养老院访客政策和COVID-19感染率
Huiwen Xu1, John R Bowblis2, Shuang Li3
1Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.
American journal of infection control
|July 18, 2025
概括
在COVID-19大流行期间允许养老院访客是安全的,在采取预防措施时,居民感染的风险没有增加. 这一发现甚至出现在疫苗可用性之前的高社区传播时期.
科学领域:
- 老年学是指老年学的学科.
- 传染病流行病学 传染病流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 在COVID-19大流行期间,俄俄州独特地收集了禁令后的养老院访问数据.
- 这项研究调查了养老院居民的设施访问和COVID-19感染率之间的联系.
研究的目的:
- 为了确定是否允许在养老院内外来访者与居民中COVID-19感染率的增加有关.
主要方法:
- 在俄俄州677个养老院进行了为期9周的队列研究 (2020年11月至2021年1月).
- 边际结构模型分析了允许访客和居民感染之间的关联,控制设施和社区因素.
- 数据包括每周访问状态,居民感染率和社区传播率.
主要成果:
- 允许访客并没有显着增加新居民COVID-19感染的几率 (OR=0.92,95%CI:0.78-1.08).
- 在检查滞后效应的灵敏度分析中,结果保持一致.
- 允许参观者的设施数量每周有所变化,从226个到327个.
结论:
- 当实施适当的预防措施时,养老院访问是安全的.
- 即使在疫苗推出之前的高社区传播期间,访问也没有增加感染风险.
- 调查结果支持基于证据的政策,以确保长期护理机构的安全访问.
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