0149/2020 - COVID-19 nas instituições de longa permanência para idosos: Estratégias de rastreamento laboratorial e prevenção da propagação da doença COVID-19 in long-term care facilities for the elderly: Strategies for laboratory screening and the preventionof the spread of the disease
A pandemia da novelcoronavirusdisease 2019 (COVID-19), infecção causada pelo coronavírus 2 da síndrome respiratória aguda grave (SARS-CoV-2), tem descortinado uma realidade até então oculta: a vulnerabilidade da população residente em instituições de longa permanência para idosos (ILPI). Diversas publicações científicas têm revelado a concentração de até 60% dos óbitos atribuídos à COVID-19 em tais instituições. A maioria dos residentes em ILPI reúnem os principais fatores de risco para morbimortalidade pela COVID-19, o que torna imprescindível a definição de ações voltadas à prevenção da transmissibilidade do SARS-CoV-2 neste ambiente, além das medidas usuais de distanciamento social e isolamento dos portadores da doença. Propõem-se, no presente artigo, estratégias de rastreamento da infecção em residentes e trabalhadores de ILPI por meio de testes laboratoriais disponíveis no Brasil. A identificação precoce de indivíduos portadores do SARS-CoV-2 com possibilidades de transmissão ativa e continuada do vírus permite a adoção de medidas que interrompam o ciclo de transmissão local da infecção.
Palavras-chave:
SARS-CoV-2, COVID-19, idosos, instituições de longa permanência para idosos, rastreamento
Abstract:
The 2019 coronavirus disease (COVID-19) pandemic, an infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has exposed a hitherto hidden reality: the vulnerability of the population living in long-term care facilities for elderly (LTCF). To date, several scientific publications have revealed a concentration of up to 60% of deaths attributed to COVID-19 in such institutions. Most residents of the LTFC share the main risk factors currently associated with increased morbidity and mortality due to the COVID-19 infection, making additional preventive approaches to the usual measures of social distancing and isolation of the carriers of the disease essential in this population. In this article, we propose strategies for the investigation of this infection in LTCF residents and workers using laboratory tests available in Brazil. The early identification of individuals with SARS-CoV-2, which are capable of active and continuous transmission of the virus, represents a precious opportunity for the adoption of measures aimed at interrupting the local cycle of this infection.
COVID-19 in long-term care facilities for the elderly: Strategies for laboratory screening and the preventionof the spread of the disease
Resumo (abstract):
The 2019 coronavirus disease (COVID-19) pandemic, an infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has exposed a hitherto hidden reality: the vulnerability of the population living in long-term care facilities for elderly (LTCF). To date, several scientific publications have revealed a concentration of up to 60% of deaths attributed to COVID-19 in such institutions. Most residents of the LTFC share the main risk factors currently associated with increased morbidity and mortality due to the COVID-19 infection, making additional preventive approaches to the usual measures of social distancing and isolation of the carriers of the disease essential in this population. In this article, we propose strategies for the investigation of this infection in LTCF residents and workers using laboratory tests available in Brazil. The early identification of individuals with SARS-CoV-2, which are capable of active and continuous transmission of the virus, represents a precious opportunity for the adoption of measures aimed at interrupting the local cycle of this infection.
Moraes, E.N, Viana, L.G, Resende, L.M.H, Vasconcellos, L.S, Moura, A.S, Menezes, A, Mansano, N.H, Rabelo, R. COVID-19 nas instituições de longa permanência para idosos: Estratégias de rastreamento laboratorial e prevenção da propagação da doença. Cien Saude Colet [periódico na internet] (2020/jun). [Citado em 22/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/covid19-nas-instituicoes-de-longa-permanencia-para-idosos-estrategias-de-rastreamento-laboratorial-e-prevencao-da-propagacao-da-doenca/17631?id=17631
