Investigation of a COVID-19 Outbreak and Its Successful Containment in a Long Term Care Facility in Qatar

Introduction: The objective of this study is to investigate the COVID-19 outbreak and its successful containment in a long-term care facility, Qatar.Materials and Methods: It was a retrospective case series of 24 COVID-19 positive patients inclusive of elderly, patient attenders, and front-liners fr...

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Autores principales: Hanadi Al Hamad, Manal Mustafa Mohd. Malkawi, Jameela Ali A. A. Al Ajmi, Mariam Nooh J. H. Al-Mutawa, Sanjay Harish Doiphode, Brijesh Sathian
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/4de1a73250bb4770ab73a4c4078cffc7
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spelling oai:doaj.org-article:4de1a73250bb4770ab73a4c4078cffc72021-12-01T07:13:13ZInvestigation of a COVID-19 Outbreak and Its Successful Containment in a Long Term Care Facility in Qatar2296-256510.3389/fpubh.2021.779410https://doaj.org/article/4de1a73250bb4770ab73a4c4078cffc72021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.779410/fullhttps://doaj.org/toc/2296-2565Introduction: The objective of this study is to investigate the COVID-19 outbreak and its successful containment in a long-term care facility, Qatar.Materials and Methods: It was a retrospective case series of 24 COVID-19 positive patients inclusive of elderly, patient attenders, and front-liners from 06th to 18th June 2020. Laboratory, radiological, and treatment findings were assessed from electronic records.Results: The outbreak management team concluded that despite all the pre-existing preventive measures implemented at the start of the pandemic, there was still evidence of lapses in infection control practices such as breach of infection control protocols like improper use of personal protective equipment. The infection prevention and control team promptly reassessed and implemented more stringent infection control methods and practices that successfully contained the outbreak on July 1, 2020. Among the seven elderly patients, the average age was 76.28 years ± SD25.5 and all were females. 57% of the patients were symptomatic. The most common comorbidities were Dementia (57%), Diabetes mellitus (43%), Coronary Artery Disease (43%), and Seizures (43%). Ground glass appearances in the lungs were found in 29% of the patients. Among the three deceased patients, Dementia and Coronary Artery Disease were the common comorbidities. Persistent elevation in blood glucose levels was observed among all patients during this period of infection.Conclusion: Elderlies in long-term care facilities are with certain pre-existing comorbidities which makes them more prone to develop COVID-19 complications. Thus, intensive infection control measures like ongoing education and awareness, staff compliance monitoring, quick contact tracing, visitor policy revision, ongoing patient and caregivers monitoring are inevitable recommendations for effective outbreak prevention and management.Hanadi Al HamadHanadi Al HamadHanadi Al HamadHanadi Al HamadHanadi Al HamadManal Mustafa Mohd. MalkawiJameela Ali A. A. Al AjmiMariam Nooh J. H. Al-MutawaSanjay Harish DoiphodeBrijesh SathianFrontiers Media S.A.articleCOVID-19elderlycomorbiditiespreventionlong term careoutbreakPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
elderly
comorbidities
prevention
long term care
outbreak
Public aspects of medicine
RA1-1270
spellingShingle COVID-19
elderly
comorbidities
prevention
long term care
outbreak
Public aspects of medicine
RA1-1270
Hanadi Al Hamad
Hanadi Al Hamad
Hanadi Al Hamad
Hanadi Al Hamad
Hanadi Al Hamad
Manal Mustafa Mohd. Malkawi
Jameela Ali A. A. Al Ajmi
Mariam Nooh J. H. Al-Mutawa
Sanjay Harish Doiphode
Brijesh Sathian
Investigation of a COVID-19 Outbreak and Its Successful Containment in a Long Term Care Facility in Qatar
description Introduction: The objective of this study is to investigate the COVID-19 outbreak and its successful containment in a long-term care facility, Qatar.Materials and Methods: It was a retrospective case series of 24 COVID-19 positive patients inclusive of elderly, patient attenders, and front-liners from 06th to 18th June 2020. Laboratory, radiological, and treatment findings were assessed from electronic records.Results: The outbreak management team concluded that despite all the pre-existing preventive measures implemented at the start of the pandemic, there was still evidence of lapses in infection control practices such as breach of infection control protocols like improper use of personal protective equipment. The infection prevention and control team promptly reassessed and implemented more stringent infection control methods and practices that successfully contained the outbreak on July 1, 2020. Among the seven elderly patients, the average age was 76.28 years ± SD25.5 and all were females. 57% of the patients were symptomatic. The most common comorbidities were Dementia (57%), Diabetes mellitus (43%), Coronary Artery Disease (43%), and Seizures (43%). Ground glass appearances in the lungs were found in 29% of the patients. Among the three deceased patients, Dementia and Coronary Artery Disease were the common comorbidities. Persistent elevation in blood glucose levels was observed among all patients during this period of infection.Conclusion: Elderlies in long-term care facilities are with certain pre-existing comorbidities which makes them more prone to develop COVID-19 complications. Thus, intensive infection control measures like ongoing education and awareness, staff compliance monitoring, quick contact tracing, visitor policy revision, ongoing patient and caregivers monitoring are inevitable recommendations for effective outbreak prevention and management.
format article
author Hanadi Al Hamad
Hanadi Al Hamad
Hanadi Al Hamad
Hanadi Al Hamad
Hanadi Al Hamad
Manal Mustafa Mohd. Malkawi
Jameela Ali A. A. Al Ajmi
Mariam Nooh J. H. Al-Mutawa
Sanjay Harish Doiphode
Brijesh Sathian
author_facet Hanadi Al Hamad
Hanadi Al Hamad
Hanadi Al Hamad
Hanadi Al Hamad
Hanadi Al Hamad
Manal Mustafa Mohd. Malkawi
Jameela Ali A. A. Al Ajmi
Mariam Nooh J. H. Al-Mutawa
Sanjay Harish Doiphode
Brijesh Sathian
author_sort Hanadi Al Hamad
title Investigation of a COVID-19 Outbreak and Its Successful Containment in a Long Term Care Facility in Qatar
title_short Investigation of a COVID-19 Outbreak and Its Successful Containment in a Long Term Care Facility in Qatar
title_full Investigation of a COVID-19 Outbreak and Its Successful Containment in a Long Term Care Facility in Qatar
title_fullStr Investigation of a COVID-19 Outbreak and Its Successful Containment in a Long Term Care Facility in Qatar
title_full_unstemmed Investigation of a COVID-19 Outbreak and Its Successful Containment in a Long Term Care Facility in Qatar
title_sort investigation of a covid-19 outbreak and its successful containment in a long term care facility in qatar
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/4de1a73250bb4770ab73a4c4078cffc7
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