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

Systematic Reviews

Gordon V. Cormack¹  Maura R. Grossman¹  Amruta Radhakrishnan²  Chantal Williams²  Naveeta Ramkissoon²  Patricia Rios²  Ba’ Pham²  Sharon E. Straus³  Matthew P. Muller⁴  Andrea C. Tricco⁵ 

[1] David R. Cheriton School of Computer Science, University of Waterloo, Waterloo, Ontario, Canada;Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 209 Victoria Street, East Building, M5B 1W8, Toronto, Ontario, Canada;Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 209 Victoria Street, East Building, M5B 1W8, Toronto, Ontario, Canada;Department of Geriatric Medicine, University of Toronto, Toronto, Ontario, Canada;Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 209 Victoria Street, East Building, M5B 1W8, Toronto, Ontario, Canada;Department of Medicine, University of Toronto, Toronto, Ontario, Canada;Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 209 Victoria Street, East Building, M5B 1W8, Toronto, Ontario, Canada;Epidemiology Division and Institute for Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada;

关键词: COVID-19;    Older adults;    Long-term care;    Clinical guidelines;    Knowledge synthesis;   

DOI  :  10.1186/s13643-020-01486-4

来源: Springer

【 摘 要 】

BackgroundThe 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).MethodsEMBASE, 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.ResultsNine 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.ConclusionsCurrent 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 registrationPROSPERO CRD42020181993

【 授权许可】

CC BY