Analysıs of A Covıd-19 Outbreak in A Long-Term Care Facılıty in Çanakkale Provınce


Abstract views: 144 / PDF downloads: 71

Authors

  • Okan BARDAKCI Department of Emergency Medicine, Faculty of Medicine, Çanakkale Onsekiz Mart University
  • Murat DAŞ Canakkale Onsekiz Mart University, TerzioğluYerleşkesi
  • Gökhan AKDUR Department of Emergency Medicine, Faculty of Medicine, Çanakkale Onsekiz Mart University
  • Canan AKMAN Department of Emergency Medicine, Faculty of Medicine, Çanakkale Onsekiz Mart University
  • Duygu SIDDIKOĞLU Department of Biostatistics, Çanakkale Onsekiz Mart University Faculty of Medicine, Canakkale
  • Aslı ÖZDEMİR Department of Medical Microbiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Canakkale
  • Mustafa REŞORLU Department of Radiology, Çanakkale Onsekiz Mart University Faculty of Medicine
  • Fatma Beyazit Department of Gynecology and Obstetrics, Faculty of Medicine, Çanakkale Onsekiz Mart University
  • Mesut ERBAŞ Department of Anesthesia and Reanimation, Faculty of Medicine, Çanakkale Onsekiz Mart University
  • Ece Unal Çetin Department of Internal Medicine, Faculty of Medicine, Çanakkale Onsekiz Mart University
  • Okhan AKDUR Department of Emergency Medicine, Faculty of Medicine, Çanakkale Onsekiz Mart University
  • Yavuz BEYAZİT Department of Internal Medicine, Faculty of Medicine, Çanakkale Onsekiz Mart University

DOI:

https://doi.org/10.5281/zenodo.7133293%20

Keywords:

COVID-19, SARS-CoV-2, Long-term care facilities, outbreak, prognosis

Abstract

Objective: Long-term care facilities (LTCF) caring for chronically ill residents and older adults are high-risk centers for acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) outbreaks. The aim of this study was to report an outbreak of coronavirus disease 2019 (COVID-19) in a single LTCF located in Canakkale, Turkey, and describe symptoms and chronological aspects of the disease among both LTCF residents and staff.

Materials-methods: This retrospective study analysis the demographic and clinical characteristics of SARS-CoV-2 infected LTCF residents and staff in a middle-sized LTCF located in Canakkale.

Results: A total of 69/102 residents and 21/50 staff members of a single LTCF were infected with SARS-CoV-2. Residents exhibited both general and respiratory signs (37.7% fever, 31.9 % dyspnea, 29% weakness and fatigue, and 60.9% cough). ICU admission was significantly elevated in patients over >65 years old (p=0.005). All deaths (n=5) was observed in patients over 65 years (0.003).

Conclusion: The increased rates of mortality among older LTCF residents justify mass screening in LTCF, and obliges responsible authorities to identify and exclude potentially infected staff and visitors and carry out proper infection prevention and control measures.

References

Arons, M. M., Hatfield, K. M., Reddy, S. C., Kimball, A., James, A., Jacobs, J. R., ... & Jernigan, J. A. (2020). Presymptomatic SARS-CoV-2 infections and transmission in a skilled nursing facility. New England journal of medicine, 382(22), 2081-2090.

Dora, A. V., Winnett, A., Jatt, L. P., Davar, K., Watanabe, M., Sohn, L., ... & Goetz, M. B. (2020). Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skilled nursing facility for veterans—Los Angeles, California, 2020. Morbidity and Mortality Weekly Report, 69(21), 651.

Graham, N. S., Junghans, C., Downes, R., Sendall, C., Lai, H., McKirdy, A., ... & Sharp, D. J. (2020). SARS-CoV-2 infection, clinical features and outcome of COVID-19 in United Kingdom nursing homes. Journal of Infection, 81(3), 411-419.

Kimball, A., Hatfield, K. M., Arons, M., James, A., Taylor, J., Spicer, K., ... & Zane, S. (2020). Asymptomatic and presymptomatic SARS-CoV-2 infections in residents of a long-term care skilled nursing facility—King County, Washington, March 2020. Morbidity and Mortality Weekly Report, 69(13), 377.

Klopfenstein, T., Royer, P. Y., Toko, L., Gendrin, V., & Zayet, S. (2020). COVID-19: comparative clinical features and outcome in 114 patients with or without pneumonia (Nord Franche-Comte Hospital, France). Microbes and Infection, 22(10), 622-625.

McMichael, T. M., Currie, D. W., Clark, S., Pogosjans, S., Kay, M., Schwartz, N. G., ... & Duchin, J. S. (2020). Epidemiology of COVID-19 in a long-term care facility in King County, Washington. New England Journal of Medicine, 382(21), 2005-2011.

Roxby, A. C., Greninger, A. L., Hatfield, K. M., Lynch, J. B., Dellit, T. H., James, A., ... & Neme, S. (2020). Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington. JAMA Internal Medicine, 180(8), 1101-1105.

Sacco, G., Foucault, G., Briere, O., & Annweiler, C. (2020). COVID-19 in seniors: Findings and lessons from mass screening in a nursing home. Maturitas, 141, 46-52.

Sahin, S., Karsidag, S., Cinar, N., Ateş, M.,Demir, S., Eren, F.,…Yilmaz,S. (2021) The Impact of the COVID-19 Lockdown on the Quality of Life in Chronic Neurological Diseases: The Results of a COVQoL-CND Study. Europan Neurology,84(6), 450-459.

Suardi, L. R., Pallotto, C., Esperti, S., Tazzioli, E., Baragli, F., Salomoni, E., ... & Blanc, P. (2020). Risk factors for non-invasive/invasive ventilatory support in patients with COVID-19 pneumonia: A retrospective study within a multidisciplinary approach. International Journal of Infectious Diseases, 100, 258-263.8.

Werner, R. M., Hoffman, A. K., & Coe, N. B. (2020). Long-term care policy after Covid-19—solving the nursing home crisis. New England Journal of Medicine, 383(10), 903-905.

Zollner-Schwetz, I., König, E., Krause, R., Pux, C., Laubreiter, L., & Schippinger, W. (2021). Analysis of COVID-19 outbreaks in 3 long-term care facilities in Graz, Austria. American Journal of Infection Control, 49(11), 1350-1353.

Downloads

Published

2022-10-03

How to Cite

BARDAKCI, O., DAŞ, M., AKDUR, G., AKMAN, C., SIDDIKOĞLU, D., ÖZDEMİR, A., REŞORLU, M., Beyazit, F., ERBAŞ, M., Unal Çetin, E., AKDUR, O., & BEYAZİT, Y. (2022). Analysıs of A Covıd-19 Outbreak in A Long-Term Care Facılıty in Çanakkale Provınce. GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 7(20), 27–32. https://doi.org/10.5281/zenodo.7133293

Issue

Section

Articles