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法国诺曼底地区养老院居民和工作人员中 COVID-19 在前五波疫情期间的发病率演变。

Evolution of the incidence of COVID-19 during the first five waves in residents and professionals of nursing homes in Normandy, France.

机构信息

Centre d'appui Pour La Prévention Des Infections Associées Aux Soins, Centre Hospitalo-Universitaire, CPias Normandie, Caen, Normandie, France.

Inserm UMR 1311 DYNAMICURE, Normandie Univ, UNICAEN, UNIROUEN, 14000, Caen, France.

出版信息

Aging Clin Exp Res. 2023 Apr;35(4):913-916. doi: 10.1007/s40520-023-02375-1. Epub 2023 Mar 2.

DOI:10.1007/s40520-023-02375-1
PMID:36864240
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9980848/
Abstract

BACKGROUND

Older adults living in nursing homes (NH) paid a heavy price to the COVID-19 pandemic, despite early and often drastic prevention measures.

AIMS

To study the characteristics and the impact of the pandemic on NH residents and professionals over 2 years.

METHODS

Cross-sectional study of COVID-19 clusters among residents and/or professionals in NH, from March 2020 to February 2022, in Normandy, France. We used data from the French mandatory reporting system, and cross-correlation analysis.

RESULTS

The weekly proportion of NH with clusters was strongly correlated with population incidence (r > 0.70). Attack rates among residents and professionals were significantly lower in period 2 (vaccination rate in residents ≥ 50%) compared with periods 1 (waves 1 and 2) and 3 (Omicron variant ≥ 50%). Among residents, mortality and case fatality rates decreased drastically during periods 2 and 3.

CONCLUSION

Our study provides figures on the evolution of the pandemic in NH.

摘要

背景

尽管采取了早期且往往非常严厉的预防措施,居住在养老院(NH)的老年人还是为 COVID-19 大流行付出了沉重的代价。

目的

研究 COVID-19 对 NH 居民和专业人员在 2 年期间的特征和影响。

方法

2020 年 3 月至 2022 年 2 月,在法国诺曼底对 NH 中居民和/或专业人员中的 COVID-19 集群进行了一项横断面研究。我们使用了法国强制性报告系统的数据和交叉相关分析。

结果

每周 NH 集群的比例与人群发病率呈强相关(r > 0.70)。与第 1 期(第 1 波和第 2 波)和第 3 期(Omicron 变体≥50%)相比,第 2 期(居民疫苗接种率≥50%)中居民和专业人员的攻击率明显较低。在居民中,死亡率和病死率在第 2 期和第 3 期急剧下降。

结论

我们的研究提供了 NH 中 COVID-19 流行演变的数字。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a88/9980848/d14f31fbeb63/40520_2023_2375_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a88/9980848/d14f31fbeb63/40520_2023_2375_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a88/9980848/d14f31fbeb63/40520_2023_2375_Fig1_HTML.jpg

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COVID-19 outbreaks in nursing homes: A strong link with the coronavirus spread in the surrounding population, France, March to July 2020.2020 年 3 月至 7 月法国:养老院的 COVID-19 疫情与周边人群中冠状病毒传播密切相关。
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