Management of a COVID-19 outbreak using a multidisciplinary approach and infection prevention control practices at a community living center in Veterans Administration Hospital, North Texas
Abstract Background: The increase in severe acute respiratory coronavirus virus 2 (SARS-CoV-2) cases due to the omicron strain led to reduced acute care hospital beds at the Veterans Administration (VA) Hospital, North Texas; veterans with non-severe coronavirus disease 2019 (COVID-19) disease wer...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Antimicrobial Stewardship & Healthcare Epidemiology |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2732494X24004911/type/journal_article |
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| _version_ | 1841525741740621824 |
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| author | Ikwo K. Oboho John Hanna Denisse Silva-Rodriguez Angela Christie-Smith Andrew Psenicka Ampava Khongmongkhon Marcus A. Kouma Sherry Reid Roger Bedimo |
| author_facet | Ikwo K. Oboho John Hanna Denisse Silva-Rodriguez Angela Christie-Smith Andrew Psenicka Ampava Khongmongkhon Marcus A. Kouma Sherry Reid Roger Bedimo |
| author_sort | Ikwo K. Oboho |
| collection | DOAJ |
| description |
Abstract
Background:
The increase in severe acute respiratory coronavirus virus 2 (SARS-CoV-2) cases due to the omicron strain led to reduced acute care hospital beds at the Veterans Administration (VA) Hospital, North Texas; veterans with non-severe coronavirus disease 2019 (COVID-19) disease were managed at a community living center (CLC), a VA nursing home. The management of non-severe COVID-19 in VA nursing homes has not been extensively described.
Methods:
We describe resident characteristics and outcomes, and infection control practices implemented during 2 COVID-19 outbreak periods (January 12–February 15, 2022, June 28–July 14, 2023). Serial testing of all CLC residents was conducted, and residents with polymerase chain reaction-confirmed SARS-CoV-2 (COVID-19) infection were included in the analysis. Resident data were ascertained from the COVID-19 facility dashboard and medical record system.
Results:
From January 12 to February 15, 2022, and June 28–July 14, 2023, 62 adults residing at the CLC were diagnosed with COVID-19. Overall, the median age was 75 years [interquartile range, 71–80], and 57 (91.9%) were men. Residents were cohorted by COVID-19 test results. A multidisciplinary team was convened, and staff were fit tested for appropriate personal protective equipment (PPE) and received refresher training on hand hygiene, donning, and doffing of PPE. Thirty-seven (59.7%) residents were symptomatic. Overall, 55 (88.7%) residents were documented to have received the SARS-CoV-2 primary vaccination series. Most residents were managed at the CLC, while 12 (19.3%) were hospitalized in acute care.
Conclusions:
It is feasible to manage high-risk residents with non-severe COVID-19 disease in a CLC utilizing a multidisciplinary approach and implementing Infection Prevention and Control strategies.
