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The Current Status of the Countermeasures to Prevent Infection with New Coronavirus Infections at Long-Term Care Welfare Facilities for Older Adults in Tochigi Prefecture, Japan

Teppei SASAHARA1)2), Saori MARUYAMA3)4), Akira NOZAWA3)5), Akio YOSHIMURA3)6) and Yuji MORISAWA2)3)
1)Department of Infection and Immunity, School of Medicine, Jichi Medical University, 2)Center for Infectious Diseases, Jichi Medical University Hospital, 3)Tochigi Regional Infection Control Konsotium (TRICK), 4)Department of Nursing, Tochigi Medical Center, 5)Department of pharmacy, Kamitsuga General Hospital, 6)Medical corporation Sanikukai Nissin Hospital


Because the severity of novel coronavirus infections (COVID-19) is known to be higher among older adults, infection control countermeasures for long-term care welfare facilities for this population are an urgent issue. We conducted a questionnaire survey among 285 facilities in Tochigi to determine the current status of their infection control for COVID-19, including the extent to which countermeasures are implemented and what are lacking, and to consider the necessary support for them. The response rate was 44.9%, and analysis of the results showed that the following problems need to be solved immediately: many facilities do not have external advisors for daily consultation; there is a lack of personal protective equipment, disinfectants, and infection prevention and control manuals for COVID-19 in 42.2% of the facilities; and there is a failure to isolate residents with fever in 30.5% of the facilities. In addition, it was found that many facilities were unsure on how to respond to COVID-19 outbreaks in their facilities, and that there was a need for external support, such as human resources, in the event of a COVID-19 spread in their facilities.

Key words:novel coronavirus infection (COVID-19), long-term care welfare facilities for older adults, questionnaire survey, regional cooperation

e-mail: protozoa@jichi.ac.jp

Received: August 11, 2020
Accepted: December 1, 2020

36 (2):98─104,2021

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