{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:51:26Z","timestamp":1772160686620,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T00:00:00Z","timestamp":1609891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background\/Objective<\/jats:title>\n                    <jats:p>Recommendations for infection prevention and control (IPC) of COVID\u201019 in long\u2010term care settings were developed based on limited understanding of COVID\u201019 and should be evaluated to determine their efficacy in reducing transmission among high\u2010risk populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Setting<\/jats:title>\n                    <jats:p>Site visits to 24 long\u2010term care facilities (LTCFs) in Fulton County, Georgia, were conducted between June and July 2020 to assess adherence to current guidelines, provide real\u2010time feedback on potential weaknesses, and identify specific indicators whose implementation or lack thereof was associated with higher or lower prevalence of COVID\u201019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Twenty\u2010four LTCFs were visited, representing 2,580 LTCF residents, among whom 1,004 (39%) were infected with COVID\u201019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Overall IPC adherence in LTCFs was analyzed for 33 key indicators across five categories: Hand Hygiene, Disinfection, Social Distancing, PPE, and Symptom Screening. Facilities were divided into Higher\u2010 and Lower\u2010prevalence groups based on cumulative COVID\u201019 infection prevalence to determine differences in IPC implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      IPC implementation was lowest in the Disinfection category (32%) and highest in the Symptom Screening category (74%). Significant differences in IPC implementation between the Higher\u2010 and Lower\u2010prevalence groups were observed in the Social Distancing category (Higher\u2010prevalence group 54% vs Lower\u2010prevalence group 74%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u2009.01) and the PPE category (Higher\u2010prevalence group 41% vs Lower\u2010prevalence group 72%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u2009.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>LTCFs with lower COVID\u201019 prevalence among residents had significantly greater implementation of IPC recommendations compared to those with higher COVID\u201019 prevalence, suggesting the utility in adhering to current guidelines to reduce transmission in this vulnerable population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17001","type":"journal-article","created":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T19:57:48Z","timestamp":1609185468000},"page":"581-586","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["<scp>COVID<\/scp>\n                    \u201019 Infection Prevention and Control Adherence in Long\u2010Term Care Facilities, Atlanta, Georgia"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2778-2597","authenticated-orcid":false,"given":"Carson T.","family":"Telford","sequence":"first","affiliation":[{"name":"Department of Epidemiology Fulton County Board of Health  Atlanta Georgia USA"},{"name":"Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cyndra","family":"Bystrom","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Georgia Department of Public Health  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Fox","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Georgia Department of Public Health  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David P.","family":"Holland","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Fulton County Board of Health  Atlanta Georgia USA"},{"name":"Department of Medicine Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherry","family":"Wiggins\u2010Benn","sequence":"additional","affiliation":[{"name":"Nursing Administration Fulton County Board of Health  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjum","family":"Mandani","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Fulton County Board of Health  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meshell","family":"McCloud","sequence":"additional","affiliation":[{"name":"Nursing Administration Fulton County Board of Health  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarita","family":"Shah","sequence":"additional","affiliation":[{"name":"Rollins School of Public Health Emory University  Atlanta Georgia USA"},{"name":"Department of Medicine Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"2081","DOI":"10.1056\/NEJMoa2008457","article-title":"Presymptomatic SARS\u2010CoV\u20102 infections and transmission in a skilled nursing facility","volume":"382","author":"Arons MM","year":"2020","journal-title":"N Engl J 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