Self-isolation of an Italian long-term care facility during COVID-19 pandemic: A comparison study on care-related infectious episodes

Author:

Venditti Noemi1ORCID,Petronio Giulio Petronio1ORCID,Pinti Melania2,Cutolo Giovanni2,Pietrangelo Laura1ORCID,Massini Laura1ORCID,Magnifico Irene1ORCID,Cutuli Marco Alfio1ORCID,Petrone Federica1ORCID,Papini Stefano3ORCID,Di Marco Roberto1ORCID,Corbi Graziamaria45ORCID

Affiliation:

1. Department of Medicine, Health Science “V. Tiberio”, Università degli Studi del Molise, Via De Sanctis snc , Campobasso 86100 , Italy

2. Istituto Dottrina Cristiana (Largo Istituto Dottrina Cristiana, 1, 67100 L’Aquila AQ), U.O. RSD e Casa di Riposo “Villa Santa Maria” , Montenero di Bisaccia (CB) 86036 , Italy

3. UO Laboratorio Analisi, Responsible Research Hospital , Campobasso , Italy

4. Department of Translational Medical Sciences, University of Naples Federico II Napoli 80126 , Italy

5. Italian Society of Gerontology and Geriatrics (SIGG), Campania Region section , Florence , Italy

Abstract

Abstract The aim of this retrospective cohort study is to understand if and how much the preventive self-isolation approach might have been a valid model to avoid care-related infection, not only from COVID-19 but also from other non-viral infectious diseases. From March to May 2020, the healthcare and management staff of the Villa Santa Maria long-term care facilities, located in the village of Montenero di Bisaccia (Campobasso, Molise, Italy), decided to carry out a preventive self-isolation plan to safeguard the residents from SARS-CoV-2. The impact on other infectious diseases was evaluated by analyzing the antibiotic therapies prescription trend among the inpatients. Our data showed that although self-isolation protected residents and caregivers from SARS-CoV-2, it can also be associated with mobility reduction, leading to an increase in bedridden pathologies, namely, pressure ulcers and pressure sores. The simultaneous isolation of residents and caregivers in the same location significantly reduced any outside influence as a cause of possible infections.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

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