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The prevention and response to infectious diseases in long-term care facilities in Korea: a nationwide survey

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OBJECTIVES: Long-term care facilities (LTCFs) are communal environments for patients with chronic diseases or older adults, making them particularly susceptible to significant harm during infectious disease outbreaks. Nonetheless, LTCFs have historically been subject to less stringent infection prevention and control (IPC) mandates. This study aimed to assess the current state of LTCFs and to develop an IPC system tailored for these facilities following the coronavirus disease 2019 (COVID-19) pandemic.METHODS: We conducted an online survey of 11,366 LTCFs in Korea from December 30, 2022 to January 20, 2023, to evaluate the components of IPC in LTCFs. The infectious diseases targeted for IPC included COVID-19, influenza, and scabies. Additionally, we compared institution-based and home-based long-term care insurance facilities.RESULTS: Overall, 3,537 (31.1%) LTCFs responded to the survey, comprising 1,819 (51.4%) institution-based and 1,718 (48.6%) home-based facilities. A majority (87.4%, 2,376/2,720) of these facilities experienced COVID-19 outbreaks. However, only 42.2% of home-based facilities, in contrast to 90.6% of institution-based facilities, were equipped to manage concurrent COVID-19 cases. Similarly, while 92.1% of institution-based facilities were capable of managing influenza, only 50.5% of home-based facilities could do the same. The incidence of scabies was significantly higher in institution-based facilities than in home-based ones (26.1 vs. 4.3%). Additionally, 88.7% of institution-based facilities managed scabies cases effectively, compared to only 42.1% of home-based facilities.CONCLUSIONS: Approximately half of the LTCFs had a basic capacity to respond to infectious diseases. However, there were differences in response capabilities between institution-based facilities and home-based facilities.

Abstract

OBJECTIVES: Long-term care facilities (LTCFs) are communal environments for patients with chronic diseases or older adults, making them particularly susceptible to significant harm during infectious disease outbreaks. Nonetheless, LTCFs have historically been subject to less stringent infection prevention and control (IPC) mandates. This study aimed to assess the current state of LTCFs and to develop an IPC system tailored for these facilities following the coronavirus disease 2019 (COVID-19) pandemic.METHODS: We conducted an online survey of 11,366 LTCFs in Korea from December 30, 2022 to January 20, 2023, to evaluate the components of IPC in LTCFs. The infectious diseases targeted for IPC included COVID-19, influenza, and scabies. Additionally, we compared institution-based and home-based long-term care insurance facilities.RESULTS: Overall, 3,537 (31.1%) LTCFs responded to the survey, comprising 1,819 (51.4%) institution-based and 1,718 (48.6%) home-based facilities. A majority (87.4%, 2,376/2,720) of these facilities experienced COVID-19 outbreaks. However, only 42.2% of home-based facilities, in contrast to 90.6% of institution-based facilities, were equipped to manage concurrent COVID-19 cases. Similarly, while 92.1% of institution-based facilities were capable of managing influenza, only 50.5% of home-based facilities could do the same. The incidence of scabies was significantly higher in institution-based facilities than in home-based ones (26.1 vs. 4.3%). Additionally, 88.7% of institution-based facilities managed scabies cases effectively, compared to only 42.1% of home-based facilities.CONCLUSIONS: Approximately half of the LTCFs had a basic capacity to respond to infectious diseases. However, there were differences in response capabilities between institution-based facilities and home-based facilities.

참고문헌 (28)

