Retirement and nursing homes
X
The needs of the residents for family and personal contact shall be given appropriate
priority when balancing infection prevention and social participation.
X
There should be a stop to visiting bans – both nationwide and in the respective Laender.
In the event of changes in the law, the facilities should be given sufficient preparation
time so that they can inform residents and relatives about the current visiting
regulations.
2.1.6
„First lane“ test strategies for care facilities
As a COVID-19 infection is often asymptomatic, the personnel working in
homes is not safe from becoming infected unwittingly. The mandatory regular
precautionary testing of the employees of retirement and nursing homes was
introduced nationwide from as late as 1 November 2020 with the COVID-19
Preventive Measures Regulation, Federal Law Gazette II No. 463/2020. Prior
to that there was no harmonised nationwide strategy. Three million tests
for a closely meshed test network in the retirement and nursing homes were
secured by the Federal Government for the purpose of expanding the screening
programmes focussed on protection of the retirement and nursing homes.
Increase in test
frequency
Whilst an antigen or molecular biological test for SARS-CoV-2 was required
once a week in the beginning, the prescribed test frequency has since increased.
The operators of retirement and nursing homes are only allowed to admit
employees who are screened every three days at the latest. Feedback from the
personnel to the commissions shows that the willingness to contribute to the
increased infection prevention is quite high. However, the nasal swabs used
for the antigen tests are perceived as unpleasant and very painful for some.
Even if these tests are correctly performed by qualified staff, the nasal mucous
membrane reacts very sensitively particularly if there is inflammation.
Furthermore, the anatomy in the nose is not the same for everyone and can
make inserting swabs up to the nasopharynx problematic.
This is why care facilities in Vienna now use other test methods that do not
require medical personnel and are not painful: the gargle test. Unlike the
rapid antigen swab test, the gargle test is a PCR test and must be analysed in a
laboratory. Another advantage with this method is that it also enables testing
for specific virus mutations. The method used to extract sample material was
developed as part of the Vienna COVID-19 Diagnostics Initiative (VCDI) and
financed through the funds of the Mayor of Vienna and the Vienna Science
and Technology Fund amongst others. The screening in the pilot project was
conducted on the basis of the Epidemics Act and supported by the medical
crisis taskforce of the City of Vienna which also decides on the inclusion of
additional operations.
Long waiting times
for test results
41
The rapid execution and analysis of PCR tests is also essential as soon as
suspected cases emerge. Long waiting times for the results make implementing
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