5B 1W8, Canada.
  • Pham B; Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Toronto, Ontario, M5B 1W8, Canada.
  • Cormack GV; David R. Cheriton School of Computer Science, University of Waterloo, Waterloo, Ontario, Canada.
  • Grossman MR; David R. Cheriton School of Computer Science, University of Waterloo, Waterloo, Ontario, Canada.
  • Muller MP; Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Toronto, Ontario, M5B 1W8, Canada.
  • Straus SE; Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Tricco AC; Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Toronto, Ontario, M5B 1W8, Canada.
Syst Rev ; 9(1): 218, 2020 09 25.
Article in English | MEDLINE | ID: covidwho-795672
ABSTRACT

BACKGROUND:

The objective of this review was to examine the current guidelines for infection prevention and control (IPAC) of coronavirus disease-19 (COVID-19) or other coronaviruses in adults 60 years or older living in long-term care facilities (LTCF).

METHODS:

EMBASE, MEDLINE, Cochrane library, pre-print servers, clinical trial registries, and relevant grey literature sources were searched until July 31, 2020, using database searching and an automated method called Continuous Active Learning® (CAL®). All search results were processed using CAL® to identify the most likely relevant citations that were then screened by a single human reviewer. Full-text screening, data abstraction, and quality appraisal were completed by a single reviewer and verified by a second.

RESULTS:

Nine clinical practice guidelines (CPGs) were included. The most common recommendation in the CPGs was establishing surveillance and monitoring systems followed by mandating the use of PPE; physically distancing or cohorting residents; environmental cleaning and disinfection; promoting hand and respiratory hygiene among residents, staff, and visitors; and providing sick leave compensation for staff.

CONCLUSIONS:

Current evidence suggests robust surveillance and monitoring along with support for IPAC initiatives are key to preventing the spread of COVID-19 in LTCF. However, there are significant gaps in the current recommendations especially with regard to the movement of staff between LTCF and their role as possible transmission vectors. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42020181993.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infection Control / Coronavirus Infections / Assisted Living Facilities / Pandemics / Nursing Homes Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Aged / Humans / Middle aged Language: English Journal: Syst Rev Year: 2020 Document Type: Article Affiliation country: S13643-020-01486-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infection Control / Coronavirus Infections / Assisted Living Facilities / Pandemics / Nursing Homes Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Aged / Humans / Middle aged Language: English Journal: Syst Rev Year: 2020 Document Type: Article Affiliation country: S13643-020-01486-4