Department of Medical Microbiology and Parasitology, King Abdulaziz University, Infection Control and Environmental Health Unit, King Abdulaziz University Hospital, Faculty of Medicine, Jeddah, Saudi Arabia.
J Infect Public Health. 2021 Apr;14(4):521-526. doi: 10.1016/j.jiph.2020.12.036. Epub 2021 Jan 28.
The global transmission of SARS-COV-2 constitutes a highly challenging situation for long-term care facilities, especially with the lack of standardized and approved procedures. Residents in these facilities are at high risk for contamination due to proximity, and to morbidity and mortality given their advanced age and critical baseline health conditions. This paper exposes the experience and outcomes of a COVID-19 outbreak in a long-term facility in Jeddah, Saudi Arabia, which occurred after admission of a new resident despite high baseline level of alertness including systematic isolation and screening of all newly admitted residents. We highlight the challenges for case detection and application of protective measures, and describe the adaptive management strategies implemented to contain the outbreak.
SARS-COV-2 的全球传播对长期护理机构构成了高度挑战的情况，尤其是缺乏标准化和批准的程序。由于接近性以及由于高龄和关键基线健康状况而导致的发病率和死亡率，这些设施中的居民处于高污染风险中。本文揭示了沙特阿拉伯吉达一家长期护理机构 COVID-19 爆发的经验和结果，尽管在包括对所有新入院居民进行系统隔离和筛查的高度基线警觉性的情况下，仍有新居民入院后发生了疫情。我们强调了病例检测和应用保护措施的挑战，并描述了为遏制疫情而实施的适应性管理策略。