  1. Pirrie M, "Older adults living in social housing in Canada : the next COVID-19 hotspot?", Can J Public Health, 112, pp.4~7 (2021)[DOI]
  2. Chesky LR, "Antimicrobial-resistant bacteria in long-term care facilities : infection control considerations", J Am Med Dir Assoc, 4, pp.110~114 (2003)[DOI]
  3. Nicolle LE, "Infections and antibiotic resistance in nursing homes", Clin Microbiol Rev, 9, pp.1~17 (1996)[DOI]
  4. Garibaldi RA, "Residential care and the elderly: the burden of infection", J Hosp Infect, 43(Suppl), pp.S9~S18 (1999)[DOI]
  5. Nanduri S, "Effectiveness of Pfizer-BioNTech and Moderna vaccines in preventing SARS-CoV-2 infection among nursing home residents before and during widespread circulation of the SARS-CoV-2 B. 1. 617. 2(Delta)variant-National Healthcare Safety Network, March 1-August 1, 2021", MMWR Morb Mortal Wkly Rep, 70, pp.1163~1166 (2021)[DOI]
  6. Park Y, "Outbreak of carbapenem-resistant Enterobacterales at a long-term care facility in Seoul, Korea : surveillance and intervention mitigation strategies", Epidemiol Health, 45, pp.e2023057~ (2023)[DOI]
  7. Miralles O, "Unmet needs, health policies, and actions during the COVID-19 pandemic : a report from six European countries", Eur Geriatr Med, 12, pp.193~204 (2021)[DOI]
  8. Wang J, "Prevention and control of COVID-19 in nursing homes, orphanages, and prisons", Environ Pollut, 266, pp.115161~ (2020)[DOI]
  9. Levitt AF, "COVID-19 in the long-term care setting : the CMS perspective", J Am Geriatr Soc, 68, pp.1366~1369 (2020)[DOI]
  10. Dosa D, "Long-term care facilities and the coronavirus epidemic : practical guidelines for a population at highest risk", J Am Med Dir Assoc, 21, pp.569~571 (2020)[DOI]
  11. Calcaterra L, "Long-term care facilities(LTCFs)during the COVID-19 pandemic-lessons from the Asian approach : a narrative review", J Am Med Dir Assoc, 23, pp.399~404 (2022)[DOI]
  12. "Outbreak status of COVID-19" (2024)[URL]
  13. Bang JY, "Status of infectious disease inpatients at long-term care hospitals in Korea", J Korea Acad Ind Coop Soc, 21, pp.134~143 (2020)[DOI]
  14. Kim DH, "Prevalence of scabies in long-term care hospitals in South Korea", PLoS Negl Trop Dis, 14, pp.e0008554~ (2020)[DOI]
  15. Centers for Medicare & Medicaid Services(CMS), "Medicare and Medicaid programs; reform of requirements for long-term care facilities. Final rule", Fed Regist, 81, pp.68688~68872 (2016)
  16. "Medical Service Act" (2016)[URL]
  17. Song YJ, "Survey of COVID-19 management status of long-term care hospitals and long-term care facilities in Korea", Public Health Wkly Rep, 15, pp.1435~1440 (2022)
  18. Park S, "Determinants of long-term care insurance applications in South Korea", J Public Health(Oxf), 43, pp.604~610 (2021)[DOI]
  19. "Long-Term Care Insurance Act" (2007)[URL]
  20. "Infection control assessment and response (ICAR) tool for general infection prevention and control (IPC) across settings" (2022)[URL]
  21. Montoya A, "Common infections in nursing homes : a review of current issues and challenges", Aging health, 7, pp.889~899 (2011)[DOI]
  22. Lansbury LE, "Influenza in long-term care facilities", Influenza Other Respir Viruses, 11, pp.356~366 (2017)[DOI]
  23. Estes SA, "Therapy of scabies : nursing homes, hospitals, and the homeless", Semin Dermatol, 12, pp.26~33 (1993)
  24. Bouvresse S, "Scabies in healthcare settings", Curr Opin Infect Dis, 23, pp.111~118 (2010)[DOI]
  25. "Nursing home COVID-19 infection control assessment and response (ICAR) tool. Version 3.0" (2022)[URL]
  26. Smith PW, "SHEA", APIC guideline : infection prevention and control in the long-term care facility, July 2008, 2008, pp.29, 785~814
  27. Suetens C, "Healthcare-associated infections in European long-term care facilities : how big is the challenge?", Euro Surveill, 17, pp.20259~ (2012)
  28. "Evaluation and improvement of Korea long-term care insurance payments" (2021)[URL]

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