Literature DB >> 33973566

[Evolution of COVID-19 at nursing homes from the second wave to vaccination. Description of a coordination program between Primary Care, Geriatrics and Public Health.]

Rocío Menéndez Colino1,2,3, Ana Merello de Miguel1, Francesca Argentina1, Montserrat Barcons Marqués1, Blanca Chaparro Jiménez1, Paloma López Hernández4, Susana Jiménez Bueno5, María Dolores Montero Vega6, Julio García Rodríguez6, Bernardo Ferrer Simo5, María Ángeles Navarro Fernández5, Teresa Rincón Del Toro4, Teresa Alarcón Alarcón1,2,3, Francisco Javier Martínez Peromingo7, Juan Ignacio González-Montalvo1,2,3.   

Abstract

OBJECTIVE: Nursing homes have suffered in a particularly pronounced way from the effects of COVID-19 so it is very convenient to know the evolution in them of the disease and the impact of SARS-CoV2 vaccination The objective of this study was to analyze COVID-19 pandemic evolution from the start of the second wave to the end of the vaccination campaign at the nursing homes. A coordination program between Primary Care and Geriatrics and Public Health services was activated.
METHODS: 2,668 seniors were followed at 39 nursing homes. Data from new cases, active cases, mortality and place of treatment of COVID-19 were collected. A descriptive analysis was performed with the measurement of the absolute number of positive SARS-CoV-2 cases and the frequency distribution.
RESULTS: Between August 7th 2020 and February 26th 2021, 30 outbreaks occurred at 21 nursing homes. 300 people tested positive for SARS-CoV-2 (11% of total residents). The daily average of active cases was 27,166 were hospitalized (55%). 66 patients died (22% of those infected), 54 of them (78%) at the hospital. 1,984 PCR tests were performed. The temporary profile of new cases did not follow a distribution "in waves" as in the community. Thirty-seven days after the start of the second dose of vaccination, there were no active cases until March 1st, when new cases were under study for possible vaccine leakage.
CONCLUSIONS: The incidence of COVID-19 at nursing homes after the first wave of the pandemic has apparently been lower. The transmission in these centers has followed a different distribution than at community. Mass vaccination has achieved the practical disappearance of the disease.

Entities:  

Keywords:  COVID-19; Nursing homes; SARS-CoV-2; Spain; Vaccination; Viral pandemic

Mesh:

Substances:

Year:  2021        PMID: 33973566

Source DB:  PubMed          Journal:  Rev Esp Salud Publica        ISSN: 1135-5727


  3 in total

1.  [COVID-19 in care homes: equity will be needed to avoid new catastrophes].

Authors:  María Victoria Zunzunegui
Journal:  Gac Sanit       Date:  2021-07-21       Impact factor: 2.139

Review 2.  Actions and attitudes on the immunized patients against SARS-CoV-2.

Authors:  P De Lucas Ramos; A García-Botella; A García-Lledó; J Gómez-Pavón; J González Del Castillo; T Hernández-Sampelayo; M C Martín-Delgado; F J Martín Sánchez; M Martínez-Sellés; J M Molero García; S Moreno Guillén; F J Rodríguez-Artalejo; J Ruiz-Galiana; R Cantón; E Bouza
Journal:  Rev Esp Quimioter       Date:  2021-10-21       Impact factor: 1.553

Review 3.  [Impact of COVID-19 on long term care: the case of residential facilities. SESPAS Report 2022].

Authors:  Juan Oliva; Luz M Peña Longobardo
Journal:  Gac Sanit       Date:  2022       Impact factor: 2.479

  3 in total

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