Efficacy of COVID-19 outbreak management in a skilled nursing facility based on serial testing for early detection and control
Braz. j. infect. dis
;
25(2): 101570, 2021. tab, graf
Article
in English
| LILACS
| ID: biblio-1278572
ABSTRACT
ABSTRACT SARS-CoV-2 has a high risk of outbreak in long-term skilled nursing facilities (SNF). Coronavirus disease (COVID-19) has high mortality rates among the elderly with chronic health conditions. Following identification of COVID-19 index case in a SNF, serial point-prevalence was implemented with reverse transcription-polymerase chain reaction (RT-PCR) and immunochromatographic assays. Active surveillance and early isolation of infected patients were implemented. Out of 23 SNF residents and 26 healthcare workers (HCW), 18 (78%) and 12 (46%) tested positive for SARS-CoV-2, respectively. High proportion (38%) of positive patients were asymptomatic and RT-PCR was positive up to six days before symptoms. Five (21.74%) residents were hospitalized with COVID-19, and 2 (9%) died; only 1 (4%) HCW needed to be hospitalized and no staff members died. Active surveillance helped COVID-19 control and management in a SNF. Testing symptomatic individuals only may fail to identify and isolate all persons contributing to transmission. In high-risk elderly, only symptoms screening may not be enough for outbreak control.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Skilled Nursing Facilities
/
COVID-19
Type of study:
Diagnostic study
/
Risk factors
/
Screening study
Limits:
Aged
/
Humans
Language:
English
Journal:
Braz. j. infect. dis
Journal subject:
Communicable Diseases
Year:
2021
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Epidemic Service/BR
/
Health Department/BR
/
Serrana State Hospital/BR
/
University of São Paulo/BR
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