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| format | Article |
| id | doaj-art-f2f0b1d92c6f447e9e90fd3dbd304c20 |
| institution | Kabale University |
| issn | 2732-494X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Antimicrobial Stewardship & Healthcare Epidemiology |
| spelling | doaj-art-f2f0b1d92c6f447e9e90fd3dbd304c202025-01-17T07:18:29ZengCambridge University PressAntimicrobial Stewardship & Healthcare Epidemiology2732-494X2025-01-01510.1017/ash.2024.491Management of a COVID-19 outbreak using a multidisciplinary approach and infection prevention control practices at a community living center in Veterans Administration Hospital, North TexasIkwo K. Oboho0https://orcid.org/0000-0002-0654-0900John Hanna1https://orcid.org/0000-0003-0909-9396Denisse Silva-Rodriguez2Angela Christie-Smith3Andrew Psenicka4Ampava Khongmongkhon5Marcus A. Kouma6https://orcid.org/0009-0002-8723-5314Sherry Reid7Roger Bedimo8Division of Infectious Diseases & Geographic Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA Veterans Affairs North Texas Health Care System, Dallas, TX, USADivision of Infectious Diseases & Geographic Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA East Carolina University (ECU) Health, Greenville, NC, USA Brody School of Medicine, ECU, Greenville, NC, USAVeterans Affairs North Texas Health Care System, Dallas, TX, USAVeterans Affairs North Texas Health Care System, Dallas, TX, USAVeterans Affairs North Texas Health Care System, Dallas, TX, USAWalden University, Dallas, TX, USAVeterans Affairs North Texas Health Care System, Dallas, TX, USAVeterans Affairs North Texas Health Care System, Dallas, TX, USADivision of Infectious Diseases & Geographic Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA Veterans Affairs North Texas Health Care System, Dallas, TX, USA Abstract Background: The increase in severe acute respiratory coronavirus virus 2 (SARS-CoV-2) cases due to the omicron strain led to reduced acute care hospital beds at the Veterans Administration (VA) Hospital, North Texas; veterans with non-severe coronavirus disease 2019 (COVID-19) disease were managed at a community living center (CLC), a VA nursing home. The management of non-severe COVID-19 in VA nursing homes has not been extensively described. Methods: We describe resident characteristics and outcomes, and infection control practices implemented during 2 COVID-19 outbreak periods (January 12–February 15, 2022, June 28–July 14, 2023). Serial testing of all CLC residents was conducted, and residents with polymerase chain reaction-confirmed SARS-CoV-2 (COVID-19) infection were included in the analysis. Resident data were ascertained from the COVID-19 facility dashboard and medical record system. Results: From January 12 to February 15, 2022, and June 28–July 14, 2023, 62 adults residing at the CLC were diagnosed with COVID-19. Overall, the median age was 75 years [interquartile range, 71–80], and 57 (91.9%) were men. Residents were cohorted by COVID-19 test results. A multidisciplinary team was convened, and staff were fit tested for appropriate personal protective equipment (PPE) and received refresher training on hand hygiene, donning, and doffing of PPE. Thirty-seven (59.7%) residents were symptomatic. Overall, 55 (88.7%) residents were documented to have received the SARS-CoV-2 primary vaccination series. Most residents were managed at the CLC, while 12 (19.3%) were hospitalized in acute care. Conclusions: It is feasible to manage high-risk residents with non-severe COVID-19 disease in a CLC utilizing a multidisciplinary approach and implementing Infection Prevention and Control strategies. https://www.cambridge.org/core/product/identifier/S2732494X24004911/type/journal_article |
| spellingShingle | Ikwo K. Oboho John Hanna Denisse Silva-Rodriguez Angela Christie-Smith Andrew Psenicka Ampava Khongmongkhon Marcus A. Kouma Sherry Reid Roger Bedimo Management of a COVID-19 outbreak using a multidisciplinary approach and infection prevention control practices at a community living center in Veterans Administration Hospital, North Texas Antimicrobial Stewardship & Healthcare Epidemiology |
| title | Management of a COVID-19 outbreak using a multidisciplinary approach and infection prevention control practices at a community living center in Veterans Administration Hospital, North Texas |
| title_full | Management of a COVID-19 outbreak using a multidisciplinary approach and infection prevention control practices at a community living center in Veterans Administration Hospital, North Texas |
| title_fullStr | Management of a COVID-19 outbreak using a multidisciplinary approach and infection prevention control practices at a community living center in Veterans Administration Hospital, North Texas |
| title_full_unstemmed | Management of a COVID-19 outbreak using a multidisciplinary approach and infection prevention control practices at a community living center in Veterans Administration Hospital, North Texas |
| title_short | Management of a COVID-19 outbreak using a multidisciplinary approach and infection prevention control practices at a community living center in Veterans Administration Hospital, North Texas |
| title_sort | management of a covid 19 outbreak using a multidisciplinary approach and infection prevention control practices at a community living center in veterans administration hospital north texas |
| url | https://www.cambridge.org/core/product/identifier/S2732494X24004911/type/journal_article |
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