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参与长期护理计划药房合作伙伴关系的熟练护理设施居民和工作人员的 COVID-19 早期第一剂疫苗接种率-美国,2020 年 12 月至 2021 年 1 月。

Early COVID-19 First-Dose Vaccination Coverage Among Residents and Staff Members of Skilled Nursing Facilities Participating in the Pharmacy Partnership for Long-Term Care Program - United States, December 2020-January 2021.

出版信息

MMWR Morb Mortal Wkly Rep. 2021 Feb 5;70(5):178-182. doi: 10.15585/mmwr.mm7005e2.

Abstract

Residents and staff members of long-term care facilities (LTCFs), because they live and work in congregate settings, are at increased risk for infection with SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1,2). In particular, skilled nursing facilities (SNFs), LTCFs that provide skilled nursing care and rehabilitation services for persons with complex medical needs, have been documented settings of COVID-19 outbreaks (3). In addition, residents of LTCFs might be at increased risk for severe outcomes because of their advanced age or the presence of underlying chronic medical conditions (4). As a result, the Advisory Committee on Immunization Practices has recommended that residents and staff members of LTCFs be offered vaccination in the initial COVID-19 vaccine allocation phase (Phase 1a) in the United States (5). In December 2020, CDC launched the Pharmacy Partnership for Long-Term Care Program* to facilitate on-site vaccination of residents and staff members at enrolled LTCFs. To evaluate early receipt of vaccine during the first month of the program, the number of eligible residents and staff members in enrolled SNFs was estimated using resident census data from the National Healthcare Safety Network (NHSN) and staffing data from the Centers for Medicare & Medicaid Services (CMS) Payroll-Based Journal. Among 11,460 SNFs with at least one vaccination clinic during the first month of the program (December 18, 2020-January 17, 2021), an estimated median of 77.8% of residents (interquartile range [IQR] = 61.3%- 93.1%) and a median of 37.5% (IQR = 23.2%- 56.8%) of staff members per facility received ≥1 dose of COVID-19 vaccine through the Pharmacy Partnership for Long-Term Care Program. The program achieved moderately high coverage among residents; however, continued development and implementation of focused communication and outreach strategies are needed to improve vaccination coverage among staff members in SNFs and other long-term care settings.

摘要

长期护理机构(LTCF)的居民和工作人员由于生活和工作在集中环境中,感染导致 2019 年冠状病毒病(COVID-19)的 SARS-CoV-2 病毒的风险增加(1,2)。特别是提供复杂医疗需求患者的熟练护理和康复服务的熟练护理设施(SNF),已被记录为 COVID-19 爆发的场所(3)。此外,由于老年人或存在潜在的慢性医疗状况,LTCF 的居民可能面临更严重的后果(4)。因此,免疫实践咨询委员会建议在美国 COVID-19 疫苗分配的初始阶段(第 1a 阶段)向 LTCF 的居民和工作人员提供疫苗接种(5)。2020 年 12 月,疾病预防控制中心启动了长期护理药房合作伙伴计划*,以促进登记的 LTCF 居民和工作人员的现场疫苗接种。为了评估该计划的第一个月内疫苗的早期接种情况,使用国家医疗保健安全网络(NHSN)的居民普查数据和医疗保险和医疗补助服务中心(CMS)工资单杂志的员工数据,估计了登记的 SNF 中符合条件的居民和员工人数。在该计划的第一个月(2020 年 12 月 18 日至 2021 年 1 月 17 日)至少有一个疫苗接种诊所的 11460 个 SNF 中,每个设施估计中位数为 77.8%(IQR=61.3%-93.1%)的居民和中位数为 37.5%(IQR=23.2%-56.8%)的工作人员至少接受了一剂 COVID-19 疫苗通过长期护理药房合作伙伴计划。该计划在居民中实现了中等高水平的覆盖率;然而,需要继续制定和实施重点沟通和外展策略,以提高 SNF 和其他长期护理环境中工作人员的疫苗接种覆盖率。

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