August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19

Hubert Blain, Yves Rolland, Jos M.G.A. Schols, Antonio Cherubini, Stéphanie Miot, Desmond O’Neill, Finbarr C. Martin, Olivier Guérin, Gaëtan Gavazzi, Jean Bousquet, Mirko Petrovic, Adam L. Gordon, Athanase Benetos

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: The European Geriatric Medicine Society (EuGMS) is launching a second interim guidance whose aim is to prevent the entrance and spread of COVID-19 into long-term care facilities (LTCFs). Methods: The EuGMS gathered experts to propose a guide of measures to prevent COVID-19 outbreaks in LTCFs. It is based on the specific features of SARS-CoV-2 transmission in LTCFs, residents’ needs, and on experiences conducted in the field. Results: Asymptomatic COVID-19 residents and staff members contribute substantially to the dissemination of COVID-19 infection in LTCFs. An infection prevention and control focal point should be set up in every LTCF for (1) supervising infection prevention and control measures aimed at keeping COVID-19 out of LTCFs, (2) RT-PCR testing of residents, staff members, and visitors with COVID-19 symptoms, even atypical, and (3) isolating subjects either infected or in contact with infected subjects. When a first LCTF resident or staff member is infected, a facility-wide RT-PCR test–retest strategy should be implemented for detecting all SARS-CoV-2 carriers. Testing should continue until no new COVID-19 cases are identified. The isolation of residents should be limited as much as possible and associated with measures aiming at limiting its negative effects on their mental and somatic health status. Conclusions: An early recognition of symptoms compatible with COVID-19 may help to diagnose COVID-19 residents and staff more promptly. Subsequently, an earlier testing for SARS-CoV-2 symptomatic and asymptomatic LTCF staff and residents will enable the implementation of appropriate infection prevention and control. The negative effects of social isolation in residents should be limited as much as possible.

Original languageEnglish
Pages (from-to)899-913
Number of pages15
JournalEuropean Geriatric Medicine
Volume11
Issue number6
DOIs
Publication statusPublished - Dec 2020

Keywords

  • COVID-19
  • Guidance
  • Long-term care facility
  • rRT-PCR
  • SARS-CoV-2
  • Social isolation

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

Fingerprint Dive into the research topics of 'August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19'. Together they form a unique fingerprint.

Cite this