Epidemiology and prevention of coronavirus infection in long-term care facilities
- Authors: Sevastianov M.A.1, Bozhkov I.A.2, Luchkevich V.S.2, Khorkova O.V.1, Vladimirova O.N.3
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Affiliations:
- Saint Petersburg Postgraduate Institute of Medical Experts
- North-Western State Medical University named after I.I. Mechnikov
- Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht
- Issue: Vol 12, No 4 (2020)
- Pages: 39-46
- Section: Original research
- URL: https://journals.rcsi.science/vszgmu/article/view/44741
- DOI: https://doi.org/10.17816/mechnikov44741
- ID: 44741
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Abstract
The authors have analyzed the main trends in the spread of coronavirus infection among elderly and senile people living in long-term care institutions, both in the Russian Federation and abroad. Possible anti-epidemic measures aimed at preventing the spread of coronavirus infection among the least socially protected segments of the population, including those living in residential care facilities were considered. Using the example of one of the stationary social service institutions in St. Petersburg, the article presents an effective model of reducing the existing risks of the formation of an epidemiological focus among elderly residents during the pandemic.
According to WHO data from April 23, 2020, up to half of the deaths from coronavirus in Europe occur in nursing homes. Boarding Home for the Disabled and Elderly No. 1 (BHDE No. 1) is one of the largest general care institutions in the metropolis. The contingent of BHDE No. 1 is made up of persons with pronounced or significantly pronounced limitations of the ability to self-service and movement, the average age of which is about 69 years. More than 90% of the residents have disability groups I and II and comorbid pathology of the cardiovascular, respiratory and other systems. Palliative care (nursing care) is needed for about 30% of social service recipients. In order to prevent the spread of SARS-CoV-2 in BHDE No. 1, not only “standard” quarantine measures were taken, but also “alternative” management decisions. As a result, within the period of 8 months in 2020, no cases of coronavirus infection among residents were registered in BHDE No. 1. Management decisions on the organization of the provision of social and medical services to the residents of BHDE No. 1 have shown their high efficiency and can be used in case of repeated deterioration of the epidemiological situation.
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##article.viewOnOriginalSite##About the authors
Mikhail A. Sevastianov
Saint Petersburg Postgraduate Institute of Medical Experts
Author for correspondence.
Email: mike.seva1972@gmail.com
ORCID iD: 0000-0002-3441-6712
SPIN-code: 6468-4136
Scopus Author ID: 6507176305
кандидат медицинских наук, доцент кафедры организации здравоохранения. медико-социальной экспертизы и реабилитации
Russian Federation, Saint PetersburgIgor A. Bozhkov
North-Western State Medical University named after I.I. Mechnikov
Email: kuratorksm@szgmu.ru
ORCID iD: 0000-0001-5586-9633
SPIN-code: 7240-8346
профессор кафедры семейной медицины
Russian Federation, Saint PetersburgVladimir S. Luchkevich
North-Western State Medical University named after I.I. Mechnikov
Email: kuratorksm@szgmu.ru
ORCID iD: 0000-0001-5586-9633
SPIN-code: 7240-8346
профессор кафедры общественного здоровья, экономики и управления здравоохранением
Russian Federation, Saint PetersburgOksana V. Khorkova
Saint Petersburg Postgraduate Institute of Medical Experts
Email: oks_1405@inbox.ru
ORCID iD: 0000-0002-0993-8340
SPIN-code: 6499-6694
доцент кафедры организации здравоохранения медико-социальной экспертизы и реабилитации
Russian Federation, Saint PetersburgOksana N. Vladimirova
Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht
Email: reabin@center-albreht.ru
ORCID iD: 0000-0001-6692-2882
SPIN-code: 6405-4757
директор Института реабилитации и абилитации инвалидов
Russian Federation, Saint PetersburgReferences
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