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CHAIRMAN
Maruxa Hernández Corredoira
EDITOR IN CHIEF
Manuela Velázquez Prieto
Tomás Casasín Edo
MARKETING MANAGER
EDITORIAL BOARD
María B. Badía Tahull
Lluís Campins Bernadas
Juan Carlos Juárez Giménez
Carles Quiñones Ribas
Volume 23 - Issue 3, July-September 2021
ORIGINAL
CLINICAL AND EPIDEMIOLOGICAL FEATURES OF COVID-19 IN A LONG-TERM CARE FACILITY IN SPAIN
CANTUDO CUENCA MARÍA ROSA, MARTÍNEZ DE LA PLATA JUAN ENRIQUE


Objective: To describe the infection prevention and control measures in response to a COVID-19 outbreak declared in a LTCF, clinical and epidemiological characteristics
and therapy received, including antibiotics.

Method: A COVID-19 outbreak investigation in a LTCF in Spain from March 20, to June 30, 2020 inclusive. We implemented infection prevention and control measures to avoid high risk of contagion: training and screening of all staff members, visits restriction, resident cohorting, compliance of protocols, laboratory testing, among others.

Results: Of 231 residents, 29.4% had tested positive for SARS-CoV-2 during the study period, of which 23.5% died. All-cause mortality increased by 228.7% compared with previous years. Most of cases (72.1%) had symptoms, often typical symptoms (fever, cough or breathlessness). More than half received any treatment for COVID-19 (58.8%). Antibiotics to treat bacterial coinfection were prescribed in 52.9% residents, with an increase of 47.2% in consumption compared with the same period of 2019.
Conclusion: We have detected a considerable mortality associated with COVID-19, highlighting the challenges of the implementation of infection prevention and control measures to approach SARS-CoV2 outbreaks in LCTF and reduce hospital referral rates.

DISEASE OUTBREAK – MORTALITY – RESIDENTIAL FACILITIES – SARS VIRUS



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