Non-pharmacological measures implemented in the setting of long-term care facilities to prevent SARS-CoV-2 infections and their consequences: a rapid review

Stratil, Jan M.; Biallas, Renke L; Burns, Jacob; Arnold, Laura; Geffert, Karin; Kunzler, Angela; Monsef, Ina; Stadelmaier, Julia; Wabnitz, Katharina; Litwin, Tim; Kreutz, Clemens; Boger, Anna Helen; Lindner, Saskia; Verboom, Ben; Voss, Stephan; Movsisyan, Ani

doi:10.1002/14651858.cd015085.pub2

Cited by 41 publications

(48 citation statements)

References 183 publications

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“…[1][2][3][4][5][6] To date, a large amount of evidence has been accumulated on effective strategies to contain and prevent the spread of COVID-19 in ACFs. [7][8][9][10] Assessing the real-world impact of infection prevention measures in nursing homes is complicated but, at the same time, critical if the aim is to resume welfare systems and health care delivery systems as they were prior to the pandemic.…”

Section: Introductionmentioning

confidence: 99%

Analysis of a city‐wide COVID‐19 prevention strategy for aged‐care facilities during third and fifth waves of COVID‐19 in Kyoto City, Kyoto, Japan

Nagao

Matsumura

Yamamoto

et al. 2022

Influenza Resp Viruses

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Background During the third wave of the COVID‐19 pandemic at the end of 2020, clusters occurred frequently in aged‐care facilities (ACFs), which put pressure on the medical field in Japan. Based on this experience, Kyoto University and Kyoto City collaborated to promote a citywide COVID‐19 prevention strategy to prevent the spread of COVID‐19 within ACFs. The aim of this study was to clarify the effect of the prevention strategy among ACFs in Kyoto City during the third and fifth waves of the pandemic. Methods During the study period, the following measures were adopted as the prevention strategy in all ACFs: (1) active polymerase chain reaction (PCR) mass testing and facility‐wide testing when a single case was identified, (2) implementation of strategies to prevent transmission within a facility, and (3) vaccination program for ACFs. Results Of the 1,144 facilities subjected to the mass testing, 71.0% participated in the whole program including active PCR testing. The remainder participated in the rest of the programs. The prevalence of ACF‐related COVID‐19 cases among total COVID‐19 cases in Kyoto City decreased from 7.9% in the third wave to 4.1% in the fourth wave and 2.1% in the fifth wave. The incidence of clusters and proportion of severe elderly cases also decreased during the study period. Conclusions A city‐wide multidisciplinary effort including PCR mass testing and a vaccination program in cooperation with a university and local administrative office successfully reduced the clusters and transmission in ACFs in Kyoto City, Japan.

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Section: Introductionmentioning

confidence: 99%

Analysis of a city‐wide COVID‐19 prevention strategy for aged‐care facilities during third and fifth waves of COVID‐19 in Kyoto City, Kyoto, Japan

Nagao

Matsumura

Yamamoto

et al. 2022

Influenza Resp Viruses

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“…Although visiting restrictions may reduce the number of infections and deaths, there was no clear evidence to support this. 123 This review did, however, support the use of protective masks, appropriate personal protective equipment use, cohorting, and surveillance measures. 123 It is difficult to estimate the true effect of any one nonpharmacologic intervention because of spatial and temporal variation in transmission.…”

Section: Nonpharmacologic and Infection Control Measuresmentioning

confidence: 80%

“…123 This review did, however, support the use of protective masks, appropriate personal protective equipment use, cohorting, and surveillance measures. 123 It is difficult to estimate the true effect of any one nonpharmacologic intervention because of spatial and temporal variation in transmission. Overall, it appears that there were lower rates of SARS-CoV-2 infection in facilities with greater infection prevention and control measures.…”

Section: Nonpharmacologic and Infection Control Measuresmentioning

confidence: 80%

Managing the Impact of COVID-19 in Nursing Homes and Long-Term Care Facilities: An Update

