August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19
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SPECIAL ARTICLE
August 2020 Interim EuGMS guidance to prepare European Long‑Term Care Facilities for COVID‑19 Hubert Blain1 · Yves Rolland2 · Jos M. G. A. Schols3 · Antonio Cherubini4 · Stéphanie Miot1,5 · Desmond O’Neill6 · Finbarr C. Martin7 · Olivier Guérin8 · Gaëtan Gavazzi9,10 · Jean Bousquet11,12 · Mirko Petrovic13 · Adam L. Gordon14,15 · Athanase Benetos16 Received: 27 July 2020 / Accepted: 16 September 2020 © The Author(s) 2020
Key summary points Aim To guide LTCFs in preventing the entrance and spread of SARS-CoV-2. Findings The guidance is based upon the literature available on August 17, 2020. It lists (1) measures that can be implemented to keep COVID-19 out of LTCFs, and (2) COVID-19 symptoms that require RT-PCR testing in residents, staff members and visitors. It also (3) indicates the strategy to be used when a first LCTF resident or staff member is infected, and (4) proposes measures to limit adverse effects of the quarantine of residents tested positive for COVID-19. Message The EuGMS guidance enables LTCFs to adapt and suitably implement infection prevention and control measures, considering that the priorities are (1) early detection of symptomatic and asymptomatic COVID-19 residents, staff members and visitors who contribute to the entrance and dissemination of COVID-19 infection in LTCFs and (2) to limit the negative effects of isolation in infected residents. Abstract Purpose The European Geriatric Medicine Society (EuGMS) is launching a second interim guidance whose aim is to prevent the entrance and spread of COVID-19 into long-term care facilities (LTCFs). Methods The EuGMS gathered experts to propose a guide of measures to prevent COVID-19 outbreaks in LTCFs. It is based on the specific features of SARS-CoV-2 transmission in LTCFs, residents’ needs, and on experiences conducted in the field.
* Hubert Blain h‑blain@chu‑montpellier.fr 1
Department of Geriatrics, Centre Antonin Balmes, Pôle de Gérontologie du Centre Hospitalier Universitaire de Montpellier, Montpellier University Hospital, Montpellier University, 39 avenue Charles Flahault, 34295 Montpellier Cedex 5, France
2
INSERM 1027, Toulouse University, Toulouse, France
3
Department of Health Services Research and Department of Family Medicine, CAPHRI-Maastricht University, Maastricht, The Netherlands
8
Department of Geriatric Medicine, CHU Nice, University of Nice Sophia Antipolis, Nice, France
9
Department of Geriatric Medicine, University Hospital of Grenoble-Alpes, Grenoble, France
10
GREPI TIMC‑IMAG CNRS UMR5525, University of Grenoble-Alpes, Grenoble, France
11
Department of Dermatology and Allergy, Charité, Universitätsmedizin Berlin, Humboldt-Universität Berlin, and Berlin Institute of Health, Comprehensive Allergy Center, Berlin, Germany
12
MACVIA-France, Montpellier, France Section of Geriatrics, Department of Internal Medicine and Paediatrics, Ghent University, Ghent, Belgium
4
Geriatria, Accettazione geriatrica e Centro di ricerca per l’invecchiamento, IRCCS INRCA, Ancona, Italy
13
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