在加拿大北克的Omicron时代,长期护理设施中爆发了SARS-CoV-2疫情
Radhouene Doggui1, Manale Ouakki2, Annick Boulais2
1Direction des Risques Biologiques, Institut national de santé publique du Québec, Québec, QC, Canada. radhouene.doggui@inspq.qc.ca.
Scientific reports
|December 23, 2025
概括
从2022年5月到2024年9月,长期护理设施 (LTCF) 的COVID-19疫情和病例显著下降. 虽然较大的LTCF有更多的疫情,但病床容量没有影响病毒传播率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 长期护理设施 (LTCF) 是严重的COVID-19结果的高风险环境.
- 了解LTCF中COVID-19的时间趋势和风险因素对于有针对性的干预至关重要.
研究的目的:
- 分析2022年5月至2024年9月的北克LTCF的COVID-19爆发,病例和病例死亡率 (CFR).
- 评估时间段和LTCF病床容量对COVID-19负担的影响.
主要方法:
- 在北克,对471个活跃的LTCF进行了生态分析.
- 使用概括估计方程进行回归分析,以建模疫情发生率,病例发病率比率 (IRR) 和CFR比率.
- 按时间段分层 (第7波,2022-23,2023-24赛季) 和LTCF床位容量.
主要成果:
- 总共有2,501个疫情和39,089个COVID-19病例被记录.
- 与第7波相比,在2023-24赛季观察到爆发几率 (-35%),病例IRR (-39%) 和CFR比率 (-24%) 的显著下降 (p < 0.0001).
- 较大的LTCF (≥40个病床) 更有可能发生疫情 (OR高达7倍),但病床容量没有显著影响病例IRR或CFR比率.
结论:
- 在2022年5月至2024年9月期间,LTCF的COVID-19总体负担已经下降.
- LTCF病床容量是疫情发生的预测指标,但不是设施内的病毒传播强度.
相关概念视频
Continuing Care
1.8K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.8K
Healthcare Associated Infections II: Preventive Measures
3.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.5K
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Steps in Outbreak Investigation
466
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
466
Specialized Care Centers and Settings-I
1.4K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K