Dyer

Fallon

Noonan

et al. 2022

Journal of the American Medical Directors Association

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“…14,18 While we have been focusing on travel measures (a topic set and prioritized by WHO Headquarters) and school measures (a topic identified by us and discussed and agreed upon with the WHO Regional Office for Europe, Cochrane and the CEOsys Public Health Stakeholder Advisory Panel in Germany), this article also integrates lessons learnt with regards to interventions in long-term care facilities (a topic signaled as important by the CEOsys Public Health Stakeholder Advisory Panel in Germany). 19 For travel measures and school measures, we pursued a multi-component evidence synthesis and knowledge translation strategy (Figure 1). This strategy included formally scoping the evidence base, providing specific review products regarding effectiveness and unintended consequences, facilitating the use of findings through evidence briefs 20 and contributing to evidencebased guidelines/guidance processes, nationally (for school measures) and/or with WHO (for both sets of measures).…”

Section: Our Approach To Responding To the Challengesmentioning

confidence: 99%

“…While we have been focusing on travel measures (a topic set and prioritized by WHO Headquarters) and school measures (a topic identified by us and discussed and agreed upon with the WHO Regional Office for Europe, Cochrane and the CEOsys Public Health Stakeholder Advisory Panel in Germany), this article also integrates lessons learnt with regards to interventions in long‐term care facilities (a topic signaled as important by the CEOsys Public Health Stakeholder Advisory Panel in Germany) 19 . For travel measures and school measures, we pursued a multi‐component evidence synthesis and knowledge translation strategy (Figure 1).…”

Section: Our Approach To Responding To the Challengesmentioning

confidence: 99%

Lessons learnt: Undertaking rapid reviews on public health and social measures during a global pandemic

Rehfuess

Burns

Pfadenhauer

et al. 2022

Research Synthesis Methods

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Public health and social measures (PHSM) have been central to the COVID‐19 response. Consequently, there has been much pressure on decision‐makers to make evidence‐informed decisions and on researchers to synthesize the evidence regarding these measures. This article describes our experiences, responses and lessons learnt regarding key challenges when planning and conducting rapid reviews of PHSM during the COVID‐19 pandemic. Stakeholder consultations and scoping reviews to obtain an overview of the evidence inform the scope of reviews that are policy‐relevant and feasible. Multiple complementary reviews serve to examine the benefits and harms of PHSM across different populations and contexts. Conceiving reviews of effectiveness as adaptable living reviews helps to respond to evolving evidence needs and an expanding evidence base. An appropriately skilled review team and good planning, coordination and communication ensures smooth and rigorous processes and efficient use of resources. Scientific rigor, the practical implications of PHSM‐related complexity and likely time savings should be carefully weighed in deciding on methodological shortcuts. Making the best possible use of modeling studies represents a particular challenge, and methods should be carefully chosen, piloted and implemented. Our experience raises questions regarding the nature of rapid reviews and regarding how different types of evidence should be considered in making decisions about PHSM during a global pandemic. We highlight the need for readily available protocols for conducting studies on the effectiveness, unintended consequences and implementation of PHSM in a timely manner, as well as the need for rapid review standards tailored to “rapid” versus “emergency” mode reviewing.

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Non-pharmacological measures implemented in the setting of long-term care facilities to prevent SARS-CoV-2 infections and their consequences: a rapid review

Cited by 41 publications

References 183 publications

Analysis of a city‐wide COVID‐19 prevention strategy for aged‐care facilities during third and fifth waves of COVID‐19 in Kyoto City, Kyoto, Japan

Analysis of a city‐wide COVID‐19 prevention strategy for aged‐care facilities during third and fifth waves of COVID‐19 in Kyoto City, Kyoto, Japan

Managing the Impact of COVID-19 in Nursing Homes and Long-Term Care Facilities: An Update

Lessons learnt: Undertaking rapid reviews on public health and social measures during a global pandemic

